Spreadsheet: 2d2dbd14-ad53-4394-8385-a2d597bd3b98
Sheet: Sheet 1

DISTRICT OR BOCES | Coordinator FIRST NAME | Coordinator LAST NAME | Coordinator EMAIL ADDRESS | Coordinator PHONE NUMBER | Health Service Funds Expended (2012-13) | Administrative Funds Expended (2012-13) | Total of funds expended for 2012-13 | List $$$ Spent Expenditures | Description of Expenditures | List $$$ Spent of Expenditures | Description of Expenditures | List $$$ spentExpenditures | Descriptionof Expenditures | List $$$ spentof [NAME] | Descriptionof Expenditures | Total Administrative Expenditures (2012-13): | # Units of Service Assist/Emrgncy Fund(Vouchers) | Assist/Emrgncy Funds(Vouchers) | # Units of ServiceAssistive Technology | Total ExpenditureAssistive Technology | # Units of ServiceAudiology | Total ExpenditureAudiology | # Units of ServiceCase ManagementCare Coordination | Total ExpenditureCase ManagementCare Coordination | # Units of ServiceDental | Total ExpenditureDental | # Units of ServiceHealth AssistantClinic Aide | Total ExpenditureHealth AssistantClinic Aide | # Units of ServiceHealth Education | Total ExpenditureHealth Education | # Units of ServiceIntensive Health Tech(Delegated Services) | Total ExpenditureIntensive Health Tech(Delegated Services) | Insurance OutreachCHP+ and Medicaid | Total Expenditure Insurance OutreachCHP+ and Medicaid | # Units of ServiceMaterialsEquipment/Supplies | Total ExpenditureMaterialsEquipment/Supplies | # Units of ServiceMental Health | Total ExpenditureMental Health | # [NAME] of ServiceMotor Therapy | Total ExpenditureMotor Therapy | # Units of ServiceNursing | Total ExpenditureNursing | # Units of ServiceNutrition | Total ExpenditureNutrition | # [NAME] of ServiceOccupational Therapy | Total ExpenditureOccupational Therapy | # Units of ServiceOrientation and [NAME] | Total ExpenditureOrientation and [NAME] | # Units of ServiceParent/FamilySupport Services | Total ExpenditureParent/FamilySupport Services | # Units of ServicePhysical Therapy | Total ExpenditurePhysical Therapy | # Units of ServicePhysician Services | Total ExpenditurePhysician Services | # [NAME] of ServiceScreenings & Assessments | Total ExpenditureScreenings & Assessments | # [NAME] of ServiceSpeech Language | Total ExpenditureSpeech Language | # Units of ServiceTrainingProfessional Development | Total ExpenditureTrainingProfessional Development | # Units of ServiceTransportation | Total ExpenditureTransportation | # Units of ServiceVision | Total ExpenditureVision | Total Health Services Expenditures (2012-13): | Total Health Service # of Unduplicated Students (2012-13): | 1. [NAME]: | 2. [NAME]: | 1. Description: | 2. Description: | 1. Amount Paid: | 2. Amount Paid: | 3. [NAME]: | 4. [NAME]: | 3. Description: | 4. Description: | 3. Amount Paid: | 4. Amount Paid: | 5. [NAME]: | 6. [NAME]: | 5. Description: | 6. Description: | 5. Amount Paid: | 6. Amount Paid: | Subcontrator Total: | Date | Start Time | Finish Time | Duration (s) | User | Browser | OS | Referrer
21050 El Paso 11 | Unis | Burke | [EMAIL] | [PHONE] | 136582.98 | 78479.64 | 215062.62 | 48136.01 | Sal/Ben/Travel | 6739.63 | Supplies/Other | 23604 | CSMC |  |  | 78479.64 |  |  |  |  |  |  |  |  | 2 | 1100 | 25 | 73651.43 |  |  |  |  |  |  | 6 | 709.48 |  |  |  |  | 1.6 FTE | 54307.97 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 17 | 2609.5 | 5 | 172.6 | 18 | 1260 | 133810.98 | 1532.00 | The Consortium | Interim Health Care | Company that processes our Medicaid submissions as well as training. They also track licensure of our service providers. | Provided health care for a student until we were able to hire a replacement nurse. | 23604 | 2772 |  |  |  |  |  |  |  |  |  |  |  |  | 26376 | 2013-12-10 16:08:11 | 2013-12-10 15:54:05 | 2013-12-10 16:08:11 | 846 | 199.245.156.254 | IE 9 | Windows | http://www.cde.state.co.us/healthandwellness/medicaid_home
Academy School District 20 | [NAME] | Reese | [EMAIL] | [PHONE] | 285767.49 | 36703.15 | 322470.64 | 11881.15 | Supplies | 24822 | Consortium |  |  |  |  | 36703.15 | 5 | 306.9 | 14 | 17942.95 | 19 | 20934.53 | 0 | 0 | 0 | 0 | 0 | 0 | 5 | 772.3 | 0 | 0 | 0 | 0 |  |  | 56 | 76102.61 | 8 | 6028.01 | 16 | 72214.66 | 0 | 0 | 28 | 45475.76 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 10 | 32137.58 | 27 | 5927.19 | 39 | 7925 | 0 | 0 | 0 | 0 | 285767.49 | 27072.00 | Consortium |  | Billing services |  | 24822 |  |  |  |  |  |  |  |  |  |  |  |  |  | 24822 | 2014-01-14 11:18:56 | 2014-01-14 11:02:05 | 2014-01-14 11:18:56 | 1011 | 199.217.32.2 | Other | Windows | http://www.cde.state.co.us/healthandwellness/medicaid_home
Adams 12 Five Star Schools | Dawn | [NAME] | [EMAIL] | [PHONE] | 563846.96 | 152357.93 | 716204.89 | 80370.98 | Coord. Sal/Bene | 361.74 | Coord. Mileage | 69693 | Claiming Agent | 1932.21 | Mat/Supplies | 152357.93 | 27 | 2623.65 | 2 | 387 | 1 order, .4 FTE | 13770.46 |  |  |  |  | 1.25 FTE | 28618.13 |  |  |  |  | 2.35 FTE | 166157.92 | 44 orders | 18672.66 | 27 orders, 2 FTE | 63628.33 | 28 orders | 12805.35 | 3 FTE | 176952.35 |  |  |  |  |  |  |  |  |  |  |  |  | 22,134 Hear/Vision, 50 Imagine! | 56553.98 | 2 orders | 3039 | 13 events, 1 renewal | 16393.13 |  |  | 2 orders | 4245 | 563846.96 | 196437.00 | The Consortium | Imagine! | Claiming Agent/Health Services Advocate - Only agency available to districts which provides both claiming and program advocacy. | Imagine! was chosen to work collaboratively with the Structured Learning Services classroom in Adams 12 Five Star School District for the 2012-2013 school.  The purpose of the contract was to have a Board Certified Behavior Analyst working collaboratively on programmatic structures within the Structured Learning Services classrooms.  The contract was not renewed for the 2013-2014 school year under new leadership. | 69693 | 42946.75 |  |  |  |  |  |  |  |  |  |  |  |  | 112639.75 | 2014-01-21 09:42:30 | 2014-01-21 09:20:11 | 2014-01-21 09:42:30 | 1339 | 204.228.117.203 | IE 9 | Windows | N/A
