FDOE-Sponsored Medicaid Tracking & SDAC Systems

Medicaid Tracking System (MTS) 3.0 - The Medicaid Tracking System (MTS) 3.0 is a web-based application provided by the Bureau of Exceptional Education and Student Services (BEESS), Florida Department of Education (FDOE) to districts at no cost, allowing service providers to document and request reimbursement for services provided to students with disabilities through the Medicaid Certified School Match Program.

MTS 3.0 Features - Providers can document and bill for speech therapy services, physical therapy services, and occupational therapy services, as well as nursing services. Providers can generate personal reports of their documented services. Administrators can create detailed reports related to services documented by providers. Administrators can generate/upload the following files:
  • 270 Medicaid Eligibility Request file for submission to AHCA using two student data files
  • 271 Medicaid Eligibility Response file
  • 837 Professional Health Care Claims (billing) file

Contact MTSSupport@fldoe.org for more information.

Medicaid Tracking System (MTS) 2.0 - MTS 2.0 is a desktop-based (versus web-based) school district Medicaid billing software application. It is designed to facilitate a school district's student Medicaid eligibility checks and student Medicaid billing, as performed under the Medicaid Certified School Match Program. MTS 2.0 is provided at no cost to school districts by the Bureau of Exceptional Education and Student Services (BEESS), Florida Department of Education (FDOE).

MTS 2.0 Features
  • Can bill all service types which are billable under the Medicaid Certified School Match Program.
  • Draws its core data from your School Information System (SIS) via a "Student File" and an optional "Exceptionality File" which are produced by your IT Department on monthly basis for importation into MTS 2.0.
  • Enables automated mass student Medicaid Eligibility checks to be performed monthly. With the received eligibility data, you can generate paper based or PDF based monthly student Medicaid eligibility reports.
  • Streamlined Medicaid billing record entry. To bill a service, you only need to enter Student ID, Service Provider ID, Date of Service, Procedure Code, Diagnosis Code, and Units.
  • You can enter your billable service data from paper service documents, or from electronic service documents (such as Microsoft Word or Excel documents, or PDF documents, etc.).
  • Optionally, you can import service records into MTS 2.0 in bulk from other software applications using a specifically formatted Microsoft Excel file, to avoid having to hand enter that service data into MTS 2.0.

MTS 2.0 Architecture - MTS 2.0 is a Microsoft Windows desktop database application. It is designed for installation in your school district central office's Medicaid department, either as a single-user installation on one computer, or as a multi-user installation on multiple client computers in conjunction with a shared data folder on an IT Department file server. Multi-user installations typically contain up to five users, but more users can be supported.

Technical support on installation and operation of MTS 2.0 is provided by Nanci English, Medicaid in Schools Consultant, Student Support Services Project, nanci.english@fldoe.org.

Tools and Forms

Annual Notification and Medicaid Parental Consent

Agency for Health Care Administration (AHCA) and Centers for Medicare & Medicaid Services (CMS) Guidance

AHCA Guidance CMS Guidance

AHCA Rate Calculations

Medicaid Handbooks, Guides, Fee Schedules, and Forms

Medicaid Certified School Match Program Medicaid School District Administrative Claiming Program Archived Medicaid Handbooks, Guides, Fee Schedules, and Forms (Click here.)

Notes — Conference Calls Related to Schools and Medicaid

Medicaid 101 Call (11/17/20) Quarterly Call (10/29/20) Quarterly Call (7/9/20) Quarterly Call (4/7/20) Quarterly Call (11/21/19) Quarterly Call (8/29/19) Quarterly Call (3/6/19) 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

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.

Healthy Kids Corporation (KidCare) arranges health care coverage for Florida's uninsured children.

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.

U.S. Department of Health and Human Services - Office of Inspector General Reports

Shared District Resources

Examples of ICD-10 codes and ICD-9 to ICD-10 conversions shared by school districts:

Archived 2012-2016 Annual Schools and Medicaid Meetings

Archived 2012-2016 Annual Schools and Medicaid Meetings (Agendas, Presentations, and Handouts)