ROKAY

School Medicaid Services

Consulting, research, training and practical expertise for organizations involved in School Medicaid.

EXPERIENCE ACROSS THE SCHOOL MEDICAID FIELD

School Medicaid Expertise Put to Work

For decades, Rokay has worked with organizations across the School Medicaid community to address complex program, policy and operational challenges. Our experience includes engagements with school districts, state Medicaid and education agencies, School Medicaid billing organizations and other organizations involved in the administration and delivery of School Medicaid programs.

That breadth of experience provides a perspective that is difficult to gain from working within only one part of the program. We understand how decisions made at the federal and state levels affect billing organizations, school districts and service providers, and how the realities of program implementation can inform better policy, processes and practices.

SCHOOL DISTRICTS

Program operations, compliance, reimbursement and improvement

STATE AGENCIES

Program design, research, policy and implementation

BILLING ORGANIZATIONS

Strategy, services, technology and customer relationships

LET'S TALK

Have a School Medicaid Challenge?

Whether you need one of the services described here or have a different School Medicaid challenge, Rokay can help. Tell us what you're working on and let's talk about how we can help.

School Medicaid program assessment report and program data analysis
PROGRAM EVALUATION

Program Assessment & Improvement

School Medicaid programs evolve over time. Changes in regulations, staffing, technology and program requirements can leave even well established programs with outdated processes, inefficiencies and missed opportunities. Rokay brings an independent perspective and experience from programs across the country to help organizations understand what is working, what is not and where improvements can be made.

Program Operations
Evaluate processes, workflows and administrative practices
Participation & Service Capture
Identify opportunities to strengthen participation and capture eligible services
Program Performance
Examine data, reimbursement and other measures of program effectiveness
Opportunities for Improvement
Develop practical recommendations for stronger, more efficient program operations
COMPLIANCE

Compliance & Audit Readiness

School Medicaid programs operate within a complex framework of federal and state requirements. Rokay helps organizations evaluate their policies, documentation and operational practices, identify potential areas of risk and strengthen the processes needed to support compliant, defensible programs.

Could you defend your School Medicaid program if it were audited tomorrow?

DOCUMENTATION

Are services, claims and other program activities adequately supported?

PROCESSES

Do day to day practices reflect program requirements and established procedures?

CONTROLS

Can potential problems be identified, corrected and documented?

School Medicaid compliance review and audit readiness
School Medicaid research process connecting policy, programs, data and insights
RESEARCH & ANALYSIS

Research, Policy & Data Analysis

School Medicaid questions often require information from multiple sources and a clear understanding of how policy translates into practice. Rokay conducts targeted research and analysis to help organizations understand requirements, evaluate alternatives, compare approaches and use program data to make informed decisions.

POLICY RESEARCH

Federal and state requirements, guidance and policy developments

PROGRAM RESEARCH

State programs, reimbursement approaches and administrative practices

BENCHMARKING

Comparisons of approaches, practices and program models across states

DATA ANALYSIS

Claims, services, participation, reimbursement and program performance

BILLING & VENDORS

Billing & Vendor Advisory

Billing relationships, technology and service models can have a significant impact on how effectively a School Medicaid program operates. Rokay brings an independent School Medicaid perspective to help school districts evaluate billing partners and services, while also helping billing organizations assess their offerings, operations and opportunities for improvement.

SCHOOL DISTRICTS

Billing Partner Evaluation

Identify needs and evaluate potential billing partners

Services & Technology

Assess capabilities, reporting, technology and support

Existing Relationships

Evaluate whether current services are meeting program needs

BILLING ORGANIZATIONS

Service Strategy

Evaluate services, processes and opportunities for improvement

Customer Experience

Strengthen support, communication and client relationships

Technology & Tools

Assess usability, capabilities and competitiveness

Market Research

Research states, programs, competitors and market opportunities

School district team reviewing a School Medicaid billing company comparison and recommendations
Rokay School Medicaid professional development training session
EDUCATION & TRAINING

Training & Professional Development

School Medicaid education is most effective when it reflects the audience, the program and the challenges people encounter in their actual work. Rokay develops and delivers practical learning opportunities ranging from School Medicaid fundamentals to advanced topics involving policy, compliance, reimbursement and program administration.

LEARNING FORMATS

Workshops • Webinars • Customized Training • Conference Presentations

AUDIENCES

School Districts • State Agencies • Billing Organizations • Service Providers • Professional Associations

HOW CAN ROKAY HELP?

Have a School Medicaid Challenge?

School Medicaid projects do not always fit neatly into a predefined category. Whether you need one of the services described above or have a different challenge, question or project in mind, let's talk about how Rokay's experience can help.

Expertise you can count on

Rokay provides consulting, research, training and professional development

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Address

PO Box 844
Hollis, NH 03049 USA

Talk to us

+1-480-489-4439

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