ADAMS 14 | SONIA | FORD | [EMAIL] | [PHONE] | 158199.2 | 70985.57 | 229184.77 | 39261.45 | [NAME] | 17742 | CSMC | 318.1 | postage/mileage | 13664.02 | Indirect Costs | 70985.57 |  |  |  |  | 1 | 3967 |  |  |  |  |  |  |  |  |  |  | 470 | 10000 | 3 | 232.2 | 2800 | 144000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 158199.2 | 1258.00 | Colorado School Medicaid Consortium | Community Reach Center | Adams County School District 14 contracted CSMS to process billing.  We have been using CSMS since the School Medicaid program started and we are pleased with the services received.  Job expectations are outlined and monitored through a contract. | Mental Therapist work with students in Adams County District 14 through a cooperative agreement with Community Reach Center.  Mental health providers provide a variety of mental health services to students.  Performances are monitered by the Community Reach Director. | 17742 | 144000 |  |  |  |  |  |  |  |  |  |  |  |  | 161742 | 2014-01-28 13:10:37 | 2014-01-28 09:58:40 | 2014-01-28 10:31:19 | 1959 | 67.230.207.62 | IE 9 | Windows | N/A
[NAME] 28J | [NAME] | Weaver | [EMAIL] | [PHONE] | 972073.22 | 223490.73 | 1195563.95 | 148949 | salry/benefits |  |  | 74542 | supplies/CSMC |  |  | 223491 | 236 | 12535.43 | 248 | 8669.97 | 125 | 2912.26 | 2478 | 89962.05 |  |  |  |  |  |  | 250 | 34914.29 | 3717 | 105985.46 | 48 | 13311.42 | 27 | 55099 | 124 | 2912.26 | 2388 | 201038.38 |  |  | 25 | 7997.3 | 7 | 19552 |  |  | 12 | 22045 |  |  |  |  | 850 | 143783 | 47 | 10455.4 | 2 | 240900 |  |  | 972073.22 | 40769.00 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0 | 2014-01-07 10:44:09 | 2014-01-07 10:01:24 | 2014-01-07 10:44:09 | 2565 | 50.204.8.50 | IE 8 | Windows | http://fs24.formsite.com/305medicaid/form1/index.html
Arapahoe County School District #6 | [NAME] | Cooper | [EMAIL] | [PHONE] | 196867.83 | 10434 | 207301.83 | 10434 | Medicaid Consor |  |  |  |  |  |  | 10434 |  |  | 138 | 27955.62 |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 65 | 14555.53 |  |  |  |  | .8 FTE | 126370.81 |  |  | 56 | 13911.91 |  |  |  |  |  |  |  |  |  |  | 27 | 14073.96 |  |  |  |  |  |  | 196867.83 | 335.00 | Colorado School Medicaid Consortium | Children's Hospital-Nursing | The Colorado School Medicaid Consortium (CSMC) is the billing gent for Littleton Public Schools.  CSMC was selected as the billing agent based on positive recommendations from neighboring school districts. LPS is very pleased with the training and services provided by CSMC. | Littleton Public Schools contracts with Children's Hospital for our nursing services.  We have had a long history in working with Children's Hospital for our nursing services and have not had any problems that have needed corrective action. | 10434 | 126370.81 |  |  |  |  |  |  |  |  |  |  |  |  | 136804.81 | 2014-01-10 10:18:30 | 2014-01-10 10:07:06 | 2014-01-10 10:18:30 | 684 | 167.86.1.99 | Chrome | Windows | N/A
Archuleta School District 50 Jt. | Janell | Wood | [EMAIL] | 9702642228 | 35284.36 | 10411.46 | 45695.82 | 4732.91 | Centennial/CSMC | 479.71 | Ser Pl Adm & Me | 102.67 | Postage | 5096.17 | Durango 9R | 10411.46 |  |  |  |  |  |  |  |  |  | 338.85 |  |  |  |  |  |  |  |  |  |  |  |  |  |  | .67 FTE (938 hours) | 34945.51 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 35284.36 | 500.00 | Centennial Education Solutions | Colorado School Medicaid Consortium | CES was the billing agent for the district. Because we are now contracting for some Mediciad services with Durango 9R, we felt it would be easier to use the same subcontractor for future services. We changed for the 12-13 school year. Total cost in 12-13 was $332.40 | Colorado School Mediciad Consortium is the billing agent for the districct. They were chosen because of our contracting for services with Durango 9R. They handle the billing part of this program. Performance was monitored by training-in-services given to staff, services rendered and financial payment to the school district. This payment was for services provided to the special edducation department, health and support services according to the Service Plan. No problems existed. Total costs in 12-13 was $4,400.51 | 332.4 | 4400.51 | Durango 9R |  | Durango 9R provides Medicaid services for our district. Due to staffing changes within the district it was no longer feisable to run the program efficiently nor within guidelines with out expertise that Durango 9R already had. Durango 9R certifies the roosters, monitors the RTMS, helps with training for staff, helps with outreach to stakeholders, etc.  Total cost in 12-13  $3,063.01 |  | 5096.17 |  |  |  |  |  |  |  | 9829.08 | 2013-11-08 13:19:24 | 2013-11-07 13:43:31 | 2013-11-07 14:22:01 | 2310 | 199.114.231.158 | Chrome | Windows | http://fs24.formsite.com/305medicaid/form1/index.html
Boulder Valley School District | [NAME] | [NAME] | [EMAIL] | [PHONE] | 891948.46 | 175197.42 | 1067145.88 | 113079.86 | salary/benefits | 12276.97 | supplies/copier | 92.59 | mileage | 49748 | Agent fees | 175197.42 | 67 | 8650 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 1249 | 82031.8 | 3226.5 | 236537.34 |  |  | 8620 | 504656.52 |  |  |  |  |  |  |  |  | 252 | 19657.3 |  |  | 67.5 | 1971.82 |  |  | 44 | 10748.69 | 192 | 27694.99 |  |  | 891948.46 | 31893.00 | Colorado School Medicaid Consortium/Interim Health Care | Dental Aid/Dr. [NAME] DDS | CSMC - Billing Agent, used business previously and satisfied with their performance. No problems with agency. $49,748.00    Interim Health Care - Contracted Nursing Services for LPN on Leave. used business previously and satisfied with their performance. No problems with agency. $33615.00 | Dental care for students needing restorative care. Community Dental Clinic has provided services to students in the past and have been satisfied with the services. $6895.00/Dental care for students needing restorative care. Doctor has provided services to students in the past and have been satisfied with the services. $60.00 | 83363 | 6955 | Endodontic Specialist of Loveland, CO/Dr. [NAME], DDS | Western States Lab, [NAME] | Dental care for students needing restorative care. Doctor has provided services to students in the past and have been satisfied with the services. $350.00/Dental care for students needing restorative care. Doctor has provided services to students in the past and have been satisfied with the services. $300.00 | Lab work for a student. Recommended by community health provider. Satisfied with services in the past. $210.00/Dental care for students needing restorative care. Doctor has provided services to students in the past and have been satisfied with the services.$500.00 | 650 | 710 | Dr. [NAME]/Aquazul - mental wellness | Front Range Eye Associates  Attitude Optometry | Mental Health Services - Used this provider in the past and were satisfied with the services. $75.00/Mental Health Services - Used this provider in the past and were satisfied with the services. $100.00 | Vision care - glasses and eye exams for students. Used this provider in the past and were satisfied with the services. | 175 | 220 | 92073 | 2013-12-10 15:04:18 | 2013-12-09 13:54:26 | 2013-12-09 16:38:11 | 9825 | 161.97.140.51 | Chrome | Windows | http://www.cde.state.co.us/healthandwellness/medicaid_home
