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Medicaid FAQs

Updated this week

Can I make a list of students I have to bill Medicaid for?

  1. You can filter students who have consent for Medicaid billing by creating a Tag in the Caseload tab called "Medicaid".

2. In the Reports tab, select the 'Data-Billing Export' report and filter your students by the "Medicaid" tag.

How do I document evaluations for Medicaid?

Check out this video or follow these step-by-step directions:

Step 1: Create a new one time session

  1. Navigate to the Daily Data tab.

  2. Right click your mouse and then click 'New Therapy Session'

  3. Select the student you evaluated from the drop down list.

  4. Click on the start/end time to open the session.

  5. Add any details for the evaluation in the Student Notes section.

šŸ‘‰ Pro Tip: Add detailed notes about standardized assessments, observations, and caregiver input to support Medicaid documentation requirements.

Step 2: Fill in Evaluation Report Details

  1. Navigate to the Reports tab.

  2. Select the Data - Billing Export report from the left-hand side.

  3. Select the student you evaluated from the Students section.

  4. Select the time range for when the evaluation took place and click Generate Report.

  5. Find the session that corresponds with the evaluation you completed. Use the drop-down menus to select the Service Type, Place of Service, and Observation. If your specific option isn't listed, feel free to type your entry directly into the open field. See drop-down options below:

Click here for Service Type options

  • 92521 — Evaluation of speech fluency (e.g., stuttering, cluttering)

  • 92522 - Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria);

  • 92523 - Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)

  • 92524 — Behavioral and qualitative analysis of voice and resonance

  • 92605 — Evaluation for prescription of non-speech-generating augmentative and alternative communication device

Click here for Place of Service options

  • School

  • Telehealth

Click here for Observation options

  • Cooperative

  • Uncooperative

  • Disruptive

  • Responsive

  • Unresponsive

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How do I document non-billable services?

Option 1: Add a note during the session
SLPs can enter a note in the Student Notes section of the session to indicate that the service provided was non-billable. This keeps the context attached to the session for reference.

Option 2: Tag sessions as ā€œNon-Billableā€ in the Data-Billing Export
SLPs can mass-tag sessions by using the Data-Billing Export tool:

  1. Go to the Reports tab

  2. Select Data-Billing Export on the left

  3. Choose the student(s) and date range

  4. Check all sessions you wish to tag

  5. Click Actions, then Edit Data

  6. Select Service Type, and enter ā€œNon-billableā€ in the field

  7. Select Update

This will update the selected sessions with a ā€œNon-billableā€ label for the service type for easy filtering and reporting.

Do you work with my Medicaid biller?

Currently, SLP Toolkit has a partnership with the following Medicaid billers:

  • Relay (22 states)

  • HBS & HPC (Ohio)

  • SES (Georgia)

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