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<p class=MsoNormal><font size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'>TO:
All District and ESD Special Education Directors<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'>The message below is being sent to you on
behalf of:<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'> <o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'>Nancy Latini, PhD<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'>Assistant Superintendent<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'>Student Learning & Partnerships<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:black'>______________________________________________
<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=3 color=black face=Arial><span style='font-size:
12.0pt;font-family:Arial;color:black'>June 29, 2009<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=3 face=Arial><span style='font-size:12.0pt;
font-family:Arial'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=3 face=Arial><span style='font-size:12.0pt;
font-family:Arial'>RE: Medicaid Changes<font color=red><span
style='color:red'><o:p></o:p></span></font></span></font></p>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=3 face=Arial><span style='font-size:12.0pt;
font-family:Arial'>I asked Linda Williams if I should immediately share with
you the below news release and here is her response:<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=3 face=Arial><span style='font-size:12.0pt;
font-family:Arial'><o:p> </o:p></span></font></p>
<p class=MsoNormal style='margin-left:.5in'><font size=3 face=Arial><span
style='font-size:12.0pt;font-family:Arial'>“Yes, this is great news in that it
confirms our direction to move forward allowing ESDs to continue to bill
Medicaid for Medicaid Administrative Claiming (MAC) activities<font color=navy><span
style='color:navy'>,</span></font> and allows schools to continue to bill for
transportation services provided to Medicaid eligible children eligible under
the IDEA to and from a Medicaid covered service even if the service is
provided in an education setting as currently stipulated in the School-Based
Health Services rules.” - Linda Williams <o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Tahoma><span style='font-size:
11.0pt;font-family:Tahoma;color:black'><o:p> </o:p></span></font></p>
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<p class=MsoNormal align=center style='text-align:center'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'>________________________________________________________________________________<o:p></o:p></span></font></p>
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<p class=MsoNormal><strong><b><font size=3 color=black face=Verdana><span
style='font-size:12.0pt;font-family:Verdana;color:black'>Official CMS News
Release</span></font></b></strong><font size=2 color=black face=Verdana><span
style='font-size:10.0pt;font-family:Verdana;color:black'><o:p></o:p></span></font></p>
<p class=MsoNormal align=center style='text-align:center'><strong><b><font
size=3 color=black face=Verdana><span style='font-size:12.0pt;font-family:
Verdana;color:black'>June 29, 2009</span></font></b></strong><font size=2
color=black face=Verdana><span style='font-size:10.0pt;font-family:Verdana;
color:black'><o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Verdana><span
style='font-size:10.0pt;font-family:Verdana;color:black'> <o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Verdana><span
style='font-size:10.0pt;font-family:Verdana;color:black'>MEDICAID NEWS<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Verdana><span
style='font-size:10.0pt;font-family:Verdana;color:black'>FOR IMMEDIATE
RELEASE <o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Verdana><span
style='font-size:10.0pt;font-family:Verdana;color:black'>Contact CMS Media
Affairs Office<br>
Monday, June 29, 2009<br>
(202) 690-6145<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Verdana><span
style='font-size:10.0pt;font-family:Verdana;color:black'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Verdana><span
style='font-size:10.0pt;font-family:Verdana;color:black'>HHS RESCINDS
MEDICAID REGULATIONS<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Verdana><span
style='font-size:10.0pt;font-family:Verdana;color:black'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Verdana><span
style='font-size:10.0pt;font-family:Verdana;color:black'>Department of
Health and Human Services (HHS) Secretary Kathleen <br>
Sebelius today announced that the administration will rescind all or<br>
part of three Medicaid regulations that were previously issued and delay<br>
the enforcement of a fourth regulation. Each of these rules, in whole<br>
or in part, had been subject to Congressional moratoria set to expire on<br>
July 1, 2009.<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Verdana><span
style='font-size:10.0pt;font-family:Verdana;color:black'> <o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Verdana><span
style='font-size:10.0pt;font-family:Verdana;color:black'>"These
regulations, if left in place would have potentially adverse<br>
consequences for Medicaid beneficiaries, some of our nation's most<br>
vulnerable people," said Secretary Sebelius. "By rescinding
these<br>
rules, we can expect that children will continue receiving services<br>
through their schools, beneficiaries will be able to access all<br>
available case management resources to help them better manage their<br>
health care, and outpatient hospital and clinic services can continue to<br>
be covered in the most efficient manner."<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Verdana><span
style='font-size:10.0pt;font-family:Verdana;color:black'> <o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Verdana><span
