School Services of Montana
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MEDICAID FORMS

Page updated March 2023
Please send any forms that include STUDENT NAMES & INFORMATION via our secure webfile program, ShareFile.

ALL forms for the RELAY Medicaid Billing Service Portal program can be viewed and downloaded (see below).  Please use the Sharefile link above to send student forms, or
​fax forms directly to our office at (406) 624-6289.

Please DO NOT send student names and information via email!
Student Info Sheet
Use this form to add or change student information in the RELAY Service Portal.  Make sure to download the form so you can fill it in as a PDF file and send the form using ShareFile.

Child Profile Form
This form should be filled out for paraprofessional Services and signed by a physician.  Services on the form should match what is included in the IEP and should be updated at least annually.  Please send a copy of the form using the ShareFile link.

Personal Care Services Daily Sheet

Daily paraprofessional tasks should be logged daily.  This form can be used to help add service times to the RELAY Service Portal and should be kept in a student file for 6 years, 3 months in case of a service audit.

RELAY Service Portal Instructions

Therapy providers can access these instructions for using the portal.

RELAY Service Portal Paraprofessional and Nursing Instructions

Paraprofessional aides for personal care services and nurses use this manual for instructions on entering services into the portal.

Saving Student Goals in the RELAY Service Portal

When a student is initially added to a therapy providers caseload, goals can be uploaded to a student account.

​Saving groups in the RELAY Service Portal

Use these instructions for creating groups in the portal. 

PROGRAM CONTACT
​
Lisa Waterman
Medicaid Billing Program Specialist

E-mail: lwaterman* (see footer)
W: (406) 272-0073
​F: (406) 624-6289

School Services of Montana  |  4055 Valley Commons Drive, Suite G  |  Bozeman, MT 59718  |  (406) 247-0284
© 2023
*Please add @mt-schools.org to staff usernames when contacting us via email.
​
We made this change in an effort to discourage spam bots.
  • About Us
    • Members >
      • Become A Member
      • Member Benefits
    • Overview of Services
    • Meet Our Staff
    • Newsletter Archives >
      • Archives 21-22
      • Archives 18-19
    • NEW Employment Opportunity
  • Professional Learning
    • Upcoming Events >
      • Event Archives >
        • 2022 STEM Summer Institute >
          • SSI 2022 Schedule
          • Exhibitor & Sponsor Registration
        • 2022 Curriculum Design Institutes
        • Science Summer Institute 2021
        • Science Summer Institute 2019 >
          • Session Details
          • Exhibitors & Sponsors
          • Exhibitor Registration
          • Half Page Handout
        • Common PIR Day 2019
        • Common PIR Day 2018
    • 2023 STEM Summer Institute >
      • Exhibitors and Sponsors 2023
    • Customized District PL
    • Virtual Courses
    • Curriculum Consortium >
      • Curriculum Resources
      • 2020-21 MECC Archives
      • 2019-20 MECC Archives
      • 2018-19 MECC Archives
    • Indian Education for All >
      • IEFA Archives >
        • IEFA MOR Institute 2019
      • IEFA Book Inventory
    • CPI Workshops
    • Meet Our Facilitators
    • General Cancellation Policy
  • Technology
    • Current Services
    • Meet Our Tech Team >
      • Tech Services Testimonials
      • SSoM Tech Events >
        • 2019 Tech Summit
        • 2018 Tech Summit
    • Infinite Campus Support >
      • Testimonials
      • Behind the Scenes at Infinite Campus
      • AIM/OPI User Guides
      • AIM Collection Schedule
      • Archives: Infinite Campus Emails
  • Medicaid Billing
    • Service Portal
    • Forms
    • Student Data Uploads
    • Medicaid Newsletter Archives
  • Co-op Purchasing
    • 22-23 SY Order
    • 22-23 Bid
    • Order Archives >
      • Spring 2022 Order
      • Fall 2021 Order
    • Bid Archives >
      • 21-22 SY Food Bid
      • 20-21 SY Bid A
      • 20-21 SY Bid B
  • Donate