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School Health Services Program Manual - General Information - Colorado Department Of Education - Department Of Health Care Policy Page 7

School Health Services Program Manual Section 1

 Included in the Care Coordination Plan shall be the provision for coordination

of benefits and case management across multiple providers to:

1. Achieve service integration, monitoring and advocacy.

2. Provide needed medical, social, educational and other services.

3. Ensure that services effectively complement one another.

4. Prevent duplication of Medicaid services.

1.6 Provider Enrollment

School districts that participate in the SHS Program must be organized as a district

under Colorado law for the purpose of providing free public education, including special

education and related services to children with disabilities. A district is defined as a

public school district, Board of Cooperative Educational Services (BOCES) or a State

educational institution that serves students in kindergarten through the twelfth grade.

To become enrolled in the SHS Program, a district must have a Local Services Plan

(LSP) approved by the CDE, a contract with the Department, and enroll as a Medicaid

provider in the Medical Assistance Program.

During the contract process, the district must submit a provider enrollment packet to

the Colorado Medical Assistance Program to obtain a Medicaid provider identification

number and gain access to the Medicaid Management Information System (MMIS) for

claims submissions.

Information on provider enrollment can be found at 1-800-237-0757 or

Provider

Enrollment on HCPF Website

1.7 Local Services Plan (LSP)

Participating districts are required to develop a LSP based on community input and

priorities to determine how Medicaid reimbursement funds received shall be spent. The

LSP outlines how reimbursed funds will be utilized to enhance or expand the availability

of health services to student’s in the district. Required elements of the plan include:

 Assessment of the health needs of student’s, including a targeted needs

assessment for uninsured and underinsured students;

 Solicitation of input from members of the community to determine local

health priorities;

 Estimation of the amount of reimbursement that will be available;

 Description and listing of the expanded or new health services to be

provided;

 Description of how funds are to be allocated for these health services; and

 Establishment of procedures for monitoring and reporting the delivery of

these health services.

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School Health Services Program Manual - General Information - Colorado Department Of Education - Department Of Health Care Policy Page 7