2015-16 Catastrophic Occurrences Funding

2015-16 Catastrophic Occurrences Funding

Agenda 3:00 3:05 3:55 Introductions and ZOOM Webinar reminders Special Education Guidance Document General Information and Reminders Future Calls Monthly call information may be found on the special education website under Related Links: Monthly Calls Please submit topics or questions for future calls on our website Future calls will be held on the last Thursday of each month from 3:00 to 4:00 (a reminder email will be sent monthly)

Webinar Reminders If you have questions during the webinar, please ask them by clicking on the question button. If you are experiencing any technical difficulties, please let us know by clicking on the chat button. You can see and hear us, but we are not able to see or hear you 2017-18 Catastrophic Occurrences Funding Section 24 of the Arkansas Department of Education Special Education and Related Services This is a Companion to the 2017-18 Catastrophic User Guide available at the following link: http://www.arkansased.gov/divisions/learning-services/special-education/funding-finance/catastro

phic-occurrences Updated November 13, 2017 2 REMINDER: PRIVATE SCHOOL SURVEY The Private School Survey will open Dec. 1, 2017 and must be completed online by December 16, 2017. The completed survey should be printed after submission and mailed to: Special Education Private School Survey Grants & Data Management Arkansas Department of Education

1401 W. Capitol, Suite 450 Little Rock, AR 72201 REMINDER: EARLY CHILDHOOD SURVEY The Early Childhood Survey will open Dec. 1, 2017 and must be completed online by March 1, 2017. Request Form for Out of State Travel Federal guidance now asks for preapproval of out of state travel. A Travel Request Form is

coming soon. If not posted on the web, please call SPED Finance for the form. ARKANSAS DEPARTMENT OF EDUCATION SPECIAL EDUCATION FINANCE FY 2017-18 REQUEST FOR OUT OF STATE TRAVEL Title VIB (6702) Federal Preschool (6710) State Preschool (2260) Other Source of Funds Fund

Function Object % of Funding Estim ated 0.00% $ Please include the following information: 1) Title of conference, dates and location 2) Who will be atte nding, (titles of staffmembers) 3) Break down of estimated cost (travel, lodging, registration)

4) How will this conference improve functional outcomes for students and align with staffPGP plans? Is the estimated cost included in the current budget? ___________ Special Ed Supervisor's Signature/Date Superintendent's Signature/Date ADE USE ONLY ADE SPECIAL ED OFFICIAL Date

- DEADLINES and DUE DATES The Catastrophic Registry will open this year in MySPED on December 1, 2017. Student information, including projected costs and account codes, for each student MUST be entered and saved in the Catastrophic Registry by the end of day February 6, 2018. Students CANNOT be entered after February 6, 2018. Database will close Feb 6 and reopen February 15. Each student listed in the Catastrophic Occurrences Registry that is submitted for reimbursement MUST have final costs (with complete account codes) entered and saved in the Registry and SUBMITTED by May 1, 2018. (Final costs may be submitted any time after February 15, 2017. These costs may be revised and saved as often as needed until

May 1, 2018.) After all has been completed, hit the SUBMIT button before May 1, 2018. Important Notes Superintendent Certification for Catastrophic Claims must be faxed to 501-682-4313 or mailed to SPED Finance by May 1, 2018. The Superintendents Certification shows the amount claimed and the date submitted for each Catastrophic Occurrences Student claim. If either the amount or date submitted do not appear on the report, the submission for the Student claim for Catastrophic Occurrences is NOT complete! The Submit Tab must be clicked first before it is officially submitted. Check page 1 to see if it says Successfully submitted. Once the Submit button has been hit, changes cannot be made. The IEPs for students may be submitted at any time between

February 15, 2018 and May 1, 2018. 7 What Constitutes Catastrophic? Individual cases where costs associated with special education and related services required by an IEP are: Unduly expensive Extraordinary Beyond the normal and routine special education and related services 8 Funding

Amount available for 2017-18 is $13,000,000 Reimbursements are determined after all revenue offsets are applied which include: Title VI-B per student average (varies for each district) Medicaid Reimbursement- Estimate for entire year. Other funds received (ESY, Third Party Liability , etc.) Grants and Data will preload the Title VI-B amount. Claims for preschool children must be submitted through the resident school district (Districts/Co-ops with eligible children should contact Grants & Data). 9 Funding continued Reimbursement of catastrophic claims after offsets: 100% of the first $15,000