Brighton School District 27J | [NAME] | Morgan | [EMAIL] | [PHONE] | 415993 | 63881 | 479874 | 33824 | Consortium Serv | 29507 | [NAME] | 550 | Prof Developmen |  |  | 63881 |  |  |  |  | 1 FTE | 25162 |  |  |  |  | 17Para x187days x 6-7hr/day | 253200 |  |  |  |  |  |  | 57 cases of gloves | 1715 |  |  |  |  | 1 Nurse FTEx7hr/day x187 | 81078 |  |  |  |  |  |  |  |  |  |  |  |  | 6-8 Vision/Hearing screeners | 5843 |  |  | 130 staff - cpr/fa cert cards | 653 | [NAME]/day x187 days | 48342 |  |  | 415993 | 52710.00 | The Consortium |  | SD27J have used The Consortium for several years as our Medicaid billing agent.  The services rendered are the same as they were last year and the year before that. No Problems to date. |  | 33824 |  |  |  |  |  |  |  |  |  |  |  |  |  | 33824 | 2013-12-17 16:18:53 | 2013-12-17 13:57:35 | 2013-12-17 14:21:29 | 1434 | 65.121.54.67 | IE 10 | Windows | N/A
Buena Vista School District | [NAME] | Culp | [EMAIL] | [PHONE] | 35782 | 8200 | 43982 | 8200 | Consortium |  |  |  |  |  |  | 8200 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 1400 hours | 35782 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 35782 | 461.00 | Colorado School Medicaid Consortium |  | Chosen to provide billing services. Will monitor claiming |  | 8200 |  |  |  |  |  |  |  |  |  |  |  |  |  | 8200 | 2013-11-12 13:09:33 | 2013-11-12 10:48:21 | 2013-11-12 12:36:50 | 6509 | 69.146.183.93 | IE 10 | Windows | N/A
Cherry Creek School District | Michelle | [NAME] | [EMAIL] | [PHONE] | 365271.93 | 162651.89 | 527923.82 | 106458.99 | Salary & Benef | 48592 | Consortium | 7600.9 | Gen Sup & Milea |  |  | 162651.89 | 45 | 1759 |  |  |  |  |  |  |  |  | 60 | 1788.11 |  |  |  |  | 1100 | 20742.47 | 2061 | 159558.09 |  |  |  |  | 4500 | 173328.49 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 94 | 8095.77 |  |  |  |  | 365271.93 | 51145.00 | The Consortium | Professional Counseling Group | The Consortium is contracted by our district.  Our district utilizes the Consortium's billing program, EzedMed. Our district chose the Consortium due to working relationship that was already established. | The PCG had to meet very specific criteria.  The districts prevention office monitors the attendance of the students as well as pre and post evaluations by the students.  Per our 2009-2010 LSP we provide drug and alcohol consultation to students/families upon referral of school district staff. | 48592 | 879 |  |  |  |  |  |  |  |  |  |  |  |  | 49471 | 2013-11-15 15:07:44 | 2013-11-15 14:55:44 | 2013-11-15 15:07:44 | 720 | 166.113.128.14 | IE 9 | Windows | N/A
Colorado School for the Deaf and the [NAME] | Greg | DeGraaff | [EMAIL] | [PHONE] | 87947.12 | 47691.65 | 135638.77 | 24010 | Consortium Fee | 23681.65 | [NAME] |  |  |  |  | 47691.65 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 6 Vouchers | 5312.97 |  |  |  |  | Various Consumables | 6571.78 | 11 Vouchers | 11284 | 1035.25Hours | 40915.92 |  |  |  |  | 668 Hours | 23862.45 |  |  |  |  |  |  |  |  |  |  |  |  | 87947.12 | 0.00 | The Consortium |  | The vendor was selected on the following basis:  1.  The historical relationship between CSDB and the Consortium.  CSDB has been a Consortium member since the second year the MESH program.  2.  The quality of data entry service and exEDMed support.  3.  Quality of training, knowlege and advocacy The Consorium provides. |  | 24010 |  |  |  |  |  |  |  |  |  |  |  |  |  | 24010 | 2013-12-31 11:35:30 | 2013-12-31 10:14:40 | 2013-12-31 11:35:30 | 4850 | 67.51.109.194 | IE 9 | Windows | N/A
Delta County School District 50J | [NAME] | Lewis | [EMAIL] | [PHONE] | 85719 | 10351 | 96070 | 10351 | Billing Agent |  |  |  |  |  |  | 10351 |  |  |  |  |  |  |  |  |  |  | 3.19 FTE | 58457 |  |  |  |  |  |  |  |  |  |  |  |  | .5 FTE | 27262 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 85719 | 5550.00 | Centennial Billing Solutions |  | Centennial Billing Solutions was contracted by our school district to help oversee our Medicaid billing. They assist us in making sure we have billed Medicaid for everything that we are eligible for. There has not been any problems with Centennial Billing Solutions. |  | 10351 |  |  |  |  |  |  |  |  |  |  |  |  |  | 10351 | 2014-01-14 17:03:20 | 2014-01-14 14:19:05 | 2014-01-14 17:03:20 | 9855 | 199.117.8.194 | Other | Windows | N/A
Denver County Schools District #1 | [NAME] | Hendershot | [EMAIL] | 7204238139 | 1936471.26 | 454822.57 | 2391293.83 | 238804.24 | [NAME] | 82643 | Consortium dues | 33195.79 | Supplies etc | 100179.48 | Indirect Cost | 454822.51 | 356 eye exams/glasses | 40000 | 275 | 122944.89 | 209 pieces of equipment and tests | 155812.89 |  | 80881.97 |  |  |  | 15344.56 |  |  |  |  | 655 apps completed | 267610.53 |  | 9999.38 |  | 130990.42 | 106 | 159020.9 |  | 130349.35 |  |  |  |  |  |  |  |  |  |  |  |  |  | 94768.3 |  |  | 33224 institutes/trainings; 332 therapists/teachers attended NCI; 62 licensed speech and mental health providers | 552191.16 | 378 [NAME] tracking readers | 94500 | 46 | 82056.92 | 1936471.27 | 180859.00 | Denver Kids | Pupil Assistance Fund | Denver Kids is a non-profit located within DPS, and they provide case managmenet and counseling services to at-risk studetns, to help them succcessfully complete high school, purrsue a post-secondary option and become contributing members of the community.  LSP dollars supported a licensed counselor, who had a caseload of 50 students directlys served, and over 200 students indrectly served.  Denver Kids and the counselor report back on the counselor's activities, from the direct service caseload to the many other expanded, indirect services providing additional behavior support and working on social emotional issues. | Pupil Assistance Fund (PAF) is a non-profit located within DPS, and they provide eyeglasses and eye exams to student in need and without insurance.  PAF also provides medication vouchers and winter coats/clothing.  Medicaid LSP dollars support the component of eye exams and eyeglasses.  [NAME] is monitored by collecting receipts for each student's eyglasses and/or eye exam. | 63325.52 | 40000 | The Consortium |  | The Consortium serves as the billing agent for DPS Medicaid Department.  They also provide valuable advocacy, revenue maximization strategies, and training support. |  | 82643 |  |  |  |  |  |  |  | 185968.52 | 2014-01-17 17:24:55 | 2014-01-17 15:25:44 | 2014-01-17 17:24:55 | 7151 | 164.92.9.30 | IE 8 | Windows | http://www.cde.state.co.us/healthandwellness/medicaid_home
