Transcript DISCUSSION POINTS

DISCUSSION POINTS
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CONSENT – CESA 4 AND GETTING IT
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COST SETTLEMENT PROCESS IMPACT
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DOCUMENTING SERVICES
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KSYSTEMS – CONSENT AND STAFF LIST.
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CONSENT – CESA 4
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CESA 4 - INCORRECT GUIDANCE
INSTRUCTED DISTRICT TO RELEASE
INFORMATION WITHOUT PARENTAL CONSENT
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REFUSED TO DISCUSS
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FILED COMPLAINT WITH DPI AND US DOE
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CONSENT CESA 4
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PARENT COMPLAINED ABOUT RELEASE
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DPI HOLDING SCHOOL DISTRICT ACCOUNTABLE
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DPI REFUSES TO TAKE ACTION AGAINST
REPONSIBLE CESA STAFF CLAIMING THEY DON'T
KNOW WHO WAS IMPACTED
WE WILL PURSUE FURTHER
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IMPACT OF NEW PAYMENT PROCESS
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PAYMENT NOT BASED ON BILLED SERVICES
“SERVICE” PAYMENT NOT BASED ON PROVIDED
SERVICES
TRANSPORTATION REQUIRES TRACKING ALL
SPECIALIZED TRIPS AND SERVICES.
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IMPACT OF NEW PAYMENT PROCESS
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PAYMENTS ONLY BASED ON
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COST POOL
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RMTS % FOR DIRECT SERVICES X
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X
% OF MEDICAID ELIGIBLE STUDENTS IN
WITH IEPs
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Alma School District
Beaver Dam School District
Boscobel School District
Chetek School District
Colby School District
Clintonville School District
Elcho School District
Fennimore School District
Holmen School District
Hillsboro School District
Hudson School District
La Crosse School District
La Farge School District
Menomonie School District
Pittsville School District
Platteville School District
Palmyra Eagle School District
Prairie Du Chien School District
Rice Lake School District
Richland School District
Riverdale School District
Sparta School District
Westby School District
Whitehall School District
Wauzeka-Steuben School District
2
55
12
14
16
28
8
20
36
3
69
70
5
42
6
5
13
23
9
18
2
23
13
5
8
505
9000
6%
0.02%
0.61%
0.13%
0.16%
0.18%
0.31%
0.09%
0.22%
0.40%
0.03%
0.77%
0.78%
0.06%
0.47%
0.07%
0.06%
0.14%
0.26%
0.10%
0.20%
0.02%
0.26%
0.14%
0.06%
0.09%
5.61%
NEW PAYMENT PROCESS
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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
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NEW PAYMENT PROCESS
THE BIG PROBLEM
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PAYMENTS ARE BASED ON THE STATE WIDE RMTS
WHICH YOU HAVE NO CONTROL OVER
EVEN CONTRACT COST ARE ALLOCATED – AND
SHOULD NOT BE
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NEW PAYMENT PROCESS
BILLING HAS
NOTHING TO DO WITH
PAYMENT!!!
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NEW PAYMENT PROCESS
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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
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CONSENT – WHAT TO DO
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DO NOT SPEND TIME CHASING
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DO ASK FOR IT IN IEP PROCESS
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PROPERLY CODE IN KSYSTEM
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WE ONLY BILL WHERE IT HAS BEEN OBTAINED.
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SERVICE DOCUMENTATION
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CONTINUE TO DOCUMENT
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TRACK ALL SERVICES ON ALL CHILDREN WHO HAVE
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IEP, AND
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GET SPECIALIZED TRANSPORTATION
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KSYSTEMS
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CONSENT CODING
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STAFF LIST
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FUTURE CHANGES
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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
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NOT COST REPORTING
NO RMTS
PAID FOR SERVICES PROVIDED
NO COST SETTLEMENT – NO OVER PAYMENTS
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Questions
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