80% of the next $35,000 50% of the next $50,000 Reimbursement for catastrophic claim amounts will be pro-rated if total requests for reimbursement exceed the amount of funds available in the Catastrophic Occurrences fund. 10 Points to Remember: Submitting a claim does not ensure that the claim will be funded. Do not make IEP decisions for the provision of supports and services based on the availability of catastrophic - or any other - funds. Complete the catastrophic occurrence registry information found on

MySPED to justify request for catastrophic funding and SUBMIT the claim in the system. Amount that MUST be spent varies by district. Formula: Total Allowable Claims minus (-) VI-B average per pupil allocation and other offsets (Medicaid, Third Party Liability, ESY, etc.) must equal (=) or exceed $15,000 as the minimum expenditure necessary to meet eligibility requirement. 11 Reminders Required Medicaid questions are located at the top of the student main page, as well as, explanations for Medicaid filing. The Medicaid questions are to clarify that the district has exhausted all means of monetary support.

The demographic information and questions must be entered before the February 6 deadline. If you make a mistake in the demographic information you cannot make changes. The student must be deleted and reentered. This cannot be done after the February 6 closure date. Double check yourself for accuracy. On the main screen, a Paraprofessional Verification Report is available for districts to run for checking accuracy. 12 Eligibility Criteria Catastrophic 2017-18 13

ELIGIBILITY CRITERIA FOR CATASTROPHIC OCCURRENCE The student must be currently enrolled in the district at time of submission. A district is deemed eligible to apply for reimbursement for a catastrophic occurrence when the costs associated with an individual student, after offsets from other available revenue sources, equal or exceed $15,000. The costs must be incurred solely as a result of the provision of special education and related services to the individual student. The services must be documented in the required students IEP pages sent to Grants & Data. 14

Definitions Private Duty Nurse (PDN) Personal Care Assistant (PCA) Private Duty Nursing services are those medically necessary services which are provided by a Registered Nurse and/or Licensed Practical Nurse under the direction of the recipients physician. Private Duty Nursing services may be covered for Medicaid eligible ventilatordependent recipients when determined medically necessary and prescribed by a physician. Other areas that meet the requirements of PDN

are: Intravenous Drugs (e.g. chemotherapy, pain relief, or prolonged IV antibiotics); Respiratory Tracheostomy or Oxygen Supplementation; Total Care Support for ADLs and close patient monitoring; and Hyper alimentation parenteral or enteral. Personal care services assist with a childs physical dependency needs. Routines and activities of daily living might include:

Bathing Bladder and bowel requirements Dressing and eating Personal Hygiene Mobility and Ambulation Incidental housekeeping, laundry, shopping The personal care assistant must be trained by a registered nurse in the specific areas needed to meet the needs of the student(s). The IEP should document the specific needs

of the student, and PCA should be included in the related services section. 15 Definitions Paraprofessional A paraprofessional -- often referred to as an aide -- is a special-education staff member who is not licensed to teach, but performs many duties both individually with students and organizationally in the classroom. Teacher

A Special Ed program code is required for all SPED teachers, function range 1200-1299. Instruction is designed to support for special needs of students with disabilities in need of special education and related services as defined in program standards. ******************************* The function code used in APSCN for the SPED teacher claimed, establishes the student: teacher ratio to be used in descriptions and calculations within the Catastrophic claim, regardless of the actual number of students in the classroom. *******************************

16 Eligible costs include ( If documented in student IEP pages) The pro-rata share of:

Teacher whose primary assignment is the student (See previous slide) Paraprofessional whose primary assignment is the student Pro-rata share of the required 1:6 paraprofessional Speech language pathologist Physical therapist Occupational therapist Private duty nursing services (see definition) Personal care assistant (see definition) Special Transportation aide Special Transportation bus driver Training of staff must be student specific and included in the IEP. Only include the pro-rata share for the student.

