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Impact of New Payment Process and Consent Issues in Education Services

This document discusses critical consent issues related to CESA 4's guidance on information release without parental approval and the complaints filed against it. It highlights the implications of the new payment process, emphasizing how it affects billing based on Medicaid eligibility and specialized services. The conversation includes documenting services as per IEP requirements and tracks all transportation-related services. Additionally, there are ongoing efforts to collaborate with national groups to influence changes in payment methods, aiming to resolve overpayment issues and improve service funding clarity.

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Impact of New Payment Process and Consent Issues in Education Services

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  1. (C) Kinney management Services, LLC DISCUSSION POINTS • CONSENT – CESA 4 AND GETTING IT • COST SETTLEMENT PROCESS IMPACT • DOCUMENTING SERVICES • KSYSTEMS – CONSENT AND STAFF LIST.

  2. (C) Kinney management Services, LLC CONSENT – CESA 4 • CESA 4 - INCORRECT GUIDANCE • INSTRUCTED DISTRICT TO RELEASE INFORMATION WITHOUT PARENTAL CONSENT • REFUSED TO DISCUSS • FILED COMPLAINT WITH DPI AND US DOE

  3. (C) Kinney management Services, LLC CONSENT CESA 4 • PARENT COMPLAINED ABOUT RELEASE • DPI HOLDING SCHOOL DISTRICT ACCOUNTABLE • DPI REFUSES TO TAKE ACTION AGAINST REPONSIBLE CESA STAFF CLAIMING THEY DON'T KNOW WHO WAS IMPACTED • WE WILL PURSUE FURTHER

  4. (C) Kinney management Services, LLC IMPACT OF NEW PAYMENT PROCESS • PAYMENT NOT BASED ON BILLED SERVICES • “SERVICE” PAYMENT NOT BASED ON PROVIDED SERVICES • TRANSPORTATION REQUIRES TRACKING ALL SPECIALIZED TRIPS AND SERVICES.

  5. (C) Kinney management Services, LLC IMPACT OF NEW PAYMENT PROCESS • PAYMENTS ONLY BASED ON • COST POOL X • RMTS % FOR DIRECT SERVICES X • % OF MEDICAID ELIGIBLE STUDENTS IN WITH IEPs

  6. (C) Kinney management Services, LLC NEW PAYMENT PROCESS • TRANSPORTATION BASED ON • SPECIAL TRANSPORTATION FOR ALL MEDICAID IEP STUDENTS ON DAYS THEY GET COVERED SERVICES (A) • COMPARED TO SPECIAL TRANSPORTATION FOR ALL IEP STUDENTS ON DAYS THEY GET MEDICAID COVERED SERVICES. (B) • PAYMENT IS BASED ON TOTAL TRANSPORTATION COST X PERCENTAGE PRODUCED BY A/B

  7. (C) Kinney management Services, LLC NEW PAYMENT PROCESS THE BIG PROBLEM • PAYMENTS ARE BASED ON THE STATE WIDE RMTS WHICH YOU HAVE NO CONTROL OVER • EVEN CONTRACT COST ARE ALLOCATED – AND SHOULD NOT BE

  8. (C) Kinney management Services, LLC NEW PAYMENT PROCESS BILLING HAS NOTHING TO DO WITH PAYMENT!!!

  9. (C) Kinney management Services, LLC NEW PAYMENT PROCESS • CHANGING WITHOUT THE STATE WATCHING THE IMPACT CAUSED OVERPAYMENTS • STILL NO CLEAR DIRECTION FROM STATE ON BILLING • WE ARE HOLDING BILLS UNTIL WE CAN DETERMINE WHAT THE ONGOING IMACT WILL BE • NEED TO TALK ABOUT OPTIONS

  10. (C) Kinney management Services, LLC CONSENT – WHAT TO DO • DO NOT SPEND TIME CHASING • DO ASK FOR IT IN IEP PROCESS • PROPERLY CODE IN KSYSTEM • WE ONLY BILL WHERE IT HAS BEEN OBTAINED.

  11. (C) Kinney management Services, LLC SERVICE DOCUMENTATION • CONTINUE TO DOCUMENT • TRACK ALL SERVICES ON ALL CHILDREN WHO HAVE • IEP, AND • GET SPECIALIZED TRANSPORTATION

  12. (C) Kinney management Services, LLC KSYSTEMS • CONSENT CODING • STAFF LIST

  13. (C) Kinney management Services, LLC FUTURE CHANGES • WORKING WITH SEVERAL NATIONAL GROUPS AND OTHERS TO GET US DOE TO FIX ISSUE • TRYING TO GET STATE TO MOVE TO USING IGT FOR PAYMENTS – MEANS • NOT COST REPORTING • NO RMTS • PAID FOR SERVICES PROVIDED • NO COST SETTLEMENT – NO OVER PAYMENTS

  14. (C) Kinney management Services, LLC Questions

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