QUESTION: What changes are being made to the SDAC Program effective July 1, 2019?
ANSWER: As a result of a Direct Service Cost Settlement program being approved by CMS effective July 1, 2019, the following changes will be made to the SDAC Program beginning with the Q3-19 quarter:
  • RMS Staff Training requirement change
  • Additional Cost Pool
  • Category changes
  • Increase in RMS sample size
  • RMS survey response period change
  • Removal of Provider Participation Rate (PPR) requirement
  • Changes to quarterly SDAC invoice
QUESTION: What services is Fairbanks contracted to provide?
ANSWER: Fairbanks LLC is responsible for the following SDAC functions:
  • Training school districts on all elements of the SDAC Program
  • Designing and administering a statistically valid Random Moment Sample (RMS) process on a quarterly basis including assigning, collection, coding and compilation of all RMS forms statewide
  • Review school district invoices prior to submission to MHD
  • Quarterly SDAC pre- and post-performance monitoring and quality assurance activities
QUESTION: What is Fairbanks’ contact information?
ANSWER: Fairbanks LLC Client Information Center can be reached via phone at 1-877-285-0388 or via email at info@fairbanksllc.com.
QUESTION: What is the responsibility of the school district who was enrolled in the SDAC program prior to July 1, 2019?
ANSWER: School districts are responsible for the following SDAC functions:
  • School districts enrolled in the SDAC program prior to July 1, 2019 will need to sign an addendum to the SDAC agreement that currently exists.
  • A new methodology will not need to be submitted if your school district was participating prior to July 1, 2019.
  • Providing the quarterly personnel roster of all individuals who will be participating in the SDAC Program
  • Monitoring RMS compliance
  • Performing all functions associated with creating the quarterly invoice such as gathering cost pool data, securing the school district’s Medicaid eligibility rate (MER), and maintaining and defending audit records.
QUESTION: What is the responsibility of the school district who was not enrolled in the SDAC program prior to July 1, 2019?
ANSWER: School districts are responsible for the following SDAC functions:
  • Signing a new Cooperative Agreement with the Department of Social Services.
  • Developing a new SDAC program methodology.
  • Providing the quarterly personnel roster of all individuals who will be participating in the SDAC Program
  • Monitoring RMS compliance
  • Performing all functions associated with creating the quarterly invoice such as gathering cost pool data, securing the school district’s Medicaid eligibility rate (MER), and maintaining and defending audit records.
QUESTION: How will Fairbanks be reimbursed for their services?
ANSWER: Funding to reimburse Fairbanks will be obtained through an administrative fee assessed to each participating school district. MO HealthNet will deduct the administrative fee from each quarterly invoice and utilize those funds to make payment to Fairbanks.
QUESTION: Who is responsible for providing training materials and training to cost pool staff?
ANSWER: Fairbanks LLC is responsible for the development of all SDAC training materials and providing training to school district cost pool staff prior to completing any random moment samples. These materials may be found on the Fairbanks website upon logging in.
QUESTION: What are the training requirements for school district cost pool staff?
ANSWER: Cost pool staff will be required to go through a minimal training prior to completing their RMS form.
QUESTION: How often is SDAC Coordinator training generally offered from Fairbanks?
ANSWER: SDAC Coordinator and Financial training are offered at least 2-4 times per quarter via webinar. The information for these webinars, as well as instructions on how to attend will be sent to SDAC Coordinators at the beginning of each quarter via email. This information is also available on the Fairbanks website. The expectation is that one SDAC Coordinator be trained at least once annually for each district.
QUESTION: Can a school district utilize a 3rd party contractor for school district responsibilities?
ANSWER: Yes, school districts may contract with a 3rd party biller to produce the invoice, including gathering cost pool data, Medicaid eligibility rate (MER), and the indirect cost rate (ICR).
QUESTION: What steps should school districts follow if they currently use a 3rd party vendor but choose to participate in the SDAC program without a third party vendor?
ANSWER: School districts are responsible for submitting a new SDAC program methodology outlining how the requirements listed in the cooperative agreement will be met. School districts must notify MHD in writing of the change.
QUESTION: Who does a school district contact if they are interested in participating in the SDAC program?
ANSWER: A school district representative may request the cooperative agreement by calling the MO HealthNet Division at (573) 751-9290 or by email at MHDSchoolPrograms@dss.mo.gov.