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Let us calculate your potential Medicaid Funding

Required Information:
The following data elements allow Accelify to provide your School District with a rough estimate of the Medicaid funding Accelify could bring to your District on an annual basis. If you are currently claiming, feel free to compare to your current results to see how we measure up.
» School District Name: 
 		 » School District State: 
 
» School District Total
   Students: 
 		 » Students with IEP count
   (December 1st Count): 
 
» Your Name: 
 		 » Your Title/Position: 
 
» Email Address: 
 		 » Phone Number: 
 
While the following items are optional, they will help Accelify develop a more accurate assessment of the revenue we can generate for your district.
Medicaid Eligibility Percentage for
your School District/County:
 		 Number of IEP Students receiving
Speech Services:
 
Number of IEP Students receiving
Occupational Therapy Services:
 		 Number of IEP Students receiving
Physical Therapy Services:
 
» Indicates mandatory fields.
General Information:
Does your School District Currently Process Medicaid Administrative Claims (MAC) 
If yes, how much does your School District receive per year in MAC claims? 
 
Do you use an outside vendor to process your MAC Claims? 
If so, who do you use? 
 
Are your time studies currently completed via email, website or on paper?
Does your School District currently process Medicaid claims for health-services provided to IEP students (Fee-for-Service (FFS) Claims)?
If yes, how much does your School District receive per year in FFS claims?
 
Do you use an outside vendor to process your FFS Claims?
If so, who do you use?
 
Does your School District use a software system to process Medicaid?
If yes, does this software allow individual therapist to directly document service encounters online?
If you have never previously produced Medicaid claims for health-related services, do your providers/therapist maintain detailed service delivery documentation of services provided on a daily basis?
Do you currently use an automated electronic IEP system?
If yes, which system?
What is the annual cost associated with the electronic IEP?
 
 
» Indicates mandatory fields.
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