Individual Student
Medicaid form (418 KB PDF)
Sample Structured Flowsheets for Medicaid
Blank Grid in Word Format (106 KB Word doc)
Diabetes RN Structured Flowsheet (160 KB PDF)
Feeding, diapering, mobility (41 KB PDF)
Feeding, diapering/toileting, mobility, dressing, hygiene (61 KB PDF)
Feeding, diapering/toileting, mobility, dressing, hygiene, tube feeding (123 KB Word doc)
Gastrostomy, diapering, suction nose mouth (41 KB PDF)
Outer trach sx, diaper changing, gastrostomy feeding, oral feeding, visit health office (172 KB Word doc)
Phone Log (Word 82 KB) Phone log (PDF 57 KB)
RN trach suctioning, pulse oximeter, nebulizer (139 KB Word doc)
Seizure monitoring, toileting assistance, g-tube, safety (61 KB Word doc)
Spina Bifida (70 KB Word Doc)
Medicaid Claiming Examples Web 6.0 2009 Edition
Complete Medicaid Paperwork Example ( 1.2 MB)
IEP Example with IHP example (Mental Health, 184 KB)
IEP Example with IHP example (Autism with BIP and health needs, 270 KB)
Heartland Medicaid/IEP Handouts
How to log on and use Web IEP Contains screen shots of key Web access steps (1.1 MB PDF)
Writing Health Services on an IEP 2011 Version 6.0 One page guide for how to include health in an IEP (57 KB Word doc).
Writing Behavior Services on an IEP 2011 Version 6.0 One page guide for behavioral billing (49 KB Word doc)
Medicaid Billing Procedure Checklist 2011 Useful to make sure all necessary steps are in place prior to billing (53 KB PDF)
Q & A For Special Health Services 2010 Provides background information on why and how to add health services (53 KB Word doc).
Procedure for health evaluations Provides a detailed overview of process related to health evaluations (49 KB pdf)
Procedure for creating Medicaid list Provides screen shots of step by step how to perform this task in version 4 (180KB pdf)
