$4,566,554.89 $8,004,105.16 $9,655,783.20 $1,217,405.98 $38,649.40 $10,886.78 $1,629,453.58 $25,128,448.51 Physical Therapy Occupational Therapy Speech Therapy Personal Care SBMH Audiology EPSDT Direct Funds ARMAC Total (Q1+Q2+Q3+Q4) Total Reimbursement (ARMAC Total + Direct Funds) = Report Date: 10/9/2015 at 1:25:29PM 2015 School-Based Medicaid Arkansas State Profile ADM 481,240 $14,823,977.49 $39,952,426.00
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$4,566,554.89
$8,004,105.16
$9,655,783.20
$1,217,405.98
$38,649.40
$10,886.78
$1,629,453.58
$25,128,448.51
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
Report Date: 10/9/2015 at 1:25:29PM
2015 School-Based Medicaid Arkansas State Profile
ADM 481,240
$14,823,977.49
$39,952,426.00
Report Date: 10/9/2015 at 1:25:30PM
ACADEMICS PLUS CHARTER SCHOOL
2015 School-Based Medicaid Profile
6040
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$0.00
$2,882.80
$0.00
$0.00
$0.00
$0.00
$2,882.80
67.32%
ADM 749
$14,506.71
$17,389.51
Page 1 of 270
Report Date: 10/9/2015 at 1:25:30PM
ALMA SCHOOL DISTRICT
2015 School-Based Medicaid Profile
1701
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$44,339.76
$111,599.76
$50,181.30
$0.00
$0.00
$0.00
$9,039.88
$215,160.70
59.09%
ADM 3,221
$112,771.12
$327,931.82
Page 2 of 270
Report Date: 10/9/2015 at 1:25:30PM
ALPENA SCHOOL DISTRICT
2015 School-Based Medicaid Profile
0501
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$2,894.08
$2,084.40
$3,161.92
$14,903.83
$0.00
$0.00
$3,151.92
$26,196.15
58.07%
ADM 521
$13,027.65
$39,223.80
Page 3 of 270
Report Date: 10/9/2015 at 1:25:30PM
AR SCHOOL FOR THE BLIND
2015 School-Based Medicaid Profile
6091
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$30,086.64
$36,165.12
$21,115.42
$0.00
$0.00
$0.00
$0.00
$87,367.18
67.32%
ADM 76
$41,156.45
$128,523.63
Page 4 of 270
Report Date: 10/9/2015 at 1:25:30PM
AR SCHOOL FOR THE DEAF
2015 School-Based Medicaid Profile
6092
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$17,146.88
$21,522.56
$4,112.08
$0.00
$1,414.08
$0.00
$380.16
$44,575.76
67.32%
ADM 124
$68,098.41
$112,674.17
Page 5 of 270
Report Date: 10/9/2015 at 1:25:30PM
ARCH FORD EDUCATION SERVICE CO-OP
2015 School-Based Medicaid Profile
1520
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$4,852.48
$1,088.00
$50,939.71
$0.00
$0.00
$0.00
$0.00
$56,880.19
56.51%
ADM 718
$47,869.68
$104,749.87
Page 6 of 270
Report Date: 10/9/2015 at 1:25:30PM
ARKADELPHIA SCHOOL DISTRICT
2015 School-Based Medicaid Profile
1002
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$23,718.40
$40,352.48
$26,208.88
$0.00
$0.00
$0.00
$1,003.82
$91,283.58
73.17%
ADM 1,903
$36,928.03
$128,211.61
Page 7 of 270
Report Date: 10/9/2015 at 1:25:30PM
ARKANSAS ARTS ACADEMY
2015 School-Based Medicaid Profile
0440
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
45.59%
ADM 758
$12,129.30
$12,129.30
Page 8 of 270
Report Date: 10/9/2015 at 1:25:30PM
ARKANSAS RIVER EDUCATION SERVICE CO-OP
2015 School-Based Medicaid Profile
3520
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$962.28
$9,176.32
$23,185.52
$0.00
$0.00
$0.00
$1,526.54
$34,850.66
64.24%
ADM 381
$24,206.74
$59,057.40
Page 9 of 270
Report Date: 10/9/2015 at 1:25:30PM
ARKANSAS VIRTUAL CHARTER SCHOOL
2015 School-Based Medicaid Profile
6043
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$87.04
$4,114.56
$0.00
$0.00
$0.00
$0.00
$4,201.60
67.32%
ADM 1,647
$40,492.98
$44,694.58
Page 10 of 270
Report Date: 10/9/2015 at 1:25:30PM
ARMOREL SCHOOL DISTRICT
2015 School-Based Medicaid Profile
4701
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$7,420.36
$6,342.33
$0.00
$0.00
$0.00
$0.00
$0.00
$13,762.69
80.25%
ADM 424
$13,559.90
$27,322.59
Page 11 of 270
Report Date: 10/9/2015 at 1:25:30PM
ASHDOWN SCHOOL DISTRICT
2015 School-Based Medicaid Profile
4101
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$13,909.78
$22,606.64
$44,904.96
$35,899.89
$0.00
$0.00
$9,636.40
$126,957.67
60.73%
ADM 1,446
$31,784.58
$158,742.25
Page 12 of 270
Report Date: 10/9/2015 at 1:25:30PM
ATKINS SCHOOL DISTRICT
2015 School-Based Medicaid Profile
5801
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$29,191.84
$64,646.24
$164,496.20
$0.00
$0.00
$0.00
$0.00
$258,334.28
57.11%
ADM 1,002
$13,111.95
$271,446.23
Page 13 of 270
Report Date: 10/9/2015 at 1:25:30PM
AUGUSTA SCHOOL DISTRICT
2015 School-Based Medicaid Profile
7401
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$0.00
$66,190.16
$0.00
$0.00
$0.00
$0.00
$66,190.16
82.98%
ADM 374
$3,965.44
$70,155.60
Page 14 of 270
Report Date: 10/9/2015 at 1:25:30PM
BALD KNOB SCHOOL DISTRICT
2015 School-Based Medicaid Profile
7301
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$15,377.12
$60,693.32
$30,960.00
$0.00
$0.00
$0.00
$0.00
$107,030.44
60.06%
ADM 1,257
$42,569.85
$149,600.29
Page 15 of 270
Report Date: 10/9/2015 at 1:25:30PM
BARTON-LEXA SCHOOL DISTRICT
2015 School-Based Medicaid Profile
5401
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$1,126.56
$3,024.64
$0.00
$0.00
$0.00
$0.00
$7,843.74
$11,994.94
82.80%
ADM 818
$23,516.56
$35,511.50
Page 16 of 270
Report Date: 10/9/2015 at 1:25:30PM
BATESVILLE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
3201
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$48,369.72
$62,496.38
$59,843.70
$0.00
$0.00
$0.00
$16,151.48
$186,861.28
62.94%
ADM 3,027
$145,290.05
$332,151.33
Page 17 of 270
Report Date: 10/9/2015 at 1:25:30PM
BAUXITE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
6301
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$6,179.84
$32,146.24
$3,028.76
$0.00
$0.00
$0.00
$0.00
$41,354.84
48.44%
ADM 1,595
$23,358.57
$64,713.41
Page 18 of 270
Report Date: 10/9/2015 at 1:25:30PM
BAY SCHOOL DISTRICT
2015 School-Based Medicaid Profile
1601
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$2,716.99
$24,062.33
$0.00
$0.00
$0.00
$0.00
$0.00
$26,779.32
57.73%
ADM 586
$12,310.63
$39,089.95
Page 19 of 270
Report Date: 10/9/2015 at 1:25:30PM
BEARDEN SCHOOL DISTRICT
2015 School-Based Medicaid Profile
5201
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$8,434.74
$20,051.10
$40,976.26
$0.00
$0.00
$0.00
$0.00
$69,462.10
71.79%
ADM 525
$24,984.10
$94,446.20
Page 20 of 270
Report Date: 10/9/2015 at 1:25:30PM
BEEBE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
7302
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$14,995.84
$49,525.28
$25,435.31
$0.00
$0.00
$0.00
$15,451.90
$105,408.33
60.06%
ADM 3,261
$67,505.37
$172,913.70
Page 21 of 270
Report Date: 10/9/2015 at 1:25:30PM
BENTON SCHOOL DISTRICT
2015 School-Based Medicaid Profile
6302
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$2,636.16
$0.00
$15,200.98
$251.40
$0.00
$0.00
$27,530.00
$45,618.54
48.44%
ADM 5,000
$105,394.14
$151,012.68
Page 22 of 270
Report Date: 10/9/2015 at 1:25:30PM
BENTONVILLE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
0401
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$46,557.92