style='font-size:10.0pt;font-family:Verdana;color:black'>"The actions
we are taking today are necessary to ensure that the states<br>
have the flexibility they need to fully serve Medicaid-eligible<br>
individuals," said Secretary Sebelius.<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Verdana><span
style='font-size:10.0pt;font-family:Verdana;color:black'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Verdana><span
style='font-size:10.0pt;font-family:Verdana;color:black'>The Centers for
Medicare & Medicaid Services (CMS) and HHS today are:<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Verdana><span
style='font-size:10.0pt;font-family:Verdana;color:black'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Verdana><span
style='font-size:10.0pt;font-family:Verdana;color:black'>
Rescinding a final rule, published December 28, 2007, that<br>
would have eliminated reimbursement for school-based administrative<br>
costs and costs of transportation to and from schools. The rescission<br>
reflects concern that the rule could limit the Medicaid administrative<br>
outreach activities of schools, and that the overall budgetary impact on<br>
schools could potentially impact their ability to offer Medicaid<br>
services to students.<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Verdana><span
style='font-size:10.0pt;font-family:Verdana;color:black'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Verdana><span
style='font-size:10.0pt;font-family:Verdana;color:black'>
Rescinding a rule, published November 7, 2008, that would have<br>
limited the outpatient hospital and clinic service benefit for Medicaid<br>
beneficiaries to the scope of services recognized as an outpatient<br>
hospital service under Medicare. This rule was rescinded because CMS<br>
became aware that coverage beyond that scope could not be easily moved<br>
to other benefit categories, resulting in great impact than previously<br>
anticipated.<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Verdana><span
style='font-size:10.0pt;font-family:Verdana;color:black'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Verdana><span
style='font-size:10.0pt;font-family:Verdana;color:black'>
Rescinding provisions of an interim final rule published<br>
December 4, 2007, which would have restricted beneficiary access to case<br>
management services. These provisions appeared to, in practice, restrict<br>
beneficiary access to needed covered case management services, and limit<br>
state flexibility in determining efficient and effective delivery<br>
systems for case management services.<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Verdana><span
style='font-size:10.0pt;font-family:Verdana;color:black'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Verdana><span
style='font-size:10.0pt;font-family:Verdana;color:black'>
Delaying until June 30, 2010, the enforcement of portions of a<br>
regulation that clarified limitations on health care related tax<br>
programs so that CMS could determine whether states need additional<br>
clarification or guidance. CMS may also further review the potential<br>
impact of the regulation, and give additional consideration to<br>
alternative approaches.<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=black face=Verdana><span
style='font-size:10.0pt;font-family:Verdana;color:black'> ____________________________________________________________________________<o:p></o:p></span></font></p>
<p class=MsoNormal align=center style='text-align:center'><u><font size=2
color=blue face=Verdana><span style='font-size:10.0pt;font-family:Verdana;
color:blue'><a
href="http://rs6.net/tn.jsp?et=1102622301358&s=2762&e=001sRPlNAt5AvC0Mgmabz0M7p7eepH576gFRoz3tNcrUR_VEU9vqil7YhkcKWdOkKUwVbHNvBW1U1mpiXumJczc2dvv7ahL0T0SUOQ2mXYTHiU7MXy6wN66LxY2jWjltEzNRRw00dwjyFcL98-a6Ph-rRKMdnD4XvBiMnrRw39LJ0nc1nh96ocCIs0YW3otiAGZNQC2ewQi7QcRYF8MKLiBNWbevCh1Cfvx61Av6PEuesYaYSKuLhbmFkTj32EtrjUVyvzaZhkhs9wEDOb2RsR_UWkHzZY_EZ7jQAr7VctferdiRGRcG72Ouw=="
target="_blank">Link to Final Federal Register Posting</a></span></font></u><span
class=MsoHyperlink><font color=black><span style='color:windowtext;
text-decoration:none'><o:p></o:p></span></font></span></p>
<p class=MsoNormal align=center style='text-align:center'><font size=2
color=black face=Verdana><span style='font-size:10.0pt;font-family:Verdana;
color:black'> </span></font><font color=black><span style='color:black'><o:p></o:p></span></font></p>
<p class=MsoNormal align=center style='text-align:center'><font size=2
color=black face=Verdana><span style='font-size:10.0pt;font-family:Verdana;
color:black'><o:p> </o:p></span></font></p>
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style='font-size:12.0pt'><o:p></o:p></span></font></p>
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<p class=MsoNormal><font size=3 face=Arial><span style='font-size:12.0pt;
font-family:Arial'>If you have any difficulty opening <font color=black><span
style='color:black'>the above link, please</span></font> contact Laura Allran
at <a href="mailto:laura.allran@state.or.us">laura.allran@state.or.us</a> or
503-947-5674.<font color=red><span style='color:red'><o:p></o:p></span></font></span></font></p>
<p class=MsoNormal><font size=3 face=Arial><span style='font-size:12.0pt;
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<p class=MsoNormal><font size=3 face=Arial><span style='font-size:12.0pt;
font-family:Arial'>Messages to and from this e-mail address may be made available
to the public under <st1:place w:st="on"><st1:State w:st="on">Oregon</st1:State></st1:place>
law.<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=3 face=Arial><span style='font-size:12.0pt;
font-family:Arial'>===========End of Message============<o:p></o:p></span></font></p>
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