Medicaid for School Staff

Under the Direction of and Supervision (Section 1.4 Medicaid Provider Manual)

Certain specified services may be provided "under the direction of" or "under the supervision of" another clinician. For the supervising clinician, "under the direction of" means that the clinician is supervising the individual's care which, at a minimum, includes seeing the individual initially, prescribing the type of care to be provided, reviewing the need for continued services throughout treatment, assuring professional responsibility for services provided, and insuring that all services are medically necessary. "Under the direction of" requires face-to-face contact by the clinician at least at the beginning of treatment and periodically thereafter.  

"Supervision of" limited-licensed mental health processionals consists of the practitioner meeting regularly with another professional, at an interval described within the professional administrative rules, to discuss casework and other processional issues in a structured way. This is often known as clinical or counseling supervision or consultation. The purpose is to assist the practitioner to learn from his or her experience and expertise, as well as to ensure good service to the client or patient.  

"Under the Direction of" pertains to OT, PT, and SLP:

PDF DocumentDocumentation of Supervision OT

PDF DocumentDocumentation of Supervision PT

PDF DocumentDocumentation of Supervision SLP

"Supervision of" pertains to SW:

PDF DocumentDocumentation of Supervision SW

PowerSchool Special Programs Procedure for Supervision Approval

PDF DocumentApproving Service Records


Staff Pool Guidance

Do not include any staff who are 100% federally funded (or otherwise not reportable on your districts SE-4096 form) in any of the cost pools.

Use the Staff Pool List Guidance pdf. for guidance on staff requirements to be placed on the Staff Pool List. 

PDF DocumentStaff Pool List Guidance

Helpful Hints: Only leave open vacancies during a quarter when you plan on filling that position.  If you know you will fill that position then leave it vacant. Vacant positions are pulled for RMTS and will negatively impact our reimbursement percentage. 

PDF DocumentLong Term Sub Guidance