$99,773.22
$117,401.14
$107,360.37
$0.00
$0.00
$21,862.18
$392,954.83
45.59%
ADM 15,497
$543,103.71
$936,058.54
Page 23 of 270
Report Date: 10/9/2015 at 1:25:30PM
BERGMAN SCHOOL DISTRICT
2015 School-Based Medicaid Profile
0502
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$12,205.88
$9,509.76
$11,561.63
$0.00
$0.00
$0.00
$3,218.20
$36,495.47
58.07%
ADM 1,132
$31,077.83
$67,573.30
Page 24 of 270
Report Date: 10/9/2015 at 1:25:30PM
BERRYVILLE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
0801
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$15,659.20
$0.00
$38,976.70
$1,114.54
$0.00
$0.00
$8,473.92
$64,224.36
75.53%
ADM 2,054
$64,571.20
$128,795.56
Page 25 of 270
Report Date: 10/9/2015 at 1:25:30PM
BISMARCK SCHOOL DISTRICT
2015 School-Based Medicaid Profile
3001
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$13,018.40
$48,307.76
$18,224.66
$21,603.64
$0.00
$0.00
$4,041.04
$105,195.50
63.52%
ADM 969
$24,280.14
$129,475.64
Page 26 of 270
Report Date: 10/9/2015 at 1:25:30PM
BLEVINS SCHOOL DISTRICT
2015 School-Based Medicaid Profile
2901
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$13,584.80
$11,073.60
$9,803.02
$0.00
$0.00
$0.00
$0.00
$34,461.42
79.70%
ADM 490
$11,535.95
$45,997.37
Page 27 of 270
Report Date: 10/9/2015 at 1:25:30PM
BLYTHEVILLE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
4702
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$47,737.54
$41,923.18
$96,231.40
$0.00
$0.00
$0.00
$0.00
$185,892.12
80.25%
ADM 2,348
$184,736.22
$370,628.34
Page 28 of 270
Report Date: 10/9/2015 at 1:25:30PM
BOONEVILLE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
4201
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$32,959.72
$67,502.60
$0.00
$5,329.68
$2,147.00
$0.00
$2,287.86
$110,226.86
73.16%
ADM 1,271
$57,641.88
$167,868.74
Page 29 of 270
Report Date: 10/9/2015 at 1:25:30PM
BRADFORD SCHOOL DISTRICT
2015 School-Based Medicaid Profile
7303
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$0.00
$17,628.36
$0.00
$0.00
$0.00
$0.00
$17,628.36
60.06%
ADM 445
$22,748.54
$40,376.90
Page 30 of 270
Report Date: 10/9/2015 at 1:25:30PM
BRINKLEY SCHOOL DISTRICT
2015 School-Based Medicaid Profile
4801
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$13,355.92
$16,760.20
$16,110.56
$0.00
$0.00
$0.00
$0.00
$46,226.68
84.44%
ADM 518
$20,158.55
$66,385.23
Page 31 of 270
Report Date: 10/9/2015 at 1:25:30PM
BROOKLAND SCHOOL DISTRICT
2015 School-Based Medicaid Profile
1603
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$25,160.52
$104,844.36
$14,934.10
$0.00
$0.00
$0.00
$6,492.72
$151,431.70
57.73%
ADM 2,097
$71,173.96
$222,605.66
Page 32 of 270
Report Date: 10/9/2015 at 1:25:30PM
BRYANT SCHOOL DISTRICT
2015 School-Based Medicaid Profile
6303
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$115,686.04
$156,782.60
$74,296.88
$8.38
$28,138.46
$0.00
$30,532.90
$405,445.26
48.44%
ADM 9,017
$229,106.78
$634,552.04
Page 33 of 270
Report Date: 10/9/2015 at 1:25:30PM
BUFFALO IS. CENTRAL SCH. DISTRICT
2015 School-Based Medicaid Profile
1605
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$20,774.88
$19,051.20
$6,460.62
$0.00
$0.00
$0.00
$0.00
$46,286.70
57.73%
ADM 812
$21,812.79
$68,099.49
Page 34 of 270
Report Date: 10/9/2015 at 1:25:30PM
CABOT SCHOOL DISTRICT
2015 School-Based Medicaid Profile
4304
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$110,307.00
$201,732.63
$140,210.60
$93,506.06
$0.00
$0.00
$33,140.84
$578,897.13
44.22%
ADM 10,128
$281,630.02
$860,527.15
Page 35 of 270
Report Date: 10/9/2015 at 1:25:30PM
CADDO HILLS SCHOOL DISTRICT
2015 School-Based Medicaid Profile
4901
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$718.08
$43.52
$4,003.84
$0.00
$0.00
$0.00
$0.00
$4,765.44
86.05%
ADM 574
$30,306.54
$35,071.98
Page 36 of 270
Report Date: 10/9/2015 at 1:25:30PM
CALICO ROCK SCHOOL DISTRICT
2015 School-Based Medicaid Profile
3301
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$2,609.48
$7,254.78
$0.00
$0.00
$0.00
$4,544.84
$14,409.10
72.10%
ADM 396
$16,737.59
$31,146.69
Page 37 of 270
Report Date: 10/9/2015 at 1:25:30PM
CAMDEN FAIRVIEW SCHOOL DISTRICT
2015 School-Based Medicaid Profile
5204
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$26,793.04
$37,527.72
$30,524.48
$0.00
$0.00
$0.00
$22,490.32
$117,335.56
71.79%
ADM 2,567
$108,853.02
$226,188.58
Page 38 of 270
Report Date: 10/9/2015 at 1:25:30PM
CARLISLE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
4303
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$1,392.64
$4,218.16
$0.00
$0.00
$0.00
$0.00
$5,610.80
44.22%
ADM 686
$16,867.60
$22,478.40
Page 39 of 270
Report Date: 10/9/2015 at 1:25:30PM
CAVE CITY SCHOOL DISTRICT
2015 School-Based Medicaid Profile
6802
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$17,502.72
$43,906.16
$0.00
$0.00
$0.00
$0.00
$0.00
$61,408.88
67.94%
ADM 1,284
$32,976.87
$94,385.75
Page 40 of 270
Report Date: 10/9/2015 at 1:25:30PM
CEDAR RIDGE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
3212
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$29,794.00
$33,922.56
$12,518.82
$0.00
$0.00
$0.00
$3,979.22
$80,214.60
62.94%
ADM 835
$24,340.50
$104,555.10
Page 41 of 270
Report Date: 10/9/2015 at 1:25:30PM
CEDARVILLE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
1702
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$1,424.85
$16,022.20
$3,855.44
$0.00
$0.00
$0.00
$4,363.50
$25,665.99
59.09%
ADM 871
$42,058.59
$67,724.58
Page 42 of 270
Report Date: 10/9/2015 at 1:25:30PM
CENTERPOINT SCHOOL DISTRICT
2015 School-Based Medicaid Profile
5502
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$5,729.00
$35,888.04
$19,425.86
$0.00
$0.00
$0.00
$9,044.00
$70,086.90
64.70%
ADM 942
$23,529.48
$93,616.38
Page 43 of 270
Report Date: 10/9/2015 at 1:25:30PM
CHARLESTON SCHOOL DISTRICT
2015 School-Based Medicaid Profile
2402
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$10,798.08
$13,987.56
$2,732.00
$5,794.77
$0.00
$0.00
$9,655.28
$42,967.69
56.36%
ADM 876
$28,322.11
$71,289.80
Page 44 of 270
Report Date: 10/9/2015 at 1:25:30PM
CLARENDON SCHOOL DISTRICT
2015 School-Based Medicaid Profile
4802
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$6,748.78
$6,062.02
$0.00
$0.00
$0.00
$0.00
$0.00
$12,810.80
84.44%
ADM 550
$24,421.71
$37,232.51
Page 45 of 270
Report Date: 10/9/2015 at 1:25:30PM
CLARKSVILLE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
3601
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$40,093.12
$21,751.28
$42,134.59
$22,266.70
$0.00
$0.00
$14,550.76
$140,796.45
68.27%
ADM 2,685
$91,021.55
$231,818.00
Page 46 of 270
Report Date: 10/9/2015 at 1:25:30PM
CLEVELAND COUNTY SCHOOL DISTRICT
2015 School-Based Medicaid Profile
1305
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$5,696.40
$6,016.44
$2,248.48
$13,965.26
$0.00
$0.00
$4,986.82
$32,913.40
55.75%
ADM 873
$16,111.81
$49,025.21
Page 47 of 270