Douglas County | [NAME] | Mueller | [EMAIL] | [PHONE] | 596367.54 | 125342.03 | 721709.57 | 78694.01 | admin salaries | 1545.02 | supplies-mail | 45103 | Consortium |  |  | 125342.03 | 1 voucher | 193.19 |  |  |  |  |  |  |  |  | 25 clinic aides approx. | 155011.64 |  |  |  |  |  |  | 215 health services supplies | 13214.15 | 1 program coordinator | 99257.71 |  |  | 4.3 FTE | 326240.85 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 2 trainings and guest speakers | 2450 |  |  |  |  | 596367.54 | 34966.00 | Consortium |  | The Consortium provides advisement, computer software, data entry for claiming and professional consultation. The Consortium was chosen because they are an experienced, excellent non profit organization with professional and knowledgeable staff and a proven track record with our school district. Performance is monitored on an ongoing basis with review of written reports of billing activities and the provision of training and the resolution of Medicaid program issues. |  | 45103 |  |  |  |  |  |  |  |  |  |  |  |  |  | 45103 | 2014-01-23 18:08:19 | 2014-01-23 16:26:08 | 2014-01-23 18:08:19 | 6131 | 66.195.91.180 | Chrome | Mac | N/A
El Paso 12 Cheyenne Mountain | [NAME] | [NAME] | [EMAIL] | [PHONE] | 76731 |  | 76731 |  |  |  |  |  |  |  |  | 0 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 4 | 2293.43 |  |  |  |  | 1.0 FTE | 43501.57 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 45795 | 502.00 | BOCES |  | part-time Audiologist  chosen based on relationship between Pikes Peak BOCES and school districts.  Audiologist was monitored by the Director of Special Education.  There were no problems or corrective actions taken. |  | 30936 |  |  |  |  |  |  |  |  |  |  |  |  |  | 30936 | 2014-01-09 18:38:44 | 2014-01-09 17:43:06 | 2014-01-09 18:38:44 | 3338 | 65.114.210.50 | [NAME] | Mac | N/A
El Paso County School District #3 | [NAME] | Hamm | [EMAIL] | (719) 391-3086 | 93315.95 | 40785.16 | 134101.11 | 30255 | [NAME]. | 10467 | The Consortium | 63.16 | Postage |  |  | 40785.16 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 7 nurses x 3 days x 7.5 hrs  LPN (1350 hrs)  Nurse (1267 hrs) | 91121 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 39 x $50  28 x $6  5 x $15.39 | 2194.95 |  |  |  |  | 93315.95 | 2175.00 | The Consortium |  | WSD3 chose The Consortium as our Medicaid Billing Agent because of their extensive experience and because they best met our needs.  We have ongoing contact with them and we are very pleased with their performance. |  | 10467 |  |  |  |  |  |  |  |  |  |  |  |  |  | 10467 | 2014-01-17 11:38:44 | 2014-01-17 11:23:00 | 2014-01-17 11:38:44 | 944 | 199.127.132.54 | IE 8 | Windows | N/A
El Paso County School District 38 | [NAME] | [NAME] | [EMAIL] | [PHONE] | 70281.54 | 8289 | 78570.54 | 8289 | billing group |  |  |  |  |  |  | 8289 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 3 iPads, 1 walker, 1 lift | 5486.91 | 40.25 days | 9470.65 |  |  | 1092 hours | 40012.97 |  |  | 409.50 hours | 15311.01 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 70281.54 | 7335.00 | Colorado School Medicaid |  | This is our billing group that we have work with for the last few years that provides our billing services for the district.  We have had one recent issue with them over transportation.  They have placed an edit into their software to correct the issue and we're watching the transportation number much closer |  | 8289 |  |  |  |  |  |  |  |  |  |  |  |  |  | 8289 | 2013-12-19 12:24:44 | 2013-12-19 12:19:42 | 2013-12-19 12:24:44 | 302 | 207.109.163.38 | IE 9 | Windows | N/A
[NAME] | [NAME] | Duran | [EMAIL] | [PHONE] | 27073.37 | 3187 | 30260.37 | 587 | stipend | 2600 | Consortium fees |  |  |  |  | 3187 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 4 | 733.56 |  |  |  |  | 547 | 7000 |  |  |  |  |  |  | 156 | 8554.85 |  |  |  |  |  |  |  |  | 88 | 784.96 | 2833 | 10000 |  |  | 27073.37 | 2774.00 | The Consortium |  | Interview 2 vendors for services.  Recommended vendor chosen.  Billing services.  Annual state audit. |  | 2600 |  |  |  |  |  |  |  |  |  |  |  |  |  | 2600 | 2014-01-21 09:55:14 | 2014-01-17 15:54:38 | 2014-01-17 16:09:59 | 921 | 67.148.184.10 | IE 8 | Windows | N/A
Falcon School District 49 | Sheryl | [NAME] | [EMAIL] | [PHONE] | 254126.02 | 68909.81 | 323035.83 | 14300 | [NAME] | 43182.28 | [NAME] | 10534.65 | data entry cler | 892.88 | office expenses | 68909.81 |  |  | 42 | 32093.27 |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 3000 | 296 | 22374.06 |  |  | 164 | 4864.1 | 43 | 162548.25 |  |  |  |  |  |  |  |  |  |  |  |  | 8 | 11010.34 | 95 | 6004.5 | 223 | 4820 | 7 | 7411.5 |  |  | 254126.02 | 50691.00 | Kinney Management Services , LLC |  | Contracted billing agent |  | 14300 |  |  |  |  |  |  |  |  |  |  |  |  |  | 14300 | 2014-01-21 14:58:56 | 2014-01-21 14:48:14 | 2014-01-21 14:58:56 | 642 | 209.248.72.61 | IE 7 | Windows | N/A
Fremont Re-1, Canon City Schools | [NAME] | [NAME] | [EMAIL] | [PHONE] | 98762 | 22232 | 120994 | 15488 | Consortium Fees | 6744 | Secretary |  |  |  |  | 22232 |  |  |  | 1206 |  | 1825 |  |  |  |  |  |  |  |  | 1320 | 27239 |  |  |  | 425 |  |  |  | 7833 |  |  |  |  |  |  |  |  |  |  | 60 | 3838 |  |  |  |  | 1365 | 54992 |  | 1404 |  |  |  |  | 98762 | 708.00 | Co School Medicaid Consortium | [NAME], [NAME] | The Consortium assist this school district in assessing Medicaid reimbursement through a comprehensive claiming, billing and technical assistance service | [NAME], licensed physical therapist was contracted via an individual purchase agreement to provide physical therapy as a related service as identified within select student's IEPs. Ms. [NAME] was selected based on her certification as a licensed PT and based on her location within this region.  [NAME] was monitored via monthly individual conferences with the Director of Special Services and quarterly progress reports of students' progress toward their motor goals. | 15488 | 3838 |  |  |  |  |  |  |  |  |  |  |  |  | 19326 | 2014-01-20 15:43:59 | 2014-01-20 10:58:28 | 2014-01-20 15:43:59 | 17131 | 208.117.70.34 | Firefox | Windows | http://zimbra.canoncityschools.org/zimbra/
