Provider training provided by the Medicaid agency or its contracted designee regarding Medicaid covered services, or aimed at improving the delivery of Medicaid services, is reimbursable as a Medicaid administrative expenditure. This could include, for example, training for case managers, individuals who develop and coordinate person-centered care planning, primary care practitioners, or hospital discharge planners. Costs incurred by the providers to meet continuing education and advanced training requirements cannot be claimed as a Medicaid administrative expenditure; as described above, in some circumstances such costs may be reflected in provider rates. Regulations at 45 C.F.R. Part 75 provide the relevant cost regulations. Additional discussions on the inclusion of training costs in rate development and other regulations surrounding allowable and unallowable costs in Medicaid are in the CMCS Information Bulletin dated 7/13/2011 (PDF, 248.23 KB).
What is the difference between a reimbursable training and a non-reimbursable training for health providers
Date
Topic
FAQ ID
166436
FAQ Question
What is the difference between a reimbursable training and a non-reimbursable training for health providers in the school setting? Similar to clinical supervision, which could fall under general administrative activities as “care coordination,” what are consistent definitions of when these activities are reimbursable? (see Page 74 of the 2023 Comprehensive Guide to Medicaid Services and Administrative Claiming discussing the exclusion of some provider training and supervision activities. Assuming that an LEA is a “provider facility”)