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School-Based Services Manual

School-Based Services Manual

This manual is a DRAFT and IS NOT IN EFFECT.
Please visit the appropriate provider type page for the manual that is in force at this time.

School-Based Services Manual

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School-Based Services Manual

Updated 04/25/2017

This manual was unpdated 04/25/2017

Update Log

Update Log


School-Based Services, May 2013: Entire Manual
These replacement pages includes a terminology change (client to member); however, unless a paragraphs also included content changes, it is not marked as a change.

School-Based Services, April 2012: Covered Services

School-Based Services, June 2011: Covered Services

School-Based Services, April 2008: Key Contacts, Covered Services, Billing Procedures, and Claim Instructions

School-Based Services, February 2007: Revised Physician Order Information, New Private Duty Nursing Request Form

School-Based Services, April 2006: Coordination of Benefits Information

School-Based Services, January 2006: Documentation Requirements, Restricted CSCT Services, Private-Duty Nursing Review Requirements, and School-Based Services Codes

School-Based Services, August 2005: Covered Services and Billing Information for CSCT and Therapy  

School-Based Services, May 2005: Key Contacts and Place of Service

School-Based Services, April 2005: Key Contacts

School-Based Services, August 2004: Audiology Services Defined  

School-Based Services, April 2004: Key Contacts and Websites, Covered Services, COB, Billing Procedures, Claim Forms, RAs and Adjustments, Forms and Definitions

School-Based Services, January 2004: Covered Services Error Correction

School-Based Services, December 2003:CSCT Changes


Table of Contents


Key Contacts


Key Websites




Covered Services


Passport to Health Program


Prior Authorization


Coordination of Benefits


Billing Procedures


Submitting a Claim


Remittance Advices and Adjustments


How Payment Is Calculated


Appendix A: Forms


Appendix B: Personal Care Paraprofessional Services Documentation


Deffinitions and Acronyms




Complete School-Based Services Manual