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.

To speak with a Provider Representative about Medicaid reimbursement for LEA Services, please see Local Education Agency.