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ma_admin_bill_at_claims [2017/05/19 12:19]
sped_forms
ma_admin_bill_at_claims [2017/05/19 12:20] (current)
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 +====== How do I bill Assistive Technology (AT) claims? ======
  
 +
 +===== To bill for AT Devices, you will need to send the following to DHS: =====
 +<WRAP clear></​WRAP>​
 +  - Copy of the invoice.
 +  - A copy of the assessment to determine the appropriate device needed.
 +  - A copy of the IEP/​IFSP/​IIIP that identifies the recipient'​s need for the device.
 +<WRAP center round tip 80%>
 +Submit one unit cost for the complete device. Bill the device on one claim line; do not bill the device components separately.
 +</​WRAP>​
 +
 +
 +===== To Create an AT claim: =====
 +
 +<WRAP right round box 32% centeralign>​
 +{{:​ma_at_claims_link.png?​nolink|}}
 +</​WRAP>​
 +
 +<WRAP clear></​WRAP>​
 +<WRAP right round box 42% centeralign>​
 +{{:​ma_at_claims_new.png?​nolink|}}
 +</​WRAP>​
 +
 +  - Select "Admin reporting"​ using the "Go to..." menu in the top right.
 +  - Click on the "MA Forms" tab at the top.
 +  - On the MA reports page, select your district from the "​District"​ drop-down menu.
 +  - From the MA Reports menu, click "​Student Claims"​.
 +  - In the search criteria, enter the student'​s name which you are billing the AT Device for.
 +  - When the student'​s record comes up in the list, click the "AT Claims >>"​ blue link.
 +  - On the AT Claims page, click "New AT Claim"​.
 +  - On the "​Uniform cover sheet for health care claim attachments",​ enter the Billing Information:​
 +  - Select the AT Claim Type from the drop-down menu: (New, Rent, Repair, or Replacement).
 +  - Enter the device cost in "Claim Amount"​.
 +  - Click "​Save",​ the claim will be stored in this student'​s AT Claims log.
 +  - Click "​Print"​ to print out the Cover Sheet for the claim.
 +
 +<WRAP clear></​WRAP>​
 +<WRAP right round box 45% centeralign>​
 +{{:​ma_at_claim_view_delete.png?​nolink&​500|}}
 +</​WRAP>​
 +
 +===== To View, Delete or Duplicate an Existing AT Claim: =====
 +
 +
 +
 +
 +  - Navigate to the "AT Claims"​ page from the student'​s claim in MA Forms.
 +  - Click the "​View"​ button next to the Claim you want to view.
 +  - Click the "​Delete"​ button next to the Claim you want to delete.
 +  - Click the "​Duplicate"​ button next to the Claim you want to duplicate.
 +===== Enter AT Devices in the MA Billing Rate Setup: =====
 +
 +
 +  - Navigate to "Admin reporting"​.
 +  - Click the "MA Forms" tab.
 +  - From the MA Reports menu, choose your district in the drop-down menu.
 +  - From the MA reports menu, click "​Services setup"​.
 +  - Enter the National Code, National Modifier, Description and Rates (billing rate $1.00).
 +
 +<WRAP center round tip 60%>
 + Do not include any spaces, hyphens or dashes between the modifiers.
 +</​WRAP>​
 +
 +===== Assistive Technology codes and modifiers: =====
 +
 +
 +  * Code T1018 Modifier U7TMNU Assistive Technology Devices (New)
 +  * Code T1018 Modifier U7TMRB Assistive Technology Devices (Repairs)
 +  * Code T1018 Modifier U7TMRR Assistive Technology Devices (Rented)
 +  * Code T1018 Modifier U7TMRA Assistive Technology Devices (Replace)
 +
 +View the Department of Human Services [[http://​www.dhs.state.mn.us/​main/​idcplg?​IdcService=GET_DYNAMIC_CONVERSION&​RevisionSelectionMethod=LatestReleased&​dDocName=id_003399|Fact Sheet]] for more information on "​Assistive equipment and technology"​.
 +
 +===== Complete the "​Parental Consent"​ to bill DHS for Assistive Technology Devices"​ form: =====
 +<WRAP right round box 48%>
 +{{:​ma_at_parent_consent_new2015.png?​nolink|}}
 +</​WRAP>​
 +
 +  - From the student'​s Form Menu, click the "MA Forms" tab.
 +  - Click "MA Parental Consent"​.
 +  - Complete Section 2 to share data with the Department of Health & Human Services for assistive technology devices.
 +Other Forms to indicate need for Assistive Technology Devices:
 +
 +  * IEP Services and Modifications:​ Adaptive Equipment No or Yes and explanation.
 +  * Assessments for Accountability:​ IEP Assessments (State/LEP) and (District-wide)
 +  * IEP Classroom Adaptations and Modifications. Program Modifications,​ Supports and Adaptations in General and Special Education
ma_admin_bill_at_claims.txt · Last modified: 2017/05/19 12:20 (external edit)
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