If you'd like to become a member of the TPS PROUD team, here's what you do:
Teachers: click here and fill out the form for teaching positions.
School nurses: click here, go to Student Support Services and complete the application for School Nurses.
Substitute teachers, paraprofessionals and secretaries, click here.
For non-teaching positions, click here.
ORP Referring Practitioners for Ohio School Districts’ Medicaid Program
Ohio licensed physician assistants, advanced practice registered nurses (APRN), or physicians (MD or DO) for record reviews and subsequent referrals for IEP (individualized education plan) therapy services provided in a school district setting to children requiring OT, PT, speech therapy or audiology services. Part-time temporary positions available with flexible hours to support school district staff needs across the state of Ohio.
Newly contracted staff will provide therapy referral services for children who are enrolled in the special education program at TPS who participate in the Ohio Medicaid schools program (OMSP). This position will serve as professional staff support to the school district IEP teams to provide service referrals, permitting Medicaid reimbursement to the Medicaid certified school district for eligible services in the Ohio Medicaid School Program.
EXPLANATION OF POSITION:
Toledo Public Schools provides evaluation and therapy services to students receiving special education support services on an IEP (individualized Education Plan) that include the following: speech language, occupational therapy, physical therapy and audiology services, among other services that are educational in nature. School districts employ the above mentioned licensed practitioners of the healing arts who are qualified to deliver these evaluation and therapy services without medical prescription under Ohio’s licensure laws and practice acts. However new federal regulations under the Affordable Care Act (ACA) require that the ordering, referring or prescribing practitioners become enrolled with the Medicaid agency to permit billing for eligible services. In Ohio, the State Medicaid Agency has specifically limited the professional providers who can serve as ORP providers in a school setting to physicians (MD or DO), physician assistants or advanced practice registered nurses. Since school districts do not typically employ these provider types, the participating School District providers are seeking to hire, or contract with, those licensed professionals who the state recognizes as eligible ORP providers.
- Ohio licenses: Current Ohio RN and Advanced Practice licenses (APRN), or Medical license of physician (MD or DO), or Physician Assistants’ license (PA)
- NPI number
- Medicaid Enrolled ORP Provider (ordering, referring or prescribing provider)
- Collaboration Agreement in place with Physician
- Internet access to conduct reviews and referrals documentation or onsite
- Signed confidentiality agreement (re: records confidentiality) with TPS
- Preference for pediatric/school age student experiences
WORK FLOW/PROCESS FOR OBTAINING THE REFERRALS:
- Parent permission to test/evaluate for an ETR (Evaluation Team Reports) is obtained by the district before any evaluations can be completed
- The clinical assessment/evaluations are completed by the ETR team members, including: school psychologist, social workers, counselors and licensed therapists (OT, PT, Speech/language, Audiology), and nursing services, depending on the initial reasons for the suspected disability referral
- The assessment/evaluations are presented to the IEP team via the state mandated multi-factored evaluation process, with an evaluation team report (ETR) completed; the ETR report is reviewed by the IEP team and a proposed intervention plan is created for the team’s review and approval. This plan is known as an IEP and is recognized by the federal and state Medicaid Agency as the official plan of care (per Ohio’s Medicaid State Plan Amendment for school Medicaid program services)
- An ORP provider (ORP-only or ORP providers) to support the licensed therapy staff and write the official Referrals for services is now required. The ORP provider will conduct an on-line review of the pertinent evaluations completed by the licensed therapy providers, and the proposed IEP document of related therapy services, to ensure the evaluations support the services proposed. If approved as recommended, the ORP provider will make the official referral to the IEP team by completing the **District’s ORP Referral Form. If not approved, the reason for denial is listed on the referral form
- The ORP provider’s Referral is directly linked to each of the service claims for Medicaid reimbursement via the provider’s NPI number and name stored in the automated ORP referral tracking system, which is linked to the billing system module
- New referrals are required annually during the annual IEP evaluation and renewal process to permit billing Medicaid for the services via the OMSP