Local Education Agency
The Executive Office of Health and Human Services developed a Medicaid Direct Service Guidebook to assist Local Education Agencies (LEA) in Rhode Island with reimbursement for Medicaid services provided by or for a Local Education Agency. LEA's are responsible for maintaining records used to support claims submitted for Medicaid reimbursement. They also administer procedures to ensure program integrity.
The content of the Guidebook includes: information on Medicaid provider enrollment, service definitions, provider qualifications, documentation guidelines, claim submittal information (including diagnosis and procedure codes), claim reconciliation information, eligibility verification, and other policies and regulations.
- LEA Administrative Claiming Guidebook, January 2020
- LEA Direct Service Guidebook, September 2020
- LEA Guidebook Addenda, September 2020
- Vision Services Memo, 2020-10-16
- LEA Guidebook Update Letter, 2019-12-17
- 2017 LEA Summary
To speak with a Provider Representative about Medicaid reimbursement for LEA Services, please see Local Education Agency.