LEA Agency Provider Manual Public Comment:

*Detrimental to the staff all the time that would have to be spent tracking down signatures

*Is the Medical community aware this will be required; *Are there implications if Medical offices do not comply?

*Increase cost of billing- mail, time and practitioners reviewing and signing

*Loss of funds due to delay in signatures and inability to bill for services and transportation.

*We would lose 50% of our billing if not able to bill transportation because of no services provided for speech, OT, PT and nursing services.

*How does this affect our students being serviced?

Nurses Comment

With the nurses having to take time to track a physician for signatures I would imagine that would be very cumbersome for them.  As they are already busy with students as it is, without having to incorporate another step to the process.

Personal Care Comment:

*Clarify- Does the supervision requirement go away then (every 90 days?)

*Would we need Physician's signature if it’s only daily needs i.e. toileting, ambulation or personal hygiene?

* AGAIN – How does this affect our students being serviced?

Reimbursement helps our schools so much with helping with expenses for related services, transportation and specialized instruction.  This would really HURT us!!

As a Medicaid Coordinator my job is to do Outreach in the community as well as process billing for transportation and coordinate with our providers which include PT, OT, Nurses, Personal Care and Speech to make sure our related services and billing process goes smoothly on a day to day basis.  In my opinion having physicians and nurse practitioners come on board, will be a lot more work and time which should which should be used for our students.