Report Date: 10/9/2015 at 1:25:30PM
CLINTON SCHOOL DISTRICT
2015 School-Based Medicaid Profile
7102
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$9,596.16
$42,129.08
$19,182.16
$4,676.04
$0.00
$133.24
$7,753.42
$83,470.10
71.55%
ADM 1,293
$76,053.19
$159,523.29
Page 48 of 270
Report Date: 10/9/2015 at 1:25:30PM
CONCORD SCHOOL DISTRICT
2015 School-Based Medicaid Profile
1201
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$8,928.96
$29,996.80
$11,669.76
$11,493.17
$0.00
$0.00
$0.00
$62,088.69
68.54%
ADM 446
$25,883.27
$87,971.96
Page 49 of 270
Report Date: 10/9/2015 at 1:25:30PM
CONWAY SCHOOL DISTRICT
2015 School-Based Medicaid Profile
2301
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$50,816.00
$53,455.15
$176,600.94
$82,647.75
$0.00
$0.00
$21,292.80
$384,812.64
48.12%
ADM 9,771
$246,023.65
$630,836.29
Page 50 of 270
Report Date: 10/9/2015 at 1:25:30PM
CORNING SCHOOL DISTRICT
2015 School-Based Medicaid Profile
1101
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$156.64
$8,945.42
$75,932.26
$0.00
$0.00
$0.00
$6,155.48
$91,189.80
64.06%
ADM 920
$15,862.66
$107,052.46
Page 51 of 270
Report Date: 10/9/2015 at 1:25:30PM
Cossatot River
2015 School-Based Medicaid Profile
5707
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$47.52
$16,291.24
$11,998.13
$0.00
$0.00
$350.92
$6,680.92
$35,368.73
67.22%
ADM 1,092
$30,019.29
$65,388.02
Page 52 of 270
Report Date: 10/9/2015 at 1:25:30PM
COTTER SCHOOL DISTRICT
2015 School-Based Medicaid Profile
0302
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$25,651.72
$31,074.40
$5,355.96
$0.00
$0.00
$0.00
$0.00
$62,082.08
64.56%
ADM 701
$29,663.83
$91,745.91
Page 53 of 270
Report Date: 10/9/2015 at 1:25:30PM
COUNTY LINE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
2403
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$5,432.00
$12,613.28
$8,832.60
$6,569.92
$0.00
$0.00
$1,162.48
$34,610.28
56.36%
ADM 456
$20,764.16
$55,374.44
Page 54 of 270
Report Date: 10/9/2015 at 1:25:30PM
Covenant Keepers
2015 School-Based Medicaid Profile
6044
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
67.32%
ADM 157
$19,078.21
$19,078.21
Page 55 of 270
Report Date: 10/9/2015 at 1:25:30PM
CROSS COUNTY SCHOOL DISTRICT
2015 School-Based Medicaid Profile
1901
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$18,599.28
$19,492.52
$35,382.92
$20,715.35
$0.00
$0.00
$2,876.84
$97,066.91
58.80%
ADM 616
$29,441.42
$126,508.33
Page 56 of 270
Report Date: 10/9/2015 at 1:25:30PM
CROSSETT SCHOOL DISTRICT
2015 School-Based Medicaid Profile
0201
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$23,681.72
$30,017.40
$31,873.14
$34,387.33
$0.00
$0.00
$9,116.12
$129,075.71
66.79%
ADM 1,785
$59,049.15
$188,124.86
Page 57 of 270
Report Date: 10/9/2015 at 1:25:30PM
CROWLEY'S RIDGE EDUCATIONAL CO-OP
2015 School-Based Medicaid Profile
5620
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$2,069.12
$0.00
$18,844.16
$0.00
$0.00
$0.00
$0.00
$20,913.28
67.93%
ADM 396
$18,770.07
$39,683.35
Page 58 of 270
Report Date: 10/9/2015 at 1:25:30PM
CUTTER-MORNING STAR SCHOOL DISTRICT
2015 School-Based Medicaid Profile
2601
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$5,523.04
$30,161.08
$62,498.56
$0.00
$0.00
$0.00
$1,616.14
$99,798.82
69.20%
ADM 601
$16,213.24
$116,012.06
Page 59 of 270
Report Date: 10/9/2015 at 1:25:30PM
DANVILLE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
7503
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$51,773.80
$60,686.20
$84,015.52
$2,266.79
$0.00
$0.00
$0.00
$198,742.31
65.71%
ADM 864
$23,156.11
$221,898.42
Page 60 of 270
Report Date: 10/9/2015 at 1:25:30PM
DARDANELLE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
7504
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$53,671.68
$72,003.92
$87,130.88
$0.00
$0.00
$0.00
$9,936.20
$222,742.68
65.71%
ADM 2,097
$72,881.53
$295,624.21
Page 61 of 270
Report Date: 10/9/2015 at 1:25:30PM
DAWSON EDUCATION SERVICE CO-OP
2015 School-Based Medicaid Profile
1020
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$2,959.36
$9,709.20
$97,980.08
$0.00
$0.00
$0.00
$0.00
$110,648.64
60.88%
ADM 457
$35,576.90
$146,225.54
Page 62 of 270
Report Date: 10/9/2015 at 1:25:30PM
DECATUR SCHOOL DISTRICT
2015 School-Based Medicaid Profile
0402
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$2,088.96
$4,002.10
$7,405.72
$0.00
$0.00
$19.80
$1,772.74
$15,289.32
45.59%
ADM 544
$9,383.24
$24,672.56
Page 63 of 270
Report Date: 10/9/2015 at 1:25:30PM
DEER/MT. JUDEA SCHOOL DISTRICT
2015 School-Based Medicaid Profile
5106
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$0.00
$3,536.68
$0.00
$0.00
$0.00
$0.00
$3,536.68
67.51%
ADM 355
$19,858.07
$23,394.75
Page 64 of 270
Report Date: 10/9/2015 at 1:25:30PM
DEQUEEN SCHOOL DISTRICT
2015 School-Based Medicaid Profile
6701
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$7,382.16
$7,049.20
$20,153.70
$0.00
$0.00
$0.00
$14,611.88
$49,196.94
75.80%
ADM 2,415
$63,341.79
$112,538.73
Page 65 of 270
Report Date: 10/9/2015 at 1:25:30PM
DEQUEEN/MENA EDUCATIONAL CO-OP
2015 School-Based Medicaid Profile
6720
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$7,969.60
$12,816.00
$62,532.78
$0.00
$0.00
$1,028.80
$0.00
$84,347.18
68.01%
ADM 246
$28,848.16
$113,195.34
Page 66 of 270
Report Date: 10/9/2015 at 1:25:30PM
DERMOTT SCHOOL DISTRICT
2015 School-Based Medicaid Profile
0901
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$0.00
$10,531.88
$0.00
$0.00
$0.00
$2,774.50
$13,306.38
100.00%
ADM 415
$15,502.99
$28,809.37
Page 67 of 270
Report Date: 10/9/2015 at 1:25:30PM
DES ARC SCHOOL DISTRICT
2015 School-Based Medicaid Profile
5901
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$7,476.12
$10,180.64
$3,662.06
$0.00
$0.00
$2,537.88
$23,856.70
67.93%
ADM 562
$14,544.59
$38,401.29
Page 68 of 270
Report Date: 10/9/2015 at 1:25:30PM
DEWITT SCHOOL DISTRICT
2015 School-Based Medicaid Profile
0101
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$0.00
$11,375.42
$6,745.90
$0.00
$0.00
$688.56
$18,809.88
67.32%
ADM 1,257
$45,059.47
$63,869.35
Page 69 of 270
Report Date: 10/9/2015 at 1:25:30PM
DIERKS SCHOOL DISTRICT
2015 School-Based Medicaid Profile
3102
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$23.76
$5,141.04
$18,848.44
$0.00
$0.00
$0.00
$0.00
$24,013.24
58.63%
ADM 583
$19,122.06
$43,135.30
Page 70 of 270
Report Date: 10/9/2015 at 1:25:30PM
DOLLARWAY SCHOOL DISTRICT
2015 School-Based Medicaid Profile
3502
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$0.00
$11,232.52
$0.00
$0.00
$0.00
$7,050.44
$18,282.96
76.70%
ADM 1,297
$70,083.86
$88,366.82
Page 71 of 270
Report Date: 10/9/2015 at 1:25:30PM
DOVER SCHOOL DISTRICT
2015 School-Based Medicaid Profile
5802
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$26,482.64
$52,947.84
$144,686.84
$0.00
$0.00
$0.00
$6,765.40
$230,882.72
57.11%
ADM 1,394
$46,234.23
$277,116.95
Page 72 of 270
Report Date: 10/9/2015 at 1:25:30PM