17 Eligible costs include (If documented in students IEP pages) Specialized equipment Extended school year services (include the offset) Medicaid State Match (include the offset) Contracted services to a Special Day School Facility Any special education funding source (including Title VI-B) Personal Care costs can be included if the personal care paraprofessional has received training required for Medicaid billing. Paraprofessional or nurses cost associated with specialized transportation needs of the student can be included if documented on IEP pages.

NEW! Documentation of personal care assistant training must be submitted with IEP. 18 MEDICAID All questions at the top of the student main screen must be answered for a claim to be considered. If the student has a personal care para, the para must be trained according to Medicaid guidelines and the district should be attempting to bill Medicaid. This is a requirement. The district will be required to submit documentation of the training if the training was provided by someone other than Medicaid in the Schools. If the para is not trained, an explanation is required as to why the para has not received the training.

19 REQUIRED QUESTIONS REGISTRY Medicaid Expenditures coded for Medicaid Match must include the Medicaid offset (Offset is required unless description indicates that provider receives Medicaid reimbursement and claim does not include a cost for the services). If related services such as PT, OT and Speech are contracted and the district does not bill the Medicaid, indicate under the Related Service Cost tab in comments. If the claim indicates that Medicaid has been billed, an offset must be

entered or explanation included in comment section. There should be an offset when Medicaid was collectable. Medicaid offset should be reasonable with the other Medicaid information on the claim. Estimate what should be received for the year not just what has been received at the time of submission. PRO-RATING STAFF Time calculation used for paraprofessionals and other staff must match the time written in the IEP. Calculation used must be included in the comment section. Include in the Comment section, the full salary and the calculation for determining the pro-rata share. 23

Example: Comment Section Comment box for example above: a) Special class 1:6 salary $64,838 x 16.67%=$10808 Benefits $16,210 x 16.67%= $2,702 c) Special Ed. Para to student ratio 1:4. Salary $20,054/4= $5,013. Benefits $5,014/4= $1,254 24 PRO-RATING STAFF The 21 digit account code must drive the calculation for pro-rating the teacher.

If the district has self-contained in the resource classroom, this must be explained in the comment section with the pro-rata calculation. Self-Contained in the Resource Classroom may be pro-rated at 6.67% (1:15) and must be stated in the comment section. The 21 digit account code must be a SPED code. 25 PRO-RATING STAFF EXAMPLE Districts can include pro-rata share of self-contained teachers salary & benefits SC 1:6 16.67% X______(Sal & Ben) =$_____

SC 1:1010.00% X______(Sal & Ben) =$_____ SC 1:15 6.67% X______(Sal & Ben) =$_____ Utilize the comment section of Instructional Cost Section of Registry to indicate special class option (1:6, 1:10, or 1:15)* and show the specific calculation (identify as letter a or b or c). Example: a) Special Class 1:10; Salary--$38,000 X .10 = $3,800; Benefits-$9,500 X .10 = $950. *Based on current years Cycle 4 report. Self-Contained in the Resource Classroom may be pro-rated at 6.67% (1:15) and must be stated in the comment section. 26 Example: Coding/Calculation Name

Account code Salary $ Benefits $ Mrs. Teacher 100012400662000061110 7053.00 1763.00

Mrs. Para 200012400662000061120 4677.20 1169.20 Calculation for example above: A) Teacher Special Class 1:10. Salary $70,528 x 10%=$7,053. Benefits $17,632 x10%= $1,763 C) Special Education Para Special Ed Para to student ratio 1:5. Salary $23,386/5=$4677.20 Benefits $5,846/5=$1169.20

Regardless of the actual number/count of students in the classroom, the account code ratio is used in the calculation of the teacher. 27 REMINDERS Appropriate 21-digit APSCN/eFinance account codes MUST be used for ALL costs (except fringe benefits) included in the claim. Funding from Medicaid, Third Party Liability, ESY, etc.

