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Board members press for contract language after questions about Medicaid billing for outside ESE providers
Summary
During a July meeting, board members and staff questioned whether outside contractors providing ESE services were billing Medicaid directly while also receiving payments from the district and asked that future contracts require documentation to avoid duplicate payments.
Board members and district staff discussed whether outside providers for exceptional student education (ESE) services should bill Medicaid directly or be paid by the district and then have Medicaid reimbursements deducted from that payment. The discussion focused on preventing duplicate payments and clarifying who files Medicaid claims for services delivered under district contracts. “That's double dipping, ain't it?” one speaker asked, referring to a situation in which a contractor would receive payment from the district and then bill Medicaid separately. The meeting included several practical questions about contract language and process. One participant said contracts should include…
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