[NAME] District No. Re-2 | Christine | [NAME] | [EMAIL] | [PHONE] | 94096.35 | 16781.65 | 110878 | 16781.65 | [NAME] |  |  |  |  |  |  | 16781.65 |  |  |  |  |  |  |  |  |  |  | 2412 | 76169.51 |  |  |  |  |  |  |  |  | 446 | 17926.84 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 94096.35 | 2257.00 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0 | 2014-01-20 09:53:52 | 2014-01-20 09:33:17 | 2014-01-20 09:53:52 | 1235 | 67.134.174.54 | IE 9 | Windows | N/A
[NAME] REIJ School District | Peggy | Dowis | [EMAIL] | [PHONE] | 27077.1 | 3224.9 | 30302 | 3224.9 | Centennial |  |  |  |  |  |  | 3224.9 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 1080 | 27077.1 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 27077.1 | 1846.00 | Centennial Billing Solutions |  | [NAME]'s billing agency for Medicaid claims. |  | 3224.9 |  |  |  |  |  |  |  |  |  |  |  |  |  | 3224.9 | 2014-01-13 11:28:49 | 2014-01-13 11:18:37 | 2014-01-13 11:28:49 | 612 | 74.87.156.194 | Other | Windows | N/A
Harrison School District #2 | Lyndell | Copeland | [EMAIL] | [PHONE] | 155155 | 41883 | 197038 | 26939 | sec sal/ben | 14944 | consortium pay |  |  |  |  | 41883 |  |  |  |  |  |  |  |  |  |  | 80256 | 155155 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 155155 | 3998.00 | Colorado School Medicaid Consortium |  | Svcs to process medicaid claims |  | 14944 |  |  |  |  |  |  |  |  |  |  |  |  |  | 14944 | 2014-01-16 10:02:25 | 2014-01-16 09:58:41 | 2014-01-16 10:02:25 | 224 | 206.253.95.51 | IE 8 | Windows | N/A
[NAME] 11JT | [NAME] | Kinney | [NAME] | [PHONE] x239 |  | 18483.03 | 18483.03 | 10650.71 | Salaries | 5059.42 | Benefits | 2772.9 | Billing Agent |  |  | 18483.03 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0 | 0.00 | Kinney Management Services LLC |  | Billing Agent, renewed contract, satisfied with performance |  | 2772.9 |  |  |  |  |  |  |  |  |  |  |  |  |  | 2772.9 | 2014-01-27 13:12:44 | 2014-01-17 17:01:05 | 2014-01-17 17:16:43 | 938 | 206.123.207.34 | Other | Windows | N/A
[NAME] R-1 | [NAME] | Shoemaker | [EMAIL] | [PHONE] | 1098506.06 | 149360.96 | 1247867.02 | 87984 | Consortium | 61343.28 | Indirect | 33.68 | Copier |  |  | 149360.96 |  |  |  |  |  | 72649.86 |  | 206402.28 |  | 8070 |  | 49727.32 |  | 34465.24 |  |  |  | 226190.26 |  |  | 105818 | 75000 |  |  |  | 269770.5 |  |  |  |  |  |  |  |  |  |  | 1033 | 99080.79 |  |  |  |  |  | 9196.41 |  | 47953.4 |  |  | 1098506.06 | 2984.00 | Carin' Clinic | The Consortium | Carin's Clinic, located in Arvada, has served the community health care needs for over 10 years and provides medical care to both uninsured and Medicaid insured clients.  The clinic offers evening hours for clients as well.   The district subcontracts with Carin's Clinic to provide physical health services and immunization clinics.  Monitored through the schools/district nursing office.  Never had a problem with. | Colorado School Medicaid Consortium provides Medicaid claims submission and consultation services. Jeffco has worked with consortium for over 10 years to provide data entry services,Technical assistance, and training. | 75000 | 87984 | Jefferson Center for Mental Health | Jefferson County Public Health | Mental Health school-based counseling and facilitation of a series of parent and community nights for [NAME] families.    The largest provider of mental health services in the tri-county area, has an agreement with Jeffco to provide student and family mental health support and school-based counseling services district wide. | JCPH has provided immunication clinics for the Jeffco students and community.  JCPH protects the health of all Jefferson COunty residents by promoting safe, healthy environments. [NAME] provides routine and adult vaccines through walk-in clinics at various locations, all provided on a sliding-scale fee and services for children are not denied due to inability to pay. | 75000 | 24080.79 | Denver Health & Hospitality Authority | Metro Community Provider Network | Denver Health provided outreach/enrollment training and guidance as new indivduals came on board with the enrollment process. | Metro Community Provider Network (MCPN) was selected to provide dental services given the high-quality dental care provided to children in need.  The have provided a mobile dental unit in which the program travels to area schools to provide screenings and preventative sealants. | 58500 | 8070 | 328634.79 | 2014-02-04 10:40:00 | 2014-02-03 10:22:05 | 2014-02-04 10:40:00 | 87475 | 204.98.2.2 | IE 8 | Windows | http://fs24.formsite.com/305medicaid/form1/index.html
La Plata County School District #9R | Hattie | [NAME] | [EMAIL] | [PHONE] x1408 | 39300.21 | 22501.82 | 61802.03 | 10380.73 | Med Coor Salary | 4488.09 | Benefits | 7633 | The Consortium |  |  | 22501.82 |  |  |  |  |  |  |  |  |  |  |  |  | 585 Hours | 20355.48 |  |  |  |  |  |  |  |  |  |  | 434 Hours | 18944.73 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 39300.21 | 2309.00 | The Consortium |  | Durango School District 9-R is contracting with The Consortium for billing services.  The contractor was chosen because of the compressive training and support they offer their clients.  The district wanted to improve their program implementation and training and felt that The Consortium would be the best contractor to help the district meet that goal. |  | 7633 |  |  |  |  |  |  |  |  |  |  |  |  |  | 7633 | 2014-01-09 12:57:16 | 2014-01-09 12:19:48 | 2014-01-09 12:57:16 | 2248 | 66.118.215.2 | IE 8 | Windows | N/A
Lake County | Jasmine | [NAME] | [EMAIL] | [PHONE] | 21596.16 | 4650 | 26246.16 | 1650 | Billing Agency | 3000 | Coordinator |  |  |  |  | 4650 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 540 | 21596.16 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 21596.16 | 1100.00 | Centennial Billing Solutions |  | Centennial Billing Solutions has been chosen by the Lake County School District to perform billing duties.  They are monitored by the Medicaid Coordinator by reviewing reports received and reviewing reimbursements. |  | 1650 |  |  |  |  |  |  |  |  |  |  |  |  |  | 1650 | 2014-01-16 10:20:48 | 2014-01-16 10:04:24 | 2014-01-16 10:20:48 | 984 | 67.135.73.53 | IE 9 | Windows | N/A
Meeker School District Re-1 | Kathy | [NAME] | [NAME] | [PHONE] | 549 | 1276 | 1825 | 876 | contract fees | 400 | Elig Rate Check |  |  |  |  | 1276 |  |  |  |  |  |  |  |  |  | 549 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 549 | 58.00 | Centennial Billing Services |  | The subcontractor has been with the district for as long as we have participating in the medicaid program. |  | 1276 |  |  |  |  |  |  |  |  |  |  |  |  |  | 1276 | 2014-02-03 12:12:02 | 2014-02-03 11:08:29 | 2014-02-03 12:12:02 | 3813 | 199.127.132.70 | Chrome | Windows | N/A
