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RCSD Medicaid compliance officer details $4.9 million reimbursement, flags $1.3 million in missing parental consents and service-order gaps
Summary
Medicaid compliance officer Mike Salsa told the Board that Rochester's Medicaid program brought in about $4.9 million in 2024'025, but missing parental consents, late or absent service orders and data-matching issues could mean about $2.3 million in recoverable revenue if corrected.
Mike Salsa, Rochester City School District's Medicaid compliance officer, presented the district's annual Medicaid compliance report at the Board of Education's June 26 business meeting, detailing revenue, compliance gaps and recommended corrective steps.
Salsa reported gross Medicaid revenue for the 2024'025 year of just over $4.9 million, including a $612,000 cost-reporting payment received in May. He said New York's cost-reporting process currently returns about 13% of certain cost-report dollars to districts and that a more equitable share to the district would materially increase revenue.
He identified three primary compliance shortfalls that are costing the district significant recoverable funds. First, parental consent: the district currently has parental consent on file for about 78% of potentially eligible students; roughly 1,092 students (22%) lack a signed one-time Medicaid parental consent form. "We…
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