Arizona medicaid school-based claiming program

Arizona participates in two Medicaid reimbursement programs for school-based services which serves Arizona Medicaid enrolled students. These school-based programs assist charter schools, the Arizona School for the Deaf and Blind ASDB , and participating school districts, referred to as Local Education Agencies LEAs , by reimbursing them for their costs to provide Medicaid covered services to enrolled students.

The purpose of the Medicaid Administrative Claiming MAC program is to allow LEAs to receive reimbursement for Medicaid administrative outreach activities that occur routinely within the school setting. Toggle navigation. Home Programs and Populations. Medicare Savings Programs. Claims Clues and Newsletters. Fee Schedules. For each fiscal year, total interim payment will be deducted from the reimbursement amount.

Should interim payment be less than the reimbursement amount, the LEA will receive the difference. The quarterly costs for direct service and administrative staff are used to calculate the quarterly MAC reimbursement. In addition to reporting allowable costs as previously stated, the LEA must identify other factors such as number of students with one or more related service on their IEP, one-way trip counts, and general versus specialized transportation vehicle costs as all of these components will be used to apportion costs during the cost settlement process.

Home About PCG. Useful Links Contacts. Program Documents.