Mesa County Valley School District 51 | Tanya | Marvin | [EMAIL] | [PHONE] | 599880.59 | 117737.26 | 717617.85 | 6825.32 | Travel & Dues | 50310.71 | Admin Sal & Ben | 41259 | [NAME] | 19342.23 | Indirect | 117737.26 |  |  |  |  |  |  |  |  | 269 Screenings | 2690 | 7271 Total Hours | 137752.94 |  |  | 306 Total Hours | 15951.3 | 1300 Total Hours | 34526.83 | 275 Total Units | 4097.68 |  |  |  |  | 6086 Total Hours | 252969.59 |  |  | 1839 Total Hours | 79856.6 |  |  |  |  |  |  |  |  |  |  | 1277 Total Hours | 64082.35 | 138 Staff Trained | 7953.3 |  |  |  |  | 599880.59 | 16236.00 | Colorado School Medicaid Consortium | Marillac Clinic | We have had the Consortium as our billing agent since the beginning of the MESH Program in the 1996-97 year.  They process all of our claims.  We chose to continue with the Consortium based on past services they have performed for us.  In the past, we have monitored the Consortium’s performance based on our satisfaction with their service, and the number of complaints/resolutions we had as a district.  On January 15, 2013, a formal complaint was filed with The Consortium by [NAME], Medicaid Coordinator, about ezEdMed and the difficulties experienced working with this system as it related to transportation claiming and providers. Specifically, this system was not keeping the integrity of our data. The Consortium responded by putting into practice additional auditing measures. May 31, 2013, our district received formal notification that the Consortium experienced a claims submission error with their software, ezEdMed, from August 2011-December 2011 which caused incorrect transportation claims for our district to be submitted to HCPF. As a result of this error, our district has received overpayment for transportation claims, which should be resolved with HCPF this fiscal year. | We have used Marillac Clinic for Dental Screenings for about the past 10 years, and we have a good working relationship with them  For all but two of those years, they have donated their time and supplies to screen as many students as they could.  In those two years, including 2012-13, we supplemented their volunteer time with Medicaid Funds so that we could add students to the screenings.  In the past, we have monitored the Clinic’s performance based on our satisfaction with their service, and the number of complaints/resolutions we had as a district.  Any problems we have had with them have been resolved in a satisfactory manner. | 41259 | 2690 |  |  |  |  |  |  |  |  |  |  |  |  | 43949 | 2014-01-14 16:36:21 | 2014-01-14 09:58:21 | 2014-01-14 16:36:21 | 23880 | 69.146.10.130 | IE 9 | Windows | N/A
[NAME] | [NAME] | Ciccia | [EMAIL] | (970) 565-7313 | 48607.85 | 17370.73 | 65978.58 | 9600 | Consortium | 2362.37 | HS Dept Head | 5359.22 | [NAME] | 49.14 | MCaid assist | 17370.73 | 0 |  | 0 |  | 0 |  | 0 |  | 0 |  | 0 |  | 0 |  | 0 |  | 0 |  | 0 |  | 0 |  | 0 |  | 1 | 48607.85 | 0 |  | 0 |  | 0 |  | 0 |  | 0 |  | 0 |  | 0 |  | 0 |  | 0 |  | 0 |  | 0 |  | 48607.85 | 816.00 | The Consortium | [NAME], RN | Assists the district with the administration of the MSHS program including training administrators and providers, providing documents and resources, performing audits and review to ensure compliance with program requirements | Health Services program administration including collaborating with community entities who provide health support to district children | 9600 | 2362.37 | [NAME], RN | [NAME] | Medicaid administrator. This is a separate job function and was paid this year as we started with a new administration company. The time was used to train providers and gather and upload documents to the data site. | Medicaid secretarial services. This individual assisted with collecting, organizing, and filing Medicaid consent forms for a short period of time. | 5359.22 | 49.14 |  |  |  |  |  |  | 17370.73 | 2013-12-22 13:06:48 | 2013-12-22 12:55:29 | 2013-12-22 13:06:48 | 679 | 64.17.31.66 | IE 7 | Windows | N/A
Montezuma County School District Re-4A | [NAME] | [NAME] | [EMAIL] | [PHONE] | 10301 | 2480 | 12781 | 2480 | Claiming Agent |  |  |  |  |  |  | 2480 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 770.25 | 10152 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 149 | 10301 | 786.00 | Centennial Billing Services |  | Centennial Billing Services is a local service contractor in our area.  Centennial handles the billing for Dolores School District.  They also provide training and program assessment.  To date we have not had any problems or issues with Centennial. |  | 2480 |  |  |  |  |  |  |  |  |  |  |  |  |  | 2480 | 2014-01-27 09:43:51 | 2014-01-23 08:37:08 | 2014-01-23 12:34:31 | 14243 | 69.39.30.122 | IE 11 | Windows | N/A
Montrose County School District RE-aj | Mandy | Martinez | [EMAIL] | 9702492405 | 127671 | 15312 | 142983 | 15312 | Centennial Bill |  |  |  |  |  |  | 15312 |  |  |  |  |  |  |  |  |  |  | 8932 hours | 82671 |  |  |  |  |  |  |  |  |  |  |  |  | 1875 hours | 45000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 127671 | 5939.00 | Centennial Billing Solutions |  | Centennial Billing Solutions was chosen after surveying similar sized districts in our region.  Their services are strictly administrative, as they perform our official biilling.  The performance of this subcontractor is reviewed annually as we renew and agreement to utilize their services, we have never had to take any sort of corrective actions. |  | 15312 |  |  |  |  |  |  |  |  |  |  |  |  |  | 15312 | 2014-01-20 10:22:44 | 2014-01-20 09:21:21 | 2014-01-20 10:22:44 | 3683 | 72.174.108.30 | IE 8 | Windows | N/A
Otero County School District #2 | [NAME] | [NAME] | [NAME] | [PHONE] | 25597.64 | 2165.3 | 27762.94 | 2165.3 | Centennial Educ |  |  |  |  |  |  | 2165.3 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 | 2100.69 |  |  |  |  | 900 | 22765.95 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 8 | 731 | 25597.64 | 204.00 | Centennial Education Solutions | Family Eye Center | Centennial has done the district's Medicaid billing/claiming for several years.  They assist the district with questions in regards to Medicaid.  We have been pleased with their services and have had no problems with have needed corrective action. | Family Eye Center is the only optometrist in [NAME]. It is easier for our parents and students to go to a local doctor for follow-up services.  Family Eye Center was contract to do eye exams and follow-up for glasses when the student does not pass the eye exam given at the school.  The district has been very happy with the services provided by Family Eye Center and Dr. [NAME]. | 2165.3 | 731 |  |  |  |  |  |  |  |  |  |  |  |  | 2896.3 | 2014-01-20 11:12:42 | 2014-01-20 10:54:31 | 2014-01-20 11:12:42 | 1091 | 208.123.159.254 | IE 11 | Windows | [NAME]
