Frequently Asked Questions

Psychologists

• Would a psychologist ever be a case manager? If a student has an IEP with psychological services only the psychologist could be the case manager. This is a rare instance
• We have a time-out room that is staffed by a guidance counselor and a psychologist. What service can be billed? The psychologist can bill for psychological services but the guidance counselor cannot bill for services.
• Please explain the billing conflict between Psychological and Social Work Services. For Medical Assistance billing purposes, services provided by a Psychologist and a Social Worker are congruent. As a result, if you provide a service, and a Social Worker submits an encounter data form for the same date and same service, Medical Assistance will only pay for one service.
• What should we do if we serve a school that has a school-based health center? If you provide services to a school that has a school-based health center, your procedures for the submission of data will remain the same as for the last year. Any adjustments to the procedures will be directed to your attention in writing.
• How many services can we submit for in a day? You may only document one encounter data form per student per day, regardless of the number of services provided to a student on that given day.
• What determines eligibility for Medicaid? For most families, the determination of Medicaid eligibility is financial. In addition, a child who has a permanent handicapping condition may also qualify regardless of family income.
• I am a Psychologist who recently participated in the IEP Team process with the Department Chair and other Team members. How many of us can submit encounter data forms for Case Manager Services? Only the Case Manager designated for the student can submit an encounter data form for case management services. If you provided a related service to the student on the same day as the IEP Team meeting, you may submit an encounter for the service.