MUST be attempted . Description of services for each expenditure MUST be provided Description of how costs for each service was determined MUST be provided Example: a) Speech Therapist provides one-to-one services for 20 minute sessions three times each week. Cost determined by multiplying ST hourly rate of $60 per hour times one hr per wk times 36 wks. The calculation is $60 X 1 X 36 = $2,160. 28 REMINDERS Other offsets include: Medicaid, Third Party Liability, ESY, or other funding sources

Medicaid Offsets must be entered if Medicaid was billed. Estimates for the remainder of the year must be included. If a contractor bills and collects the Medicaid for services, the district is still responsible for the Medicaid Match. Minimum amount that MUST be spent to qualify for Catastrophic varies by district Formula: $15,000 + VI-B average per pupil allocation + other offsets = minimum expenditure required to meet eligibility 29 Ineligible Costs Catastrophic 2017-18

30 Ineligible Costs Include Ineligible costs may include, but not limited to the costs listed in the following slides. Basic costs of the classroom, such as the maintenance and operation of the classroom Basic materials and supplies, such as food, diapers, gloves, wipes, Ensure Basic transportation, such as mileage, fuel Other routine and normal costs associated with the provision of special education and related services to children with disabilities. Cafeteria prep time for special diets Administrative staff such as principal, vice-principal, LEA Supervisor Cost of evaluation for determining if a student is eligible for services

31 Ineligible Costs Include The cost of a Residential facility Expenditures claimed for entire amount of salaries & benefits of the teacher without indicating in the comment section that the teacher worked full-time to provide services on a one-to-one basis for the student Expenditures coded to Fund/Source 2244 or 1244 (ESY) but failed to include the ESY funds received as an offset (Offset is required). Medicaid offset should be reasonable with the other Medicaid information on the claim. Estimate what should be received for the entire year not just what has been received at the time of submission.

32 Ineligible Costs Include Expenditures reported without indicating the 21- digit account codes, with incomplete codes, with incorrect codes, with codes that are not SPED codes without the correct 21-digit account code for each cost (The 21-digit code

listed must match APSCN records) Expenditures for the entire salary & benefits of paraprofessionals claimed for each student when more than one student was served. Expenditures for the entire salary & benefits of paraprofessionals that were included in the instruction section and also being included as a pro-rated share of salaries & benefits for personal care. 33 Ineligible Costs Include Expenditures for Substitute teachers or Sub-Teach Expenditure of Adaptive PE, Art, or other specials Expenditures for paid Medicaid billing services Expenditures for construction, renovation, repair, and ADA

access Expenditures for training that are not student specific and/or not included in the IEP. 34 Common Mistakes Failure to include correct social security number for student or failure to record correct name of student. Failure to check that the name on the IEP is the same as the student profile. Failure to indicate whether the special class was self-contained 1:6; 1:10; 1:15; the number of paraprofessionals in the classroom; or the student to paraprofessional ratio for paraprofessionals and/or services. Failure to indicate how the cost claimed was determined.

Failure to have correct classroom account code. Failure to indicate that attempts had been made to obtain Medicaid or Other Third Party Insurance and an explanation in the comment section provided. 35 Common Mistakes Failure to check time for the Para across several students Account codes do not match classroom description/calculation Using number of students in class for pro-rating teacher, instead of classroom service type specified by account code Lack of explanation/calculation in comment boxes Did not estimate Medicaid/Medicaid State Match for the entire year Supports/services not documented in IEP pages Claiming the same para on multiple students without pro-rating the

salary Superintendents Certification sent before all claims were completed in the system. 36 IEP Documentation Catastrophic 2017-18 37 What to document in the IEP pages All supports and services claimed for catastrophic, must be documented on the IEP pages sent to SPED Finance in order to be

considered. Please submit the IEP that has been in place for the current year that supports the requested expenditures. (If more than one IEP was used throughout the year, submit both IEPs). 38 What to document in the IEP Examples: Related services Need for specialized equipment Need for Assistive Technology including Augmentative Communication Devices Need for student-specific, specialized professional development Need for specific supports for specialized transportation

Extra staffing services: personal care, one-to-one paraprofessional etc. Need for specialized transportation and transportation para 39 How to document the IEP Do specify the amount/times for staffing services provided How many personal care minutes/hours How many hours for paraprofessional and/or bus aide supervision How many minutes of related services Not required to use brand names in IEP or specific devices Districts may document an augmentative communication device without specifying an iPad or Vanguard, etc.