DREW CENTRAL SCHOOL DISTRICT
2015 School-Based Medicaid Profile
2202
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$11,044.02
$26,138.26
$42,745.06
$8,505.70
$0.00
$0.00
$4,111.10
$92,544.14
62.20%
ADM 937
$23,451.45
$115,995.59
Page 73 of 270
Report Date: 10/9/2015 at 1:25:30PM
DUMAS SCHOOL DISTRICT
2015 School-Based Medicaid Profile
2104
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$12,759.76
$31,493.96
$20,430.68
$0.00
$0.00
$0.00
$6,319.64
$71,004.04
68.35%
ADM 1,401
$23,927.44
$94,931.48
Page 74 of 270
Report Date: 10/9/2015 at 1:25:30PM
EARLE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
1802
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$3,628.48
$2,375.40
$2,915.84
$0.00
$0.00
$0.00
$0.00
$8,919.72
72.47%
ADM 612
$27,193.93
$36,113.65
Page 75 of 270
Report Date: 10/9/2015 at 1:25:30PM
EAST END SCHOOL DISTRICT
2015 School-Based Medicaid Profile
5301
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$25,025.92
$32,127.33
$59,365.12
$0.00
$0.00
$0.00
$0.00
$116,518.37
61.11%
ADM 611
$24,040.54
$140,558.91
Page 76 of 270
Report Date: 10/9/2015 at 1:25:30PM
EAST POINSETT CO. SCHOOL DISTRICT
2015 School-Based Medicaid Profile
5608
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$17,010.86
$20,246.96
$70,500.76
$984.65
$0.00
$0.00
$1,234.60
$109,977.83
75.99%
ADM 706
$36,084.86
$146,062.69
Page 77 of 270
Report Date: 10/9/2015 at 1:25:30PM
EL DORADO SCHOOL DISTRICT
2015 School-Based Medicaid Profile
7001
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$33,930.08
$33,357.93
$46,117.20
$52,852.06
$0.00
$0.00
$27,509.08
$193,766.35
60.79%
ADM 4,502
$155,346.17
$349,112.52
Page 78 of 270
Report Date: 10/9/2015 at 1:25:30PM
ELKINS SCHOOL DISTRICT
2015 School-Based Medicaid Profile
7201
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$3,087.93
$3,941.68
$11,357.20
$0.00
$0.00
$0.00
$1,290.92
$19,677.73
51.38%
ADM 1,112
$25,810.27
$45,488.00
Page 79 of 270
Report Date: 10/9/2015 at 1:25:30PM
EMERSON-TAYLOR-BRADLEY SCHOOL DISTRICT
2015 School-Based Medicaid Profile
1408
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$1,557.36
$8,864.08
$9,002.08
$0.00
$0.00
$0.00
$0.00
$19,423.52
59.38%
ADM 987
$14,066.92
$33,490.44
Page 80 of 270
Report Date: 10/9/2015 at 1:25:30PM
ENGLAND SCHOOL DISTRICT
2015 School-Based Medicaid Profile
4302
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$43.52
$12,795.06
$0.00
$0.00
$0.00
$2,746.34
$15,584.92
44.22%
ADM 752
$17,311.35
$32,896.27
Page 81 of 270
Report Date: 10/9/2015 at 1:25:30PM
eSTEM Charter Public School
2015 School-Based Medicaid Profile
6047
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$3,178.88
$3,869.30
$20,415.12
$0.00
$0.00
$0.00
$3,913.62
$31,376.92
67.32%
ADM 1,462
$28,808.45
$60,185.37
Page 82 of 270
Report Date: 10/9/2015 at 1:25:30PM
EUREKA SPRINGS SCHOOL DISTRICT
2015 School-Based Medicaid Profile
0802
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$10,027.04
$16,036.06
$9,496.84
$0.00
$0.00
$0.00
$0.00
$35,559.94
75.53%
ADM 604
$33,937.13
$69,497.07
Page 83 of 270
Report Date: 10/9/2015 at 1:25:30PM
Exalt Academy of SouthWest LR
2015 School-Based Medicaid Profile
6055
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$957.44
$1,552.36
$2,967.72
$0.00
$0.00
$0.00
$0.00
$5,477.52
67.32%
ADM 112
$8,702.14
$14,179.66
Page 84 of 270
Report Date: 10/9/2015 at 1:25:30PM
FARMINGTON SCHOOL DISTRICT
2015 School-Based Medicaid Profile
7202
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$12,535.57
$14,552.72
$21,165.16
$0.00
$0.00
$0.00
$4,797.94
$53,051.39
51.38%
ADM 2,321
$53,805.81
$106,857.20
Page 85 of 270
Report Date: 10/9/2015 at 1:25:30PM
FAYETTEVILLE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
7203
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$33,291.02
$9,316.16
$99,969.44
$0.00
$0.00
$36.30
$19,230.88
$161,843.80
51.38%
ADM 9,503
$331,937.83
$493,781.63
Page 86 of 270
Report Date: 10/9/2015 at 1:25:30PM
FLIPPIN SCHOOL DISTRICT
2015 School-Based Medicaid Profile
4501
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$17,750.08
$1,987.28
$0.00
$0.00
$0.00
$0.00
$0.00
$19,737.36
94.81%
ADM 811
$43,044.08
$62,781.44
Page 87 of 270
Report Date: 10/9/2015 at 1:25:30PM
FORDYCE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
2002
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$13,382.96
$8,244.14
$29,865.56
$0.00
$0.00
$0.00
$4,252.24
$55,744.90
100.00%
ADM 836
$33,721.46
$89,466.36
Page 88 of 270
Report Date: 10/9/2015 at 1:25:30PM
FOREMAN SCHOOL DISTRICT
2015 School-Based Medicaid Profile
4102
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$1,914.10
$4,392.04
$3,666.68
$0.00
$0.00
$0.00
$0.00
$9,972.82
60.73%
ADM 502
$17,261.97
$27,234.79
Page 89 of 270
Report Date: 10/9/2015 at 1:25:30PM
FORREST CITY SCHOOL DISTRICT
2015 School-Based Medicaid Profile
6201
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$4,196.22
$50,795.68
$10,382.02
$0.00
$0.00
$0.00
$0.00
$65,373.92
87.73%
ADM 2,668
$126,696.71
$192,070.63
Page 90 of 270
Report Date: 10/9/2015 at 1:25:30PM
FORT SMITH SCHOOL DISTRICT
2015 School-Based Medicaid Profile
6601
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$11,298.96
$40,372.25
$85,433.36
$0.00
$90.48
$0.00
$80,008.28
$217,203.33
64.52%
ADM 14,317
$568,581.16
$785,784.49
Page 91 of 270
Report Date: 10/9/2015 at 1:25:30PM
FOUKE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
4603
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$2,190.08
$3,303.52
$8,314.86
$4,386.93
$0.00
$0.00
$5,133.46
$23,328.85
72.53%
ADM 1,018
$25,308.67
$48,637.52
Page 92 of 270
Report Date: 10/9/2015 at 1:25:30PM
FOUNTAIN LAKE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
2602
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$41,648.47
$64,120.48
$43,961.12
$7,625.80
$0.00
$0.00
$6,283.92
$163,639.79
69.20%
ADM 1,306
$33,001.99
$196,641.78
Page 93 of 270
Report Date: 10/9/2015 at 1:25:30PM
GENOA CENTRAL SCHOOL DISTRICT
2015 School-Based Medicaid Profile
4602
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$1,189.56
$12,428.80
$12,861.36
$0.00
$0.00
$0.00
$704.70
$27,184.42
72.53%
ADM 1,086
$34,922.54
$62,106.96
Page 94 of 270
Report Date: 10/9/2015 at 1:25:30PM
GENTRY SCHOOL DISTRICT
2015 School-Based Medicaid Profile
0403
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$13,144.96
$19,960.96
$24,073.34
$10,730.59
$0.00
$327.12
$903.54
$69,140.51
45.59%
ADM 1,418
$33,058.00
$102,198.51
Page 95 of 270
Report Date: 10/9/2015 at 1:25:30PM
GLEN ROSE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
3002
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$15,818.88
$51,864.22
$22,497.53
$9,670.52
$0.00
$0.00
$2,119.94
$101,971.09
63.52%
ADM 1,003
$28,440.12
$130,411.21
Page 96 of 270
Report Date: 10/9/2015 at 1:25:30PM
GOSNELL SCHOOL DISTRICT
2015 School-Based Medicaid Profile
4708
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$2,067.76
$17,882.81
$11,155.72
