New Hampshire Rate Calculation Submission Form – Submit documents for the calculation of provider or transportation trip rates.
Texas Cost Report Data Submission Documents – Submit documents for the preparation of cost reports.
Client Request Form – Submit a request for services for any MSB products such as training, forms customizations, reports, etc.
Paper Log Submission – Submit paper logs to MSB for processing Medicaid reimbursements.
RMTS Participant Training Confirmation – District personnel can submit training confirmation once they are trained in RMTS by either onsite training, video tutorial or webinar.
Invoice Contact Information Form – This form is used to submit contact details for those individuals who need to receive invoices for MSB services.
Medicaid Study – Student Roster Submission Form This form is used to submit a Special Education student roster for a district that would like MSB to perform a complimentary medicaid study.
Texas RMTS Provider Training – This video presentation explains the Random Moment Time Study program, the purpose of this program, and what to do should you be selected to respond to a sampled moment. This presentation is available on www.msbconnect.com under “Our Support” -> “Forms and Docs”.
Client – Staff Inquiry – This form is used to submit questions to Administrative personnel in regards to the implementation of the Medicaid to Schools Program and our Clinical Notation Tool, X Logs.