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Tools and Forms
Fee-for-Service School Certified Match Reimbursement Report is updated quarterly on the Florida Agency for Health Care Administration website.
Map of Florida, Size-Alike Districts, 2019 (PDF)
Medicaid Certified School Match Program: Potential Annual Medicaid Reimbursement Worksheets, Updated September 2018 (MS Excel)
Notice of Parental Rights Concerning the Use of Public Benefits or Insurance (DOCX) Parental Consent Form for Release of Personally Identifiable Information for Medicaid Reimbursement (PDF) Parental consent and notification requirements for sharing information related to Medicaid and Private Insurance Billing in Florida Administrative Code-FAC6A-6.03028 (PDF)
AHCA CMS Guidance
AHCA Answer - Telemedicine by Telephone (PDF)
AHCA - Telehealth Guidance Clarification (PDF)
CMS - USDOE HIPAA FERPA Joint Guidance (PDF)
Medicaid School-Based Services - Frequently Asked Questions (FAQs) Regarding Telemedicine Flexibilities for School Districts, Private, and Charter Schools During COVID-19 (PDF)
Notification of Enforcement Discretion for Telehealth Remote Communications During the COVID-19 Nationwide Public Health Emergency (PDF)
Random Moment Time Sampling Guidance for School District Administrative Claiming (PDF)
School District Administrative Claiming Reconsideration (PDF)
SDAC RMS Reconsideration Request Form (DOCX)
Telemedicine Guidance for School-Based Services (PDF)
Medicaid managed care plans and MOAs with school districts (1/17/19) (DOCX)
Coding RMS moment when selected participant is not scheduled to work or in on paid leave (4/24/19) (DOCX)
Archived AHCA Guidance (Click here.)
AHCA Transportation Rate Calculations
AHCA Transportation Rate Calculation Guide (DOCX)
AHCA Transportation Calculation Sheet (XLS)
Medicaid Handbooks, Guides, Fee Schedules, and Forms
Fee For Service Monitoring Checklist (DOCX)
Fee For Service Monitoring Instrument (XLSX)
Job Title Certification Checklist (PDF)
Medicaid Certified School Match 2020 Fee Schedule (PDF)
Medicaid Certified School Match Program Fee Schedule, 2019 (PDF)
RMS Monitor Review Process, Simplified (PDF)
SDAC Monitoring Tool (DOCX)
CMS Medicaid School-Based Administrative Claiming, May 2003 (PDF)
Job Title Certification Form (AHCA-November 2016) (PDF)
Medicaid Certified School Match Program Coverage and LImitations Handbook 2005 (PDF)
Florida School District Medicaid Administrative Claiming Guide, November 2013 (PDF)
Notes — Conference Calls Related to Schools and Medicaid
Quarterly Call (4/7/20)
  • Notes (PDF)
  • PowerPoint –  Schools and Medicaid Quarterly Call (PPTX) (PDF)
  • 2020 Fee Schedule Comments (PDF)
  • COVID-19 Frequently Asked Questions for State Medicaid and Children’s Health Insurance Program Agencies, 4/2/2020 (PDF)
  • Joint Guidance on the Application of the Family Educational Rights and Privacy Act and the Health Insurance Portability and Accountability Act of 1996 to Student Health Records, December 2019 Update (PDF)
  • HB 81, 2020 Florida Legislature (PDF)
  • School District Administrative Claiming Reconsideration (PDF)
  • SDAC RMS Reconsideration Request Form (DOCX)
  • Telemedicine Guidance for School-Based Services (PDF)
Quarterly Call (11/21/19)
  • PowerPoint –  Schools and Medicaid Quarterly Call (PPTX) (PDF)
Quarterly Call (8/29/19)
  • PowerPoint –  Schools and Medicaid Quarterly Call (PPTX) (PDF)
Quarterly Call (3/6/19)
  • PowerPoint –  Schools and Medicaid Quarterly Call (PPTX)
  • AAC Concurrence Procedure, Brevard County School District (PDF)
  • AHCA’s SMMC Roll Out Schedule (PDF)
  • AHCA’s SMMC Health and Dental Plans (PDF)
Archived 2014-2018 Conference Calls Related to Schools and Medicaid (Click here.)
Emails from FDOE/USF to School District Medicaid Contacts Related to Schools and Medicaid
4/23/20 - Medicaid School-Based Behavioral Health Procedure Codes (PDF)
4/16/20 - AHCA Telehealth Guidance Clarification (PDF)
4/15/20 - Medicaid Transportation Rates Memorandum (PDF)
4/9/20 - Random Moment Time Sampling Guidance for School District Administrative Claiming (PDF)
4/8/20 - AHCA Telemedicine by telephone (PDF)
4/2/20 - AHCA Medicaid SDAC Filing Process Update (PDF)
4/2/20 - AHCA School District Administrative Claiming Reconsiderations for Q3 2018 - Q2 2019 (PDF)
3/31/20 - Medicaid School-Based Services Delivered via Telemedicine (PDF)
3/30/20 - Update Information (PDF)
3/17/20 - RMTS Impact/School Closures (PDF)
2/12/20 - School District Administrative Claiming - Forms Clarification (PDF)
1/29/20 - 2020 Fee Schedule Updates (PDF)
11/5/19 - Medicaid Re-enrollment Tips from Districts (PDF)
10/31/19 - Medicaid re-enrollment information from AHCA (PDF)
8/19/19 - RY 2021 Payment Error Rate Measurement (PERM) for Florida (PDF)
4/29/19 - Charter School Participation in Medicaid School-Based Services Fee-for-Service (PDF)
4/24/19 - SDAC: Coding random moment when selected participant is not scheduled to work and not on paid leave (PDF)
Archived 2015 Emails from FDOE/USF to School District Medicaid Contacts Related to Schools and Medicaid (Click here.)
Important Links
Florida Agency for Health Care Administration (AHCA) is responsible for the administration of the Medicaid program, for the licensure and regulation of health facilities and for providing information to Floridians about the quality of the health care they receive in Florida.
National Alliance for Medicaid in Education represents the nation's Medicaid and Education agency staff, along with local education agency administrators, with programmatic responsibility for administering Medicaid's Administrative Claiming and Direct Billing of Health Related Service programs in schools.
Healthy Kids Corporation (KidCare) arranges health care coverage for Florida's uninsured children.
Shared District Resources
Archived 2015 Shared District Resource (Click here.)
Archived 2012-2016 Annual Schools and Medicaid Meetings (Agendas, Presentations, and Handouts) (Click here.)