Medicaid fee for service
CTA works with districts to help them determine if claiming those funds is economically feasible. Districts are also given instruction on how to partner with the Oregon Health Authority Division of Medical Assistance Programs (OHA DMAP). When a District-DMAP partnership is established, the District can begin submitting reimbursement requests. CTA has developed a software interface for this purpose. It is call ORMED.
ORMED Is a Medicaid billing application that allows school-based health service providers* to enter service details and electronically submit billing claims to the Oregon Health Authority (OHA) for Medicaid reimbursement. CTA maintains the ORMED software, provides instructions for use, and troubleshoots issues as they arise.
*Here is a partial list of school-based health service providers:
ORMED Is a Medicaid billing application that allows school-based health service providers* to enter service details and electronically submit billing claims to the Oregon Health Authority (OHA) for Medicaid reimbursement. CTA maintains the ORMED software, provides instructions for use, and troubleshoots issues as they arise.
*Here is a partial list of school-based health service providers:
- Speech Language Pathologist
- Occupational Therapist
- Physical Therapist
- Registered Nurse and Licensed Practical Nurse
- Delegated Health Care Staff
- Social Worker
- Psychologist
- Psychiatrist
" ORMED has streamlined our Medicaid billing. The web-based software helps our providers manage their caseloads and the associated paperwork, i.e. consent forms, IEP information, and logs, from any computer, at any time. In addition, ORMED regularly checks for the student’s Medicaid eligibility so we only submits claims for eligible students who have current paperwork, reducing our denied claims. ORMED has a variety of reports available to monitor progress, such as number of consent forms, logs submitted, payments received, etc. The software also has helpful training videos should any staff have questions."
Deedee Harrington, Medicaid Facilitator, Bend-La Pine Schools, Bend, Oregon
