NEWS

Changes Coming to Medicaid Billing

Public Consulting Group (PCG) recently announced some changes to the way Medicaid billing will be handled. TAMES is working hard to account for these new changes, and we'll be updating our tools in the very near future. In the meantime, if you missed it, you can read the memo (composed by the IAASE Medicaid Committee) for more information on the changes that are happening this school year.

Read the memo

TAMES Newsletter Issue 3

The third issue of the TAMES newsletter is now available. In this issue, we provide some reminders about Telehealth services and some insight about how to properly record time for group services. Have feedback on the newsletter? Anything you'd like to see in the next issue? Send an email to bjohnson@tameshrs.com.

Check out issue 3 here.

TAMES Newsletter Issue 2

In Issue 2 of the TAMES Newsletter, we outline our new quarantine-friendly training options and give you some tips to make entering ORP information a breeze.

Read Issue 2 here.

TAMES Newsletter Issue 1

Check out the first issue of the TAMES newsletter today - with all the many changes in Medicaid billing (particularly in the wake of COVID-19), we wanted to create a concise and helpful means of conveying the most important new information to you on a regular basis. In this issue, we'll look at some of the changes to Medicaid billing related to COVID, plus answer some frequently asked questions about ORP practitioners and the ORP process in general. If you have any feedback on the newsletter, please send it to bjohnson@tameshrs.com.

Read the first issue here.

Telehealth Services Are Reimbursable During COVID-19 Public Health Emergency

To provide additional assistance during the COVID-19 public health emergency, Illinois policy has been modified to allow telehealth services to be reimbursable through Medicaid. From the Illinois HFS notice:

Telehealth services are medically necessary and clinically appropriate services covered under the Medical Assistance Program as set forth in 89 Ill. Adm. Code section 140.3 that are delivered using a communication or technology system to a patient at an originating site by a provider located at a distant site. To protect the public health in connection with the present public health emergency, the Department will reimburse medically necessary and clinically appropriate telehealth services with dates of service on or after March 9, 2020 until the public health emergency no longer exists, that meet the following requirements:

To be eligible for reimbursement, the telehealth service must be delivered using:

1. an "interactive telecommunication system" or "telecommunication system" as described in 89 Ill. Admin. Code Section 140.403(a), or;
2. a communication system where information exchanged between the physician or other qualified health care practitioner and the patient during the course of the synchronous telehealth service is of an amount and nature that would be sufficient to meet the key components and requirements of the same service when rendered via face-to-face interaction.

For more information, read the full notice here.

Update: Proposed Amendment to Section 1905 of the Social Security Act

TAMES continues to advocate for the expansion of Medicaid reimbursement to Illinois public schools, with the goal of enrolling every child as an EPSDT-Medicaid recipient. Below you'll find updated documents containing our proposed amendment language and our rationale. Should you have any questions, please reach out to us via email.

Proposed Amendment Language
Rationale for Amending Section 1905 of the Social Security Act
Investment in Our Children Act

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