PIKES PEAK BOCES | LESLIE | BURDEKIN | [EMAIL] | [PHONE] | 149593.33 | 50006.86 | 199600.19 | 15039 | The Consortium | 34723.32 | .5 [NAME] | 162.4 | Office Supplies | 82.14 | Training Miles | 50006.86 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 1 FTE Social Worker | 68502.47 |  |  | 1.5 FTE RN | 76296.38 |  |  | 84 - equipment | 1540.63 |  |  |  |  | 3 - equipment | 65.8 |  |  |  |  |  |  | 14 | 3188.05 |  |  |  |  | 149593.33 | 1064.00 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0 | 2014-01-18 13:19:04 | 2014-01-18 12:40:00 | 2014-01-18 13:19:04 | 2344 | 199.127.132.170 | Firefox | Windows | N/A
Pueblo City Schools D-60 | Mark | Zamarripa | [EMAIL] | (719) 423-3044 | 266172.21 | 62585.61 | 328757.82 | 40981.75 | Billing Service | 21603.86 | Med Coordinator |  |  |  |  | 62585.61 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | N/A | 452.31 |  |  |  |  | 1372.5hrs/yr | 58948.23 |  |  | 1372.5hrs/yr | 37344.76 |  |  |  |  | 4117.50 | 156354.43 |  |  | N/A | 9131.68 |  |  | N/A | 2000 |  |  | N/A | 1940.8 | 266172.21 | 2504.00 | Centennial Billing Solutions |  | Centennial Billing Solutions provides comprehensive billing services, including claim processing, consulting and training.  The District spends 10 hours per month coordinating and monitoring CBS activities.  There have been no problems or corrective actions taken. |  | 40981.75 |  |  |  |  |  |  |  |  |  |  |  |  |  | 40981.75 | 2014-01-17 11:01:38 | 2014-01-17 10:40:49 | 2014-01-17 11:01:38 | 1249 | 74.51.220.2 | Firefox | Windows | N/A
Pueblo School District No. 70 | [NAME] | Stratman | [EMAIL] | [PHONE] | 222210.63 | 66194.62 | 288405.25 | 28662.9 | Centennial  Bil |  |  |  |  |  |  | 28662.9 |  |  |  |  |  |  |  |  |  |  | 5675 | 54025.06 |  |  |  |  |  |  |  |  | 1 FTE | 37531.72 |  |  | 1.04 FTE | 103163.59 |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 626 | 65021.98 |  |  |  |  |  |  | 259742.35 | 403.00 | Centennial Billing |  |  |  | 28662.9 |  |  |  |  |  |  |  |  |  |  |  |  |  | 28662.9 | 2014-01-21 15:14:50 | 2014-01-16 13:15:58 | 2014-01-16 13:52:45 | 2207 | 208.123.132.14 | Chrome | Mac | N/A
Roaring Fork School District RE-1 | [NAME] | Muse | [EMAIL] | [PHONE] | 64600 | 11100 | 75700 | 2400 | med coord stipe | 8700 | Consortium |  |  |  |  | 11100 |  |  |  |  |  |  |  |  | 112 referrals | 8200 |  |  |  |  |  |  | 160 | 15000 |  |  | 102 | 12000 |  |  |  |  | 6- 2hr classes | 3000 |  |  |  |  | 1795 | 10000 |  |  | 17 | 8000 |  |  |  |  |  |  |  |  | 110 | 8400 | 64600 | 1148.00 | The Consortium | [NAME] | The Consortium helps with our claiming process. They help with training providers on ezEdMed system and the required paperwork. They are in direct contact with the Medicaid Coordinator to assist in any way possible. | District Medicaid Coordinator is directly supervised by the Family Resource Center Executive Director. The Assistant Superintendent of Business and Finance is also in contact with the coordinator to assist with the quarterly and annual cost reporting. | 8700 | 2400 |  |  |  |  |  |  |  |  |  |  |  |  | 11100 | 2014-01-17 10:15:16 | 2014-01-17 10:01:32 | 2014-01-17 10:15:16 | 824 | 165.127.85.4 | IE 10 | Windows | N/A
SALIDA SCHOOL DISTRICT | MELISSA | TANNER | [EMAIL] | 7195305264 | 59214.43 | 4630 | 63844.43 | 4350 | Centennial Bill | 280 | MSR INC WEST |  |  |  |  | 4630 |  | 170.8 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 183.75 |  |  |  |  |  | 58559.88 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 300 |  |  |  |  | 59214.43 | 440.00 | [NAME] | MRI INC. WEST | Centennial Billing has been doing the districts billings since inception.  They receive and process all our claims and reports in a timely manner.  They are easily accessible to our providers, answer questions, provide training, and assistance when needed. | Calibrated four (4) audiometers at $70 each | 4350 | 280 |  |  |  |  |  |  |  |  |  |  |  |  | 4630 | 2013-11-05 15:53:34 | 2013-11-05 15:36:19 | 2013-11-05 15:53:34 | 1035 | 69.146.179.210 | Chrome | Windows | N/A
South Routt School District | [NAME] | Meade | [EMAIL] | [PHONE] | 1551 | 585 | 2136 | 585 | [NAME] |  |  | 0 |  |  |  | 585 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 1009 hours | 1551 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 1551 | 396.00 | Colorado Northwest Visiting Nurse Assoc. | Centennial Billing Solutions. | [NAME] recommended NWCO VNA for RN services for 24 hrs per week and Health Room Aide 40 hours per week for School Year. Performance was monitored by subcontractors supervisor from VNA. No problems reported for the year. | Recommendation by nearby school districts started the services.  Company has history of valuable service to our district. No problems reported for the year. | 1551 | 585 |  |  |  |  |  |  |  |  |  |  |  |  | 2136 | 2014-01-13 13:30:45 | 2014-01-13 09:54:33 | 2014-01-13 10:30:08 | 2135 | 65.117.211.15 | IE 10 | Windows | http://10.7.0.53/contentfiltering/blocked.aspx?id=9943955720276318537
St. Vrain Valley School District | [NAME] | Woodruff | [EMAIL] | [PHONE] | 627361.02 | 76649 | 704010.02 | 2239.33 | Admin Supplies | 39531.02 | Billing Agent | 34878.65 | Admin Salary |  |  | 76649 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 100 | 19057.89 | 8820 hours | 374053.57 |  |  | 4476.50 hours | 234249.56 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 627361.02 | 10850.00 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0 | 2014-01-17 11:35:42 | 2014-01-17 11:29:17 | 2014-01-17 11:35:42 | 385 | 204.154.122.38 | IE 9 | Windows | http://www.cde.state.co.us/healthandwellness/medicaid_home
Thompson School District R2J | [NAME] | [NAME] | [EMAIL] | [PHONE] | 361684 | 23723 | 385407 | 23723 | billing service |  |  |  |  |  |  | 23723 |  |  |  |  |  |  |  |  |  |  | 1400 | 42420 |  |  | 17834 | 319264 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 361684 | 21.00 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 0 | 2014-01-08 10:24:18 | 2014-01-08 09:24:46 | 2014-01-08 10:24:18 | 3572 | 50.203.156.1 | Chrome | Windows | N/A