$0.00
$0.00
$0.00
$459.50
$31,565.79
80.25%
ADM 1,305
$19,914.86
$51,480.65
Page 97 of 270
Report Date: 10/9/2015 at 1:25:30PM
GRAVETTE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
0404
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$40,989.60
$41,434.56
$22,999.88
$11,262.72
$0.00
$0.00
$3,461.00
$120,147.76
45.59%
ADM 1,870
$34,902.98
$155,050.74
Page 98 of 270
Report Date: 10/9/2015 at 1:25:30PM
GREAT RIVERS CO-OP
2015 School-Based Medicaid Profile
5420
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$0.00
$4,904.04
$0.00
$0.00
$0.00
$0.00
$4,904.04
68.83%
ADM 468
$26,726.07
$31,630.11
Page 99 of 270
Report Date: 10/9/2015 at 1:25:30PM
GREEN FOREST SCHOOL DISTRICT
2015 School-Based Medicaid Profile
0803
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$23,064.20
$23,248.28
$24,404.78
$22,458.40
$0.00
$0.00
$4,604.24
$103,389.42
75.53%
ADM 1,220
$58,991.22
$162,380.64
Page 100 of 270
Report Date: 10/9/2015 at 1:25:30PM
GREENBRIER SCHOOL DISTRICT
2015 School-Based Medicaid Profile
2303
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$22,238.56
$90,782.02
$64,231.90
$10,483.38
$0.00
$0.00
$6,633.52
$194,369.38
48.12%
ADM 3,375
$69,968.43
$264,337.81
Page 101 of 270
Report Date: 10/9/2015 at 1:25:30PM
GREENE COUNTY TECH SCHOOL DISTRICT
2015 School-Based Medicaid Profile
2807
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$58,040.32
$101,458.16
$119,010.64
$0.00
$0.00
$0.00
$13,598.46
$292,107.58
62.71%
ADM 3,556
$165,981.05
$458,088.63
Page 102 of 270
Report Date: 10/9/2015 at 1:25:30PM
GREENLAND SCHOOL DISTRICT
2015 School-Based Medicaid Profile
7204
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$6,132.87
$9,828.60
$19,367.86
$0.00
$0.00
$0.00
$2,139.86
$37,469.19
51.38%
ADM 836
$19,937.54
$57,406.73
Page 103 of 270
Report Date: 10/9/2015 at 1:25:30PM
GREENWOOD SCHOOL DISTRICT
2015 School-Based Medicaid Profile
6602
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$27,195.28
$48,209.92
$84,454.80
$9,622.26
$0.00
$621.24
$9,436.16
$179,539.66
64.52%
ADM 3,621
$97,952.30
$277,491.96
Page 104 of 270
Report Date: 10/9/2015 at 1:25:30PM
GURDON SCHOOL DISTRICT
2015 School-Based Medicaid Profile
1003
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$8,225.28
$35,238.40
$24,268.60
$4,755.65
$206.22
$0.00
$3,641.98
$76,336.13
73.17%
ADM 705
$34,954.60
$111,290.73
Page 105 of 270
Report Date: 10/9/2015 at 1:25:30PM
GUY-PERKINS SCHOOL DISTRICT
2015 School-Based Medicaid Profile
2304
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$8,123.55
$36,191.15
$7,453.16
$0.00
$0.00
$0.00
$0.00
$51,767.86
48.12%
ADM 408
$17,070.62
$68,838.48
Page 106 of 270
Report Date: 10/9/2015 at 1:25:30PM
HAAS HALL ACADEMY
2015 School-Based Medicaid Profile
7240
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
51.38%
ADM 320
$0.00
$0.00
Page 107 of 270
Report Date: 10/9/2015 at 1:25:30PM
HACKETT SCHOOL DISTRICT
2015 School-Based Medicaid Profile
6603
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$0.00
$18,060.80
$0.00
$0.00
$0.00
$0.00
$18,060.80
64.52%
ADM 610
$19,694.20
$37,755.00
Page 108 of 270
Report Date: 10/9/2015 at 1:25:30PM
HAMBURG SCHOOL DISTRICT
2015 School-Based Medicaid Profile
0203
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$14,214.20
$29,304.88
$27,493.46
$0.00
$0.00
$0.00
$8,824.90
$79,837.44
66.79%
ADM 1,935
$36,257.99
$116,095.43
Page 109 of 270
Report Date: 10/9/2015 at 1:25:30PM
HAMPTON SCHOOL DISTRICT
2015 School-Based Medicaid Profile
0701
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$5,947.68
$16,892.40
$14,637.08
$0.00
$0.00
$0.00
$1,808.80
$39,285.96
79.55%
ADM 538
$19,086.88
$58,372.84
Page 110 of 270
Report Date: 10/9/2015 at 1:25:30PM
HARMONY GROVE SCHOOL DISTRICT (OUACHITA)
2015 School-Based Medicaid Profile
5205
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$5,411.40
$10,472.04
$12,333.47
$0.00
$0.00
$0.00
$4,619.70
$32,836.61
71.79%
ADM 960
$27,084.86
$59,921.47
Page 111 of 270
Report Date: 10/9/2015 at 1:25:30PM
HARMONY GROVE SCHOOL DISTRICT (SALINE)
2015 School-Based Medicaid Profile
6304
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$5,846.40
$20,308.88
$9,312.26
$0.00
$0.00
$0.00
$8,073.84
$43,541.38
48.44%
ADM 1,153
$20,902.28
$64,443.66
Page 112 of 270
Report Date: 10/9/2015 at 1:25:30PM
HARRISBURG SCHOOL DISTRICT
2015 School-Based Medicaid Profile
5602
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$29,595.11
$50,692.68
$59,914.04
$0.00
$0.00
$0.00
$5,385.20
$145,587.03
75.99%
ADM 1,219
$58,773.74
$204,360.77
Page 113 of 270
Report Date: 10/9/2015 at 1:25:30PM
HARRISON SCHOOL DISTRICT
2015 School-Based Medicaid Profile
0503
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$36,556.48
$90,600.48
$61,256.26
$44,274.16
$5,949.64
$0.00
$15,750.34
$254,387.36
58.07%
ADM 2,699
$86,914.93
$341,302.29
Page 114 of 270
Report Date: 10/9/2015 at 1:25:30PM
HARTFORD SCHOOL DISTRICT
2015 School-Based Medicaid Profile
6604
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$6,943.36
$0.00
$10,553.60
$5,078.28
$0.00
$0.00
$1,056.02
$23,631.26
64.52%
ADM 298
$14,832.28
$38,463.54
Page 115 of 270
Report Date: 10/9/2015 at 1:25:30PM
HAZEN SCHOOL DISTRICT
2015 School-Based Medicaid Profile
5903
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$1,833.76
$96,086.36
$0.00
$0.00
$0.00
$0.00
$97,920.12
67.93%
ADM 634
$12,684.19
$110,604.31
Page 116 of 270
Report Date: 10/9/2015 at 1:25:30PM
HEBER SPRINGS SCHOOL DISTRICT
2015 School-Based Medicaid Profile
1202
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$29,786.56
$70,218.60
$0.00
$0.00
$0.00
$0.00
$6,319.96
$106,325.12
68.54%
ADM 1,791
$49,746.78
$156,071.90
Page 117 of 270
Report Date: 10/9/2015 at 1:25:30PM
HECTOR SCHOOL DISTRICT
2015 School-Based Medicaid Profile
5803
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$10,870.78
$38,456.08
$75,888.16
$0.00
$0.00
$0.00
$3,051.98
$128,267.00
57.11%
ADM 577
$7,701.19
$135,968.19
Page 118 of 270
Report Date: 10/9/2015 at 1:25:30PM
HELENA/ W.HELENA SCHOOL DISTRICT
2015 School-Based Medicaid Profile
5403
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$14,041.46
$18,970.72
$7,662.81
$0.00
$0.00
$0.00
$16,621.22
$57,296.21
82.80%
ADM 1,586
$21,341.84
$78,638.05
Page 119 of 270
Report Date: 10/9/2015 at 1:25:30PM
HERMITAGE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
0601
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$4,772.32
$2,593.24
$419.00
$0.00
$0.00
$2,680.06
$10,464.62
69.32%
ADM 405
$22,433.45
$32,898.07
Page 120 of 270
Report Date: 10/9/2015 at 1:25:30PM
HIGHLAND SCHOOL DISTRICT
2015 School-Based Medicaid Profile
6804
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$26,770.84
$31,207.68
$21,571.56
$0.00
$0.00
$0.00
$0.00
$79,550.08
67.94%
ADM 1,601
$48,968.58
$128,518.66
Page 121 of 270
Report Date: 10/9/2015 at 1:25:30PM
HILLCREST SCHOOL DISTRICT
2015 School-Based Medicaid Profile
3809
