West Virginia School-Based Medicaid Services

Form Training Modules:

• Module 1 Occupational Therapy Billing Form Updated August 2017
• Module 2 Physical Therapy Billing Form Updated August 2017
• Module 3 Speech Therapy Billing Form
• Module 4 Transportation Billing Form Updated January 2016
• Module 5 Personal Care Services Log Sheet Form
• Module 6 Targeted Case Management Billing Form
• Module 7 Service Care Plan Form Updated April 2016
• Module 8 Nursing Billing Form

Sample Forms:

• Occupational Therapy Sample Billing Form
• Physical Therapy Sample Billing Form
• Speech Therapy Sample Billing Form
• Transportation Sample Billing Form Updated August 2016
• Personal Care Services Sample Log Sheet
• Targeted Case Management Sample Billing Form
• Service Care Plan Sample
• Nursing Sample Billing Form
• Psychological Sample Billing Form
• Audiological Sample Billing Form
• Speech Language Therapy Progress Note New August 2017

Clarification Documents

• Fingerprinting Update Updated March 2016
• Transportation Billing Updated January 2016
• Psychological Testing
• Targeted Case Management Updated August 2017
• Speech Language Pathology Updated August 2017
• TCM Activities Updated August 2016
• Nursing Services Updated March 2016

Bureau for Medical Services Modules:

• Module 1 Administrative Services
• Module 2 Nursing Services
• Module 3 Speech Language and Audiological Services
• Module 4 Psychological Services
• Module 5 Personal Care Services
• Module 6 Occupational Therapy and Physical Therapy Services
• Module 7 Targeted Case Management (TCM) Services
• Module 8 Transportation Services

Medicaid Eligibility Report FY2017 January 10, 2017: PDF, Recording

KidStrong Conference School Nursing Medicaid Presentation June 22, 2016 - PDF

August 3, 2015 Special Education Director Webinar – Powerpoint

Medicaid Updates August 2015 Recording from August 3, 2015

Contact Information:

Terry Riley
West Virginia Department of Education
Phone: 304-957-9833 ext. 53223
Email: tjriley@k12.wv.us

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