| SPECTRA
is a billing system used to track Medicaid eligible
students with special health care needs that are
Medicaid reimbursable and directly related to special
education.
- Local
Education Agency, Special Education Bundled Billing,
and Nursing Attendant Care
- Early
Childhood Intervention, Fee for Service Billing,
Family Service Coordination, and Developmental
Intervention
- Head
Start, Dental Services Billing
P.L. 100-360 states that Medicaid reimbursement
cannot be restricted or prohibited for covered
services for a child with disabilities because
the services are included in an IEP or IFSP.
Services
Provided by SPECTRA Staff:
-
Presentations about Medicaid billing within the
educational setting
- Assistance
with obtaining Medicaid provider numbers
- Assistance
with cost calculations for fee for service claims
- Inservices
for staff who will be involved with the billing
process
- Electronic
student identification for eligibility
- Provide
information to parents
- Medicaid
billing done electronically to expedite reimbursement
- All
records kept for five years and assistance is
provided with the auditing process
- Technical
assistance and problem solving
Reimbursable
Activities:
The
History of SPECTRA
- SPECTRA
originated in 1990 as one of two pilot projects
for the State of Kansas to develop and implement
a third party Medicaid billing program. To assist
Special Education agencies to access available
federal reimbursement for health related services
the schools provides.
- SPECTRA
operates under P.L. 100-360 which states that
Medicaid reimbursement cannot be restricted or
prohibited for covered services for a child with
disabilities because the services are included
in an IEP or IFSP.
- SPECTRA’S
goal is to track the special education students
who recieve reimbursable services and submit the
information to Kansas Medicaid for reimbursement.
SPECTRA continues to work with Kansas Medicaid
to ensure that Local Education Agencies and Early
Childhood Intervention Agencies have a voice in
any Medicaid policy changes that will effect the
reimbursement for the programs.
- SPECTRA
currently works with 56 Local Education Agencies
, 20 Early Childhood Intervention Agencies, and
1 Regional Alcohol and Drug Assessment Center
. Approximatly 12,000 students information is
processed monthly from the SPECTRA office. SPECTRA
provides technical assistance to all Local Education
Agencies and Early Childhood Intervention Agencies
in Kansas.
Spectra
Staff Members:
For additional information about SPECTRA, contact
Terri
Pence, SPECTRA Coordinator, Southeast Kansas
Education Service Center. |