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$5,159.04
$14,464.75
$3,104.79
$0.00
$0.00
$0.00
$22,728.58
62.02%
ADM 422
$11,426.20
$34,154.78
Page 122 of 270
Report Date: 10/9/2015 at 1:25:30PM
HOPE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
2903
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$18,109.16
$22,408.54
$14,049.76
$0.00
$0.00
$0.00
$17,423.14
$71,990.60
79.70%
ADM 2,501
$44,129.81
$116,120.41
Page 123 of 270
Report Date: 10/9/2015 at 1:25:30PM
HORATIO SCHOOL DISTRICT
2015 School-Based Medicaid Profile
6703
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$2,192.40
$9,605.80
$20,126.28
$0.00
$0.00
$0.00
$0.00
$31,924.48
75.80%
ADM 855
$27,509.06
$59,433.54
Page 124 of 270
Report Date: 10/9/2015 at 1:25:30PM
HOT SPRINGS SCHOOL DISTRICT
2015 School-Based Medicaid Profile
2603
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$59,651.63
$114,554.00
$127,314.46
$0.00
$0.00
$0.00
$18,498.38
$320,018.47
69.20%
ADM 3,689
$132,035.76
$452,054.23
Page 125 of 270
Report Date: 10/9/2015 at 1:25:30PM
HOXIE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
3804
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$28,714.60
$26,849.56
$47,154.49
$11,174.73
$0.00
$0.00
$0.00
$113,893.38
62.02%
ADM 863
$25,789.72
$139,683.10
Page 126 of 270
Report Date: 10/9/2015 at 1:25:30PM
HUGHES SCHOOL DISTRICT
2015 School-Based Medicaid Profile
6202
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$1,240.32
$4,536.96
$14,221.64
$0.00
$0.00
$0.00
$0.00
$19,998.92
87.73%
ADM 318
$8,376.92
$28,375.84
Page 127 of 270
Report Date: 10/9/2015 at 1:25:30PM
HUNTSVILLE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
4401
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$0.00
$14,386.60
$0.00
$0.00
$0.00
$0.00
$14,386.60
74.97%
ADM 2,303
$38,923.14
$53,309.74
Page 128 of 270
Report Date: 10/9/2015 at 1:25:30PM
IMBODEN CHARTER SCHOOL DIST
2015 School-Based Medicaid Profile
3840
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$0.00
$5,743.50
$0.00
$0.00
$0.00
$0.00
$5,743.50
62.02%
ADM 64
$0.00
$5,743.50
Page 129 of 270
Report Date: 10/9/2015 at 1:25:30PM
IZARD CO. CONS. SCHOOL DISTRICT
2015 School-Based Medicaid Profile
3306
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$13,139.44
$6,419.04
$7,648.84
$0.00
$0.00
$0.00
$3,407.76
$30,615.08
72.10%
ADM 482
$29,475.34
$60,090.42
Page 130 of 270
Report Date: 10/9/2015 at 1:25:30PM
JACKSON CO. SCHOOL DISTRICT
2015 School-Based Medicaid Profile
3405
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$20,233.68
$13,537.20
$0.00
$0.00
$0.00
$0.00
$0.00
$33,770.88
85.82%
ADM 851
$9,991.18
$43,762.06
Page 131 of 270
Report Date: 10/9/2015 at 1:25:30PM
JACKSONVILLE LIGHT HOUSE CHARTER SCHOOL
2015 School-Based Medicaid Profile
6050
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$98.88
$2,611.20
$0.00
$0.00
$0.00
$0.00
$2,710.08
67.32%
ADM 913
$26,092.35
$28,802.43
Page 132 of 270
Report Date: 10/9/2015 at 1:25:30PM
JASPER SCHOOL DISTRICT
2015 School-Based Medicaid Profile
5102
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$5,470.64
$12,616.80
$24,163.44
$7,366.02
$0.00
$0.00
$4,396.82
$54,013.72
67.51%
ADM 876
$71,706.77
$125,720.49
Page 133 of 270
Report Date: 10/9/2015 at 1:25:30PM
JESSIEVILLE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
2604
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$21,063.00
$51,660.00
$34,963.56
$0.00
$0.00
$0.00
$0.00
$107,686.56
69.20%
ADM 903
$16,431.03
$124,117.59
Page 134 of 270
Report Date: 10/9/2015 at 1:25:30PM
JONESBORO SCHOOL DISTRICT
2015 School-Based Medicaid Profile
1608
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$153,969.64
$185,684.48
$72,358.12
$0.00
$0.00
$0.00
$28,250.16
$440,262.40
57.73%
ADM 5,875
$159,025.44
$599,287.84
Page 135 of 270
Report Date: 10/9/2015 at 1:25:30PM
JUNCTION CITY SCHOOL DISTRICT
2015 School-Based Medicaid Profile
7003
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$12,115.89
$8,804.92
$0.00
$0.00
$0.00
$0.00
$20,920.81
60.79%
ADM 679
$26,098.30
$47,019.11
Page 136 of 270
Report Date: 10/9/2015 at 1:25:30PM
KIPP: DELTA COLLEGE PREP SCHOOL
2015 School-Based Medicaid Profile
5440
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$1,559.36
$37,089.04
$1,044.48
$0.00
$0.00
$0.00
$0.00
$39,692.88
82.80%
ADM 1,324
$11,848.07
$51,540.95
Page 137 of 270
Report Date: 10/9/2015 at 1:25:30PM
KIRBY SCHOOL DISTRICT
2015 School-Based Medicaid Profile
5503
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$1,496.52
$8,613.00
$12,591.16
$0.00
$0.00
$0.00
$2,184.16
$24,884.84
64.70%
ADM 371
$15,358.09
$40,242.93
Page 138 of 270
Report Date: 10/9/2015 at 1:25:30PM
LAFAYETTE COUNTY SCHOOL DISTRICT
2015 School-Based Medicaid Profile
3704
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$5,315.84
$14,682.60
$25,234.64
$0.00
$0.00
$0.00
$4,767.72
$50,000.80
100.00%
ADM 648
$23,769.39
$73,770.19
Page 139 of 270
Report Date: 10/9/2015 at 1:25:30PM
LAKE HAMILTON SCHOOL DISTRICT
2015 School-Based Medicaid Profile
2605
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$40,425.40
$102,628.20
$86,951.52
$377.10
$0.00
$0.00
$24,335.52
$254,717.74
69.20%
ADM 4,443
$150,842.72
$405,560.46
Page 140 of 270
Report Date: 10/9/2015 at 1:25:30PM
LAKESIDE SCHOOL DISTRICT (CHICOT)
2015 School-Based Medicaid Profile
0903
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$8,240.64
$6,810.88
$0.00
$0.00
$0.00
$0.00
$15,051.52
100.00%
ADM 1,061
$19,547.64
$34,599.16
Page 141 of 270
Report Date: 10/9/2015 at 1:25:30PM
LAKESIDE SCHOOL DISTRICT (GARLAND)
2015 School-Based Medicaid Profile
2606
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$35,162.88
$66,485.50
$56,790.14
$0.00
$0.00
$0.00
$0.00
$158,438.52
69.20%
ADM 3,319
$124,508.84
$282,947.36
Page 142 of 270
Report Date: 10/9/2015 at 1:25:30PM
LAMAR SCHOOL DISTRICT
2015 School-Based Medicaid Profile
3604
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$12,077.28
$17,388.20
$114,698.86
$2,534.95
$0.00
$0.00
$0.00
$146,699.29
68.27%
ADM 1,251
$58,395.86
$205,095.15
Page 143 of 270
Report Date: 10/9/2015 at 1:25:30PM
LAVACA SCHOOL DISTRICT
2015 School-Based Medicaid Profile
6605
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$14,983.92
$46,346.56
$62,912.08
$8,769.67
$0.00
$0.00
$3,832.58
$136,844.81
64.52%
ADM 850
$31,364.30
$168,209.11
Page 144 of 270
Report Date: 10/9/2015 at 1:25:30PM
LAWRENCE COUNTY
2015 School-Based Medicaid Profile
3810
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$32,188.76
$12,312.04
$2,110.16
$0.00
$0.00
$0.00
$0.00
$46,610.96
62.02%
ADM 922
$14,133.44
$60,744.40
Page 145 of 270
Report Date: 10/9/2015 at 1:25:30PM
LEAD HILL SCHOOL DISTRICT
2015 School-Based Medicaid Profile
0506
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$5,157.62
$6,893.04
$8,345.58
$0.00
$0.00
$0.00
$0.00
$20,396.24
58.07%
ADM 368
$12,042.94
$32,439.18
Page 146 of 270
Report Date: 10/9/2015 at 1:25:30PM
LEE COUNTY SCHOOL DISTRICT