Ute Pass BOCES | Kendal | Kelly | [EMAIL] | [PHONE] | 82862.27 | 19117.24 | 101979.51 | 11665 | Consortium Fees | 616.69 | [NAME] Fees | 6835.55 | Salaries aides |  |  | 19117.24 |  |  |  | 2744.74 |  | 1610 |  |  |  |  |  |  |  |  |  |  |  |  |  | 1096.01 | 15 | 1625 |  |  |  | 848.73 |  |  |  | 25690 |  |  |  |  |  | 5328.75 |  | 266 |  | 2478 |  | 35768.1 |  | 1897.09 |  |  |  | 3509.85 | 82862.27 | 178.00 | Consortium | [NAME] | All three member districts use the Consortium as our billing agent. | [NAME] has worked for the Manitou Springs School District for a number of years as an OT.  She works closely with students on her caseload and the SPED teachers in each school.  She participates in meetings with the Assistive Technology team and attends monthly PLC SPED meetings. | 11665 | 23205 | Jeana Petricko | [NAME] | Jeana has worked as a part-time PT for the Manitou Springs School District for several years.  She works one day per week.  She works closely with the students on her caseload and the SPED staff across the district.  No problems have been reported. | [NAME] has worked as a part-time SLP for the Manitou Springs School District for many years.  She works closely with the students on her caseload and the SPED staff across the district.  She attends weekly [NAME] meetings and monthly District SPED meetings. | 5328.75 | 35407.5 |  |  |  |  |  |  | 75606.25 | 2014-01-17 11:30:28 | 2014-01-17 10:33:06 | 2014-01-17 11:30:28 | 3442 | 173.8.231.189 | Firefox | Mac | N/A
Weld  County School District 6 | [NAME] | Stillman | [EMAIL] | [PHONE] | 228887.14 | 109361.74 | 338248.88 | 42702 | Billing Agent | 2541.66 | Admin supplies | 63677.36 | Admin Salaries | 440.72 | [NAME] mileage | 109361.74 |  |  |  |  | 46 supply items 2 equip [NAME].  All items used to screen students for hearing | 9674.04 | 1312 hours additional time for nurses and consultants, 5 supplies | 61017.06 | 1400 flyers for dental screening 33 hours dental appt | 1746.16 | 2255 additional hours for health clerks | 41108.91 |  |  |  |  | 35626 copies -flyers for medicaid elegiblity, copies used during application | 249.41 | 5152 general health supplies for all health offices, pulse oximeter, bloodpressure cups, thermometers | 17173.07 | 818 hours | 30675 |  |  | 4 dora renewals, 19 mileage reimbursements to nurses for school to school travel | 1407.3 |  |  | 4 dora renewals | 244 |  |  | 42 hours | 1575 | 1 dora renewal | 39 |  |  | 2541 hours for salary, 672 supplies and forms for screenings | 38644.57 | 15 Asha renewals | 3349 | 286 hours, 19 registrations for conferences, 6 mileage reimbursements for travel, 969 training materials and workbooks | 14973.38 |  |  | 6 vouchrs, 13 supplies&repairs of vision equip, 1 mobile vision screener equip | 7011.24 | 228887.14 | 175470.00 | Colorado School Medicaid Consortium | Dr. [NAME]  Vision Clinic at Foxhill | We have used this agent in the past 8 years and have been satisfied with the service.  The contractor provides training, updates us on medicaid training, is partnered with PCG, CDE, HCPF. They process the personal care, transportation, and nursing care forms on paper and the SLP, OT, PT, Audiology, and Psychologist electronically. | Dr. [NAME]  We have used this provider the past 8 years and have been satisfied with the service. They also serve  the uninsured and under insured children in the community. The lead nurse monitors the services.  AMOUNT PAID:$186    Vision Clinic at Foxhill  We have used this provider the past 8 years and have been satisfied with the service. They also serve  the uninsured and under insured children in the community. The lead nurse monitors the services.    AMOUNT PAID:$335 | 42702 | 521 | [NAME] | Poudre Valley Health Systems | [NAME] was hired through application process and she chose not to be a District 6 employee.  We set up a contract for her to be one of the nurses on site at the health screenings. She reported to the lead nurse of the health screeners and provided her reports. | We have used this provider the past 8 years and have been satisfied with the service. The doctor meets with the nurses once a month for consultation and case management. The lead nurse for our district meets with her on a regular basis. | 2565 | 1500 | North Range Behavioral Health | Sunrise Family Dental Clinic | We have used this provider the past 8 years and have been satisfied with the service.  They provide direct services for students who have the need and meet with parents support services, have counselors in the school to provide case management and work with staff for training on mental health issues.  The Director of Student Services meets with North Range on a monthly basis. | We have used this provider the past 8 years and have been satisfied with the service. They provide dental screenings and vouchers. The Director of Student Services meets with North Range on a monthly basis. | 36000 | 1500 | 84788 | 2014-01-17 10:40:40 | 2014-01-17 08:43:44 | 2014-01-17 10:40:40 | 7016 | 69.2.155.36 | IE 9 | Windows | N/A
West End Public Schools RE-2 | [NAME] | Moore | [EMAIL] | [PHONE] | 8562.03 | 500 | 9062.03 | 500 | Centennial Bill |  |  |  |  |  |  | 500 | 2 vouchers | 300 |  |  |  |  |  |  | 8 hours | 320 |  | 1500 | 23 Athletic Equipment/ 20 Puberty Kits/ 9 month Nutrition Education | 4737.88 |  |  |  |  | 1 AED/ 2 Athletic Equipment | 704.15 |  | 1000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 8562.03 | 542.00 | [NAME], RDH | Centennial Billing Services | [NAME], Registered Dental Hygienist, has been conducting the school dental screening for a number of years. She was originally chosen because of her reasonable rates and availability. She has proven to be an excellent hygienist who works well with the students and is prompt and dependable. Referrals to the dentist have been accurate. | Centennial Billing Services is contracted to process our Medicaid billing. Centennial personnel are available to answer questions, and to provide in-services/ updates to school staff who participate in Medicaid reimbursement. The rates are reasonable and billing has been appropriate. | 320 | 500 |  |  |  |  |  |  |  |  |  |  |  |  | 820 | 2013-12-18 13:16:46 | 2013-12-18 09:49:32 | 2013-12-18 13:16:46 | 12434 | 209.203.133.252 | IE 8 | Windows | http://www.cde.state.co.us/healthandwellness/medicaid_home
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