"Under the direction of" for speech services allows
school districts to be reimbursed by Medicaid for those
services provided to Medicaid eligible students
by teachers of the speech and hearing handicapped.
OPTIONS FOR DISTRICTS
The following three options are offered to school
districts:
1.
Identification of
Medicaid Eligible Students Receiving Speech Services.
The option is delivered and billed on the actual number
of identified students.
A case load of 1-5
identified students is billed as a half day per
quarter caseload.
A caseload of 6-10
identified students is billed as a full day per
quarter caseload.
In summary, for every five identified students, a
half-day per quarter is required.
Example: If a district has
two therapists who require the "Under the direction of"
service and Therapist A has three identified students
and Therapist B has seven identified students, the
district would need to purchase 1½ days per quarter.
Only those students identified by the district prior to
the first of the month they become eligible will be
reviewed. Therefore, Medicaid lists should be reviewed
by the district on a monthly basis to insure accuracy.
Updated lists need to be provided to Licensed Speech
Pathologist Nancy Curri on or before the 25th of each
month.
2.
Review of district
therapists total caseloads.
This option is delivered and billed on a three days per
quarter per therapist basis.
Example: If a district has three therapists who require
"Under the direction of" service, the district would
need to purchase nine days per quarter.
3.
Review of district
students enrolled in OHM-BOCES programs.
This option is delivered and billed on a student number
per quarter basis and will include all BOCES teachers of
the speech and hearing handicapped servicing district
students enrolled in BOCES programs.
A caseload of 1-5
students is billed as a half day per quarter
caseload.
A caseload of 6-10
students is billed as a full day per quarter
caseload.
Example: If a district has 15 total students throughout
the BOCES Special Education programs, 1½ days per
quarter would be required to provide the "Under the
direction of" service.
Teacher of
the Speech & Hearing Impaired
Services of a teacher of the
speech and hearing impaired are available on an
itinerant basis. Preferred delivery mode is all day
assignments for three days or less per week, but
assignments can be aligned with a student's IEP
recommendation for service.
This service is generally BOCES aidable, except for that
portion spent with students with disabilities, which is
excess cost aidable.