Districts may document de-escalation and restraint training without specifying PCM, CPI, etc. 40 IEP-Special Transportation Districts will need to document specific details about special transportation services in the student profile or another section of the IEP. Most IEP teams document the special transportation service on the related services chart. Info should be provided in an additional section concerning any specialized transportation needs (eg., staffing or equipment. Pro-rate the driver and bus paraprofessional.

41 Where to Document in the IEP The following page numbers are to be mailed to SPED Finance. Please be aware that these are the only pages read for a claim. DO NOT SEND THE ENTIRE IEP. Page 1-Student Information Present Level of Academic and Functional Performance Consideration of Special Factors ESY Services Schedule of Services Related Services Least Restrictive Environment Considerations.

*Please note your LEA number on top of each IEP and place the IEPs in ABC order, according to students last names. 42 IEP pages Page 1 Student Information Present Level of Academic and Functional Performance IEP Pages Consideration of Special Factors ESY Services

IEP Pages Schedule of Services Related Services (Services Summary) IEP Pages Least Restrictive Environment Prior to Submission Catastrophic 2017-18 47

Points to Ponder before Submission Ensure the IEP includes services that are provided and included on the childs Catastrophic Registry claim. Verify with the business office that the 21-digit APSCN account function code entered in the Registry matches the function code used in APSCN and is the correct function code for the specific class (i.e., 1:6 is function code 1250). Identify the method for determining the extraordinary costs for special education and related services. Verify the student name and I.D. number entered in the Registry matches the students name shown on the IEP (no nicknames) Points to Ponder before Submission Confirm attempts have been made to obtain Medicaid, Third Party Liability, ESY, or other funding sources.

Confirm the training and/or certification of paraprofessionals providing personal care to students, meets the required training for Medicaid Reimbursement. Send documentation of training. Explain under related services if Medicaid State Match is included, but no services are listed (contractor does own billing). Put LEA # on each IEP before submitting. Place IEPs in alphabetical order Paraprofessional Verification Report Districts have the ability to pull a verification of paras entered for all student claims. This is a valuable tool for checking accuracy before submitting. Located on the main Registry screen.

50 Paraprofessional Verification Report 51 Important Notes and Deadlines Catastrophic 2017-18 52

DEADLINES and DUE DATES The Catastrophic Registry will open in MySPED on December 1, 2017. Student information, including projected costs and account codes, for each student MUST be entered and saved in the Catastrophic Registry by the end of day February 6, 2018. Students CANNOT be entered after February 6, 2018. Database will close Feb 6 and reopen February 15. Each student listed in the Catastrophic Occurrences Registry that is submitted for reimbursement MUST have final costs (with complete account codes) entered and saved in the Registry and SUBMITTED by May 1, 2018. (Final costs may be submitted any time after February 15, 2017. These costs may be revised and saved as often as needed until May 1, 2018.) After all has been completed, hit the SUBMIT button before May 1, 2018. Important Notes

Superintendent Certification for Catastrophic Claims must be faxed to 501-682-4313 or mailed to SPED Finance by May 1, 2017. The Superintendents Certification shows the amount claimed and the date submitted for each Catastrophic Occurrences Student claimed. If either the amount or date submitted do not appear on the report, the submission for the Student claimed for Catastrophic Occurrences is NOT complete! The Submit Tab must be clicked first before it is officially submitted. Check page 1 to see if it says Successfully submitted. Once the Submit button has been hit, changes cannot be made. The IEPs for students may be submitted at any time between February 15, 2018 and May 1, 2018. 54 MAILING THE IEP

DO NOT e-mail the IEPs. Districts will need to send designated pages of the IEP for each Eligible Student to the Special Education Unit via regular mail. Please mail the forms to: ADE Special Education Unit Attn: Catastrophic Funding 1401 West Capitol Victory Building, Suite 450 Little Rock AR 72201 55 Contact: Submit questions to Chris Foley or Pepper Wyllia via email:

[email protected] or [email protected] More information is on the Special Education website https:// arksped.k12.ar.us/FundingAndFinance/CatastrophicOccurences.html Mail IEP pages to: ADE Special Education Unit Attn: Catastrophic Funding 1401 W. Capitol Victory Building, Suite 450 Little Rock, AR 72201 56

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