====== 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