direct service claiming (dsc) health aide training

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August 2014

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DIRECT SERVICE CLAIMING (DSC) HEALTH AIDE TRAINING. August 2014. WHY ARE WE HERE?. DSC is a federal Medicaid program that allows school districts/charter schools to receive reimbursement for some services provided to students who have IEP’s and those services are prescribed in the IEP’s. - PowerPoint PPT Presentation

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Page 1: DIRECT SERVICE CLAIMING (DSC) HEALTH AIDE TRAINING

August 2014

Page 2: DIRECT SERVICE CLAIMING (DSC) HEALTH AIDE TRAINING

DSC is a federal Medicaid program that allows school districts/charter schools to receive

reimbursement for some services provided to students who have IEP’s and those services are

prescribed in the IEP’s.

Reimbursement is possible when the student is covered by Medicaid (AHCCCS in AZ). The

billing agency tracks this, NOT the individual providers.

Because it is a reimbursement program, the services provided must be documented by the provider of the service. Aides are providers!

WHY ARE WE HERE?

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Page 3: DIRECT SERVICE CLAIMING (DSC) HEALTH AIDE TRAINING

You must be certified in First Aid and CPR to claim for the DSC program (Do not claim

if you’re not!).

You must apply for an AHCCCS ID. As long as you have applied for an AHCCCS # you can provide services before you get your

AHCCCS number

You must be trained in any “targeted” ADL services you provide.

GENERAL HEALTH AIDE REQUIREMENTS

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Page 4: DIRECT SERVICE CLAIMING (DSC) HEALTH AIDE TRAINING

All services must be indicated on the current IEP of the student and include the scope , frequency

and duration of service.

Check with the teacher(s) you are working with to verify that aide services are indicated on the students’ IEPs and the student’s needs for

Activities of Daily Living are mentioned in the present levels.

Do not record unless you are sure services are on the IEP AND you have been given the

necessary information from the Case Manager/Special Education teacher(s)

regarding the scope of services that may be claimed.

HEALTH AIDE SERVICES

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Page 5: DIRECT SERVICE CLAIMING (DSC) HEALTH AIDE TRAINING

Academic Assistance and/or Tutoring is NOT a reimbursable service!

Needs and Services that are not documented on the IEP CANNOT be claimed!

You can contact the Medicaid Coordinator if you have any questions on the services you are

providing.

HEALTH AIDE SERVICES WHICH ARE NOT REIMBURSABLE

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Page 6: DIRECT SERVICE CLAIMING (DSC) HEALTH AIDE TRAINING

HOW TO USE THE INFORMATIONINCLUDED ON THE IEP

DSC - HEALTH AIDE ASSISTANCESERVICES IN

ACTIVITIES OF DAILY LIVING (ADL’S)

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Page 7: DIRECT SERVICE CLAIMING (DSC) HEALTH AIDE TRAINING

___ Eating/Feeding: Food preparation, setting up food, spoon feeding, food choices, washing hands and face, cleaning up

after ones self. DO NOT BILL FOR TUBE FEEDING!!

___ Dressing: Buttoning and using a zipper, selecting appropriate clothing, putting on a sweater or jacket, discussing appropriate clothing for weather.

___ Toileting: Use of toilet/sink, ensuring cleanliness following elimination, feminine hygiene, diapering, draining/emptying a bag, washing up after

elimination.

___ Transfers: Assisting with moving to a chair/wheelchair, moving from one chair to another, moving from a piece of equipment to another, may require use of equipment, e.g. Hoyer lift, sliding board, etc. NOTE: May be part of another

ADL.

ACTIVITIES OF DAILY LIVING

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Page 8: DIRECT SERVICE CLAIMING (DSC) HEALTH AIDE TRAINING

___ Positioning: Turning a student from back to side, using a wedge to keep student on their side, using a bolster to relieve pressure on a student’s back, elevating the leg rests on a wheelchair, putting a pillow behind the head of a student in a wheelchair,

providing necessary care and comfort. NOTE: May be part of another ADL.

___ Mobility: Accompanying a student to class, assisting and accompanying between locations, assisting with wheelchair or walker. NOTE: May be part of another ADL.

___ Grooming: Combing/brushing hair, insertion and removal of contact lenses, or hearing aids, glasses care, keeping hair, hands and teeth clean. NOTE: May be part

of another ADL.

___ Use of Assistive Devices: Communicative devices, standers, lifters, braces.

The ADL’s you claim on the log MUST match what is documented in the IEP!

ACTIVITIES OF DAILY LIVING

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Page 9: DIRECT SERVICE CLAIMING (DSC) HEALTH AIDE TRAINING

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COMPLETING THE DSC HEALTH AIDE SERVICE RECORD

Page 10: DIRECT SERVICE CLAIMING (DSC) HEALTH AIDE TRAINING
Page 11: DIRECT SERVICE CLAIMING (DSC) HEALTH AIDE TRAINING

This is a state and federal program that allows school districts to receive reimbursement for the

costs of routinely performing Medicaid Activities.

You will be randomly selected each quarter of the school year. You can be chosen more then

one time per quarter.

This program is done all electronically through email. You will be required to check your

Kyrene Email weekly to see if you have been chosen to participate.

RANDOM MOMENT TIME SURVEY (RMTS)

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Page 12: DIRECT SERVICE CLAIMING (DSC) HEALTH AIDE TRAINING

An Email will be sent to your Kyrene Email from [email protected] (Not from the Medicaid Coordinator)

You will receive an email 4 days prior to your moment, telling you when your moment it.

You must fill this moment out within 24 hours of your moment.

If you do not fill this moment out another email will be sent to you and the Medicaid Coordinator, as a

reminder.12

Random moment inTime Survey

Page 13: DIRECT SERVICE CLAIMING (DSC) HEALTH AIDE TRAINING

This program will take you less then 5 minutes to do.There are 4 questions for you to fill out.

YOU MUST FILL OUT ALL 4 QUESTIONS.

1) Who were you with?

Student, class, children, parent, SLP/OT/PT/NURSE, Teacher

2) What were you doing?

Providing Direct Service, Talking with student, filling out forms, in meeting with staff

3) Describe why you were doing this activity.

To assist student, speaking with a parent/teacher about student, complete billing forms

4) Is this service you provided listed on the student’s IEP?

Yes, this service is listed in IEP, No, N/A/ would be for other if not related to student.

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Random Moment inTime Survey

Page 14: DIRECT SERVICE CLAIMING (DSC) HEALTH AIDE TRAINING

It is important that you fill out your moment, even if you were out of the office, if you were out sick, or it was your scheduled day off. You still need to fill

out your moment.If you do not fill out your moment within 4 days of your moment, the school district will loose out on

reimbursable funds.Please fill out your moments As Soon As Possible!!The instructions will be in the email they send you.

The URL for the RMTS site has changed to:https

://easyrmts.pcgeducation.com/RandomMomentTimeStudy

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RANDOM MOMENT TIME SURVEY

Page 15: DIRECT SERVICE CLAIMING (DSC) HEALTH AIDE TRAINING

After you have answered the questions, please make sure that you follow the directions on how to

submit your answers and sign off.

There could be a time where you receive and email asking for more information about your answer. This does happen from time to time. All you will

need to do is answer back to their question.

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RANDOM MOMENT TIME SURVEY

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