2015 School-Based Medicaid Profile
3904
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$24,951.08
$10,398.60
$21,340.28
$0.00
$0.00
$0.00
$0.00
$56,689.96
100.00%
ADM 827
$14,737.06
$71,427.02
Page 147 of 270
Report Date: 10/9/2015 at 1:25:30PM
LINCOLN SCHOOL DISTRICT
2015 School-Based Medicaid Profile
7205
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$7,109.22
$4,144.12
$27,140.64
$0.00
$0.00
$0.00
$1,858.94
$40,252.92
51.38%
ADM 1,194
$29,579.81
$69,832.73
Page 148 of 270
Report Date: 10/9/2015 at 1:25:30PM
LISA ACADEMY CHARTER SCHOOL
2015 School-Based Medicaid Profile
6041
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$2,931.92
$11,467.52
$21,231.85
$0.00
$0.00
$0.00
$0.00
$35,631.29
67.32%
ADM 1,488
$30,246.65
$65,877.94
Page 149 of 270
Report Date: 10/9/2015 at 1:25:30PM
LITTLE ROCK PREPARATORY ACADEMY CHARTER SCHOOL
2015 School-Based Medicaid Profile
6049
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$4,844.48
$10,727.68
$0.00
$0.00
$0.00
$0.00
$15,572.16
67.32%
ADM 398
$24,288.48
$39,860.64
Page 150 of 270
Report Date: 10/9/2015 at 1:25:30PM
LITTLE ROCK SCHOOL DISTRICT
2015 School-Based Medicaid Profile
6001
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$31,356.74
$95,573.09
$230,475.61
$114,625.83
$0.00
$0.00
$88,570.76
$560,602.03
67.32%
ADM 23,363
$713,833.24
$1,274,435.27
Page 151 of 270
Report Date: 10/9/2015 at 1:25:30PM
LONOKE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
4301
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$34,364.80
$33,193.76
$47,201.74
$0.00
$0.00
$0.00
$4,513.24
$119,273.54
44.22%
ADM 1,754
$35,789.46
$155,063.00
Page 152 of 270
Report Date: 10/9/2015 at 1:25:30PM
MAGAZINE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
4202
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$10,173.48
$11,611.52
$30,561.16
$0.00
$0.00
$0.00
$0.00
$52,346.16
73.16%
ADM 525
$27,414.54
$79,760.70
Page 153 of 270
Report Date: 10/9/2015 at 1:25:30PM
MAGNET COVE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
3003
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$8,917.60
$11,942.20
$9,495.38
$0.00
$0.00
$0.00
$2,222.28
$32,577.46
63.52%
ADM 672
$24,917.52
$57,494.98
Page 154 of 270
Report Date: 10/9/2015 at 1:25:30PM
MAGNOLIA SCHOOL DISTRICT
2015 School-Based Medicaid Profile
1402
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$2,001.44
$13,883.20
$14,770.72
$0.00
$0.00
$0.00
$0.00
$30,655.36
59.38%
ADM 2,930
$57,876.97
$88,532.33
Page 155 of 270
Report Date: 10/9/2015 at 1:25:30PM
MALVERN SCHOOL DISTRICT
2015 School-Based Medicaid Profile
3004
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$70,095.04
$152,784.00
$167,633.90
$22,910.92
$0.00
$0.00
$7,157.24
$420,581.10
63.52%
ADM 2,065
$73,650.05
$494,231.15
Page 156 of 270
Report Date: 10/9/2015 at 1:25:30PM
MAMMOTH SPRING SCHOOL DISTRICT
2015 School-Based Medicaid Profile
2501
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$11,013.56
$21,450.36
$0.00
$0.00
$0.00
$0.00
$0.00
$32,463.92
68.96%
ADM 450
$13,812.95
$46,276.87
Page 157 of 270
Report Date: 10/9/2015 at 1:25:30PM
MANILA SCHOOL DISTRICT
2015 School-Based Medicaid Profile
4712
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$885.36
$2,832.52
$5,058.96
$0.00
$0.00
$0.00
$13,323.72
$22,100.56
80.25%
ADM 1,058
$36,799.41
$58,899.97
Page 158 of 270
Report Date: 10/9/2015 at 1:25:30PM
MANSFIELD SCHOOL DISTRICT
2015 School-Based Medicaid Profile
6606
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$3,266.13
$18,755.04
$18,063.44
$0.00
$0.00
$0.00
$3,021.42
$43,106.03
64.52%
ADM 839
$32,962.45
$76,068.48
Page 159 of 270
Report Date: 10/9/2015 at 1:25:30PM
MARION SCHOOL DISTRICT
2015 School-Based Medicaid Profile
1804
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$65,518.96
$50,453.12
$45,484.40
$4,931.63
$0.00
$0.00
$18,451.68
$184,839.79
72.47%
ADM 4,122
$179,158.63
$363,998.42
Page 160 of 270
Report Date: 10/9/2015 at 1:25:30PM
MARKED TREE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
5604
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$6,968.88
$10,490.24
$73,614.08
$0.00
$0.00
$0.00
$0.00
$91,073.20
75.99%
ADM 558
$35,076.67
$126,149.87
Page 161 of 270
Report Date: 10/9/2015 at 1:25:30PM
MARMADUKE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
2803
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$38,961.12
$27,557.88
$0.00
$16,445.75
$0.00
$0.00
$3,956.90
$86,921.65
62.71%
ADM 743
$12,258.50
$99,180.15
Page 162 of 270
Report Date: 10/9/2015 at 1:25:30PM
MARVELL SCHOOL DISTRICT
2015 School-Based Medicaid Profile
5404
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$12,614.48
$4,929.60
$4,482.80
$0.00
$0.00
$0.00
$0.00
$22,026.88
82.80%
ADM 375
$13,999.16
$36,026.04
Page 163 of 270
Report Date: 10/9/2015 at 1:25:30PM
MAYFLOWER SCHOOL DISTRICT
2015 School-Based Medicaid Profile
2305
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$14,386.53
$66,025.50
$25,639.84
$0.00
$0.00
$0.00
$0.00
$106,051.87
48.12%
ADM 1,123
$38,263.04
$144,314.91
Page 164 of 270
Report Date: 10/9/2015 at 1:25:30PM
MAYNARD SCHOOL DISTRICT
2015 School-Based Medicaid Profile
6102
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$2,569.60
$4,405.32
$0.00
$0.00
$0.00
$3,007.34
$9,982.26
83.64%
ADM 445
$17,442.66
$27,424.92
Page 165 of 270
Report Date: 10/9/2015 at 1:25:30PM
MCCRORY SCHOOL DISTRICT
2015 School-Based Medicaid Profile
7403
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$0.00
$82,265.20
$0.00
$0.00
$0.00
$0.00
$82,265.20
82.98%
ADM 626
$20,392.95
$102,658.15
Page 166 of 270
Report Date: 10/9/2015 at 1:25:30PM
MCGEHEE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
2105
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$3,483.68
$19,096.96
$3,808.76
$0.00
$0.00
$0.00
$718.78
$27,108.18
68.35%
ADM 1,164
$17,034.54
$44,142.72
Page 167 of 270
Report Date: 10/9/2015 at 1:25:30PM
MELBOURNE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
3302
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$3,232.32
$6,627.04
$0.00
$0.00
$0.00
$0.00
$0.00
$9,859.36
72.10%
ADM 851
$23,245.86
$33,105.22
Page 168 of 270
Report Date: 10/9/2015 at 1:25:30PM
MENA SCHOOL DISTRICT
2015 School-Based Medicaid Profile
5703
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$26,782.67
$40,822.36
$13,033.44
$0.00
$0.00
$0.00
$10,320.50
$90,958.97
67.22%
ADM 1,751
$23,903.54
$114,862.51
Page 169 of 270
Report Date: 10/9/2015 at 1:25:30PM
MIDLAND SCHOOL DISTRICT
2015 School-Based Medicaid Profile
3211
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$43,723.98
$73,886.24
$0.00
$0.00
$0.00
$1,551.92
$119,162.14
62.94%
ADM 501
$17,594.58
$136,756.72
Page 170 of 270
Report Date: 10/9/2015 at 1:25:30PM
MINERAL SPRINGS SCHOOL DISTRICT
2015 School-Based Medicaid Profile
3104
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$10,949.28
$2,817.28
$5,361.54
$0.00
$0.00
$0.00
$0.00
$19,128.10
58.63%
ADM 406
$11,735.95
$30,864.05
Page 171 of 270
