Finding 972365 (2023-003)

Criteria: The School Based Service provider is required to have a signed and dated consent to bill (M-5) from the parent or guardian of a student with an IEP before claims can be submitted. Condition: The District submitted reimbursements for one student who did not have a signed M-5 on file. Effect: The District did not comply with the requirements needed to submit claims. Cause: The District did not have procedures in place for ensuring that all M-5’s have been obtained prior to claiming student costs. Questioned Costs: $1,327 Recommendation: We recommend that management and those charged with governance ensure the policies and procedures are in place to maintain proper documentation for claiming student costs. Corrective Action Plan: The district has changed internal verifications and has engaged a new Medicare processing provider which will ensure future compliance with having all M5 forms on file.