Third-Party Billing

With you from
start to finish

A Chance To Grow offers a third-party billing service that will work with you throughout the entire process - from enrolling with the state to assisting the school with obtaining parental permission to actual billing. Since 2011, ACTG has helped more than 50 charter schools across Minnesota generate over $2.5 million in revenue for special education students through this service. With our extensive knowledge of charter school finance, we can ensure that the schools we work with are reporting their expenditures properly at year's end.  
Money a school/district receives from third party billing can be used to:
  • Benefit students with special needs 
  • Pay for the cost of doing third-party billing 
  • Provide training and assistance to increase the amount of third party billing revenue
Please contact us by calling (612) 789-1236 or email thirdpartybilling@actg.org for more information regarding our service rates. ​
A Chance To Grow provides the following services when working with charter schools and their third-party billing:
  • Check with the National Plan and Provider Enumeration System (NPPES) to see if the school has already registered for a National Provider Identifier (NPI) number. If not, we will register the school so they are in compliance.
  • Check with the Minnesota Department of Human Services (DHS) to see if the school is currently enrolled to bill for IEP third-party billing. If not, we will generate all the paperwork that is needed to get enrolled, including a Request for Hardship to waive the enrollment fee (for smaller charter schools).
  • Check eligibility of the special education students provided by the school and work with the school to obtain signed consent forms.
  • Work with the school and DHS to establish interim rates for billing.
  • Stay up-to-date with changes that might affect IEP third-party billing through MDE and DHS and notify what the school would need to do to stay in compliance.
  • Train school staff members and providers what they need to do for third-party billing.
  • Provide customer service for staff and providers as necessary.
  • Generate and provide necessary annual data for submitting to DHS at year's end.
  • Check the MDE website to make sure that billable expenditures are reported properly in the MDE reporting system through reports posted on their website (so the school will not lose money during the annual data reconciliation that is done two years after the school bills).
  • Prepare all the paperwork for revalidation, when necessary.
  • Help the school through an MDE or DHS audit by providing documentation as necessary.

​Click PDF version to download a PDF document of our third-party billing services.

Frequently
asked questions

What is third-party billing and why are schools doing it?
Schools are mandated to attempt reimbursement for the cost of Special Education services from public medical programs (e.g. Medical Assistance, MA, or MNCare). The funds received from billing can be used to support schools’ special education programs (e.g. purchasing equipment and materials, hiring support staff).

​On July 1, 2000, Minnesota legislation went into affect that requires school districts to attempt to obtain reimbursement for a portion of the expenses associated with providing IEP services to their students. School districts can collect third-party sources such as Minnesota public health coverage (MA or MNCare, and PMAP) and or private insurance. Our billing staff facilitate the process to recoup the cost of Special Education services by billing Medical Assistance for eligible students. Our therapists are trained to complete reimbursement for their services.
What services are eligible for reimbursement?
Physical Therapy and Evaluation, Speech-Language Therapy and Evaluation, Occupational Therapy and Evaluation, Mental Health Services and Evaluation, Nursing Services, personal-care assistants (paraprofessionals), Assistive Technology, Interpreter Services, and Special Transportation. Contact bewald@actg.org to learn more.
What does a Chance to Grow's third-party billing service entail?
The process can be complicated and overwhelming, but our staff are seasoned professionals. We offer a full-service model to maximize your school’s reimbursement. We assist you and your staff in establishing consent, providing appropriate forms, identifying eligible students, monitor eligibility on a monthly basis, identifying any eligible back-billing, and staying up-to-date with any new requirements and notifying the appropriate parties.
What can the school district bill for?
  • Speech-Language Therapy 
  • Physical Therapy 
  • Occupational Therapy 
  • Mental health 
  • Nursing ​​
  • Personal care assistant (paraprofessional) services 
  • Assistive technology 
  • Special transportation 
  • Some interpreter services ​​