Report Date: 10/9/2015 at 1:25:30PM
MONTICELLO SCHOOL DISTRICT
2015 School-Based Medicaid Profile
2203
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$29,313.04
$31,905.71
$27,431.32
$18,222.31
$0.00
$0.00
$9,080.74
$115,953.12
62.20%
ADM 2,091
$83,814.52
$199,767.64
Page 172 of 270
Report Date: 10/9/2015 at 1:25:30PM
MOUNT IDA SCHOOL DISTRICT
2015 School-Based Medicaid Profile
4902
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$9,707.73
$10,320.24
$18,439.90
$0.00
$0.00
$0.00
$3,858.68
$42,326.55
86.05%
ADM 483
$22,737.85
$65,064.40
Page 173 of 270
Report Date: 10/9/2015 at 1:25:30PM
MOUNTAIN HOME SCHOOL DISTRICT
2015 School-Based Medicaid Profile
0303
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$95,097.36
$108,711.52
$41,378.74
$0.00
$0.00
$0.00
$38.12
$245,225.74
64.56%
ADM 3,960
$109,595.36
$354,821.10
Page 174 of 270
Report Date: 10/9/2015 at 1:25:30PM
MOUNTAIN PINE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
2607
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$11,081.60
$32,460.44
$106,794.12
$0.00
$0.00
$0.00
$0.00
$150,336.16
69.20%
ADM 536
$17,614.02
$167,950.18
Page 175 of 270
Report Date: 10/9/2015 at 1:25:30PM
MOUNTAIN VIEW SCHOOL DISTRICT
2015 School-Based Medicaid Profile
6901
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$2,453.40
$96,520.64
$13,584.54
$0.00
$0.00
$0.00
$3,672.20
$116,230.78
78.59%
ADM 1,661
$67,722.11
$183,952.89
Page 176 of 270
Report Date: 10/9/2015 at 1:25:30PM
MOUNTAINBURG SCHOOL DISTRICT
2015 School-Based Medicaid Profile
1703
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$4,560.52
$18,920.44
$4,825.96
$0.00
$0.00
$0.00
$0.00
$28,306.92
59.09%
ADM 660
$25,178.68
$53,485.60
Page 177 of 270
Report Date: 10/9/2015 at 1:25:30PM
MT. VERNON/ENOLA SCHOOL DISTRICT
2015 School-Based Medicaid Profile
2306
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$5,940.90
$31,627.58
$522.24
$0.00
$0.00
$0.00
$1,423.48
$39,514.20
48.12%
ADM 497
$16,305.64
$55,819.84
Page 178 of 270
Report Date: 10/9/2015 at 1:25:30PM
MULBERRY SCHOOL DISTRICT
2015 School-Based Medicaid Profile
1704
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$18,761.16
$0.00
$0.00
$0.00
$0.00
$0.00
$18,761.16
59.09%
ADM 366
$11,033.62
$29,794.78
Page 179 of 270
Report Date: 10/9/2015 at 1:25:30PM
N. LITTLE ROCK SCHOOL DISTRICT
2015 School-Based Medicaid Profile
6002
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$71,824.62
$107,574.70
$188,157.94
$4,588.05
$0.00
$685.70
$33,546.08
$406,377.09
67.32%
ADM 8,576
$148,778.50
$555,155.59
Page 180 of 270
Report Date: 10/9/2015 at 1:25:30PM
NASHVILLE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
3105
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$34,250.64
$29,884.52
$38,712.26
$0.00
$0.00
$0.00
$27,748.80
$130,596.22
58.63%
ADM 1,908
$50,244.69
$180,840.91
Page 181 of 270
Report Date: 10/9/2015 at 1:25:30PM
NEMO VISTA SCHOOL DISTRICT
2015 School-Based Medicaid Profile
1503
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$5,276.80
$12,753.28
$41,174.72
$0.00
$0.00
$0.00
$52.20
$59,257.00
66.01%
ADM 429
$20,780.03
$80,037.03
Page 182 of 270
Report Date: 10/9/2015 at 1:25:30PM
NETTLETON SCHOOL DISTRICT
2015 School-Based Medicaid Profile
1611
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$62,547.08
$115,773.73
$140,341.68
$0.00
$0.00
$0.00
$19,202.40
$337,864.89
57.73%
ADM 3,264
$112,372.86
$450,237.75
Page 183 of 270
Report Date: 10/9/2015 at 1:25:30PM
NEVADA SCHOOL DISTRICT
2015 School-Based Medicaid Profile
5008
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$9,668.88
$10,614.25
$7,369.32
$0.00
$0.00
$0.00
$0.00
$27,652.45
69.76%
ADM 411
$18,035.68
$45,688.13
Page 184 of 270
Report Date: 10/9/2015 at 1:25:30PM
NEWPORT SCHOOL DISTRICT
2015 School-Based Medicaid Profile
3403
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$47,937.32
$60,088.34
$91,390.36
$0.00
$0.00
$0.00
$22,834.76
$222,250.78
85.82%
ADM 1,266
$101,554.92
$323,805.70
Page 185 of 270
Report Date: 10/9/2015 at 1:25:30PM
NORFORK SCHOOL DISTRICT
2015 School-Based Medicaid Profile
0304
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$15,925.96
$21,703.52
$15,057.33
$12,507.15
$0.00
$0.00
$509.98
$65,703.94
64.56%
ADM 472
$18,289.05
$83,992.99
Page 186 of 270
Report Date: 10/9/2015 at 1:25:30PM
NORTH CENTRAL ARKANSAS EDUCATION SERVICE CENTER
2015 School-Based Medicaid Profile
3320
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$3,453.84
$9,727.62
$32,339.84
$0.00
$0.00
$0.00
$0.00
$45,521.30
67.11%
ADM 382
$32,342.07
$77,863.37
Page 187 of 270
Report Date: 10/9/2015 at 1:25:30PM
NORTHEAST ARKANSAS EDUCATION SERVICE CENTER
2015 School-Based Medicaid Profile
3820
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$7,360.64
$18,293.76
$0.00
$0.00
$0.00
$0.00
$25,654.40
68.40%
ADM 208
$21,584.39
$47,238.79
Page 188 of 270
Report Date: 10/9/2015 at 1:25:30PM
NorthWest Arkansas Classical Academy
2015 School-Based Medicaid Profile
0442
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
45.59%
ADM 522
$0.00
$0.00
Page 189 of 270
Report Date: 10/9/2015 at 1:25:30PM
NORTHWEST ARKANSAS EDUCATION SERVICE CENTER
2015 School-Based Medicaid Profile
7221
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$278.40
$12,970.84
$95,748.36
$0.00
$0.00
$0.00
$0.00
$108,997.60
49.15%
ADM 349
$9,407.77
$118,405.37
Page 190 of 270
Report Date: 10/9/2015 at 1:25:30PM
OMAHA SCHOOL DISTRICT
2015 School-Based Medicaid Profile
0504
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$7,750.40
$10,786.88
$6,095.12
$0.00
$0.00
$0.00
$1,656.32
$26,288.72
58.07%
ADM 412
$15,618.46
$41,907.18
Page 191 of 270
Report Date: 10/9/2015 at 1:25:30PM
OSCEOLA SCHOOL DISTRICT
2015 School-Based Medicaid Profile
4713
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$6,892.84
$1,222.32
$9,216.52
$0.00
$0.00
$0.00
$0.00
$17,331.68
80.25%
ADM 1,300
$33,806.46
$51,138.14
Page 192 of 270
Report Date: 10/9/2015 at 1:25:30PM
OUACHITA RIVER SCHOOL DISTRICT
2015 School-Based Medicaid Profile
5706
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$522.24
$8,232.60
$0.00
$0.00
$0.00
$4,127.24
$12,882.08
67.22%
ADM 712
$36,955.27
$49,837.35
Page 193 of 270
Report Date: 10/9/2015 at 1:25:30PM
OUACHITA SCHOOL DISTRICT
2015 School-Based Medicaid Profile
3005
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$10,561.28
$10,383.29
$0.00
$0.00
$0.00
$0.00
$20,944.57
63.52%
ADM 513
$17,249.66
$38,194.23
Page 194 of 270
Report Date: 10/9/2015 at 1:25:30PM
OZARK MOUNTAIN SCHOOL DISTRICT (SEARCY)
2015 School-Based Medicaid Profile
6505
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$16,735.36
$37,635.88
$7,399.72
$45,482.35
$0.00
$0.00
$16,394.58
$123,647.89
59.53%
ADM 657
$24,509.15
$148,157.04
Page 195 of 270
Report Date: 10/9/2015 at 1:25:30PM
OZARK SCHOOL DISTRICT (FRANKLIN)
2015 School-Based Medicaid Profile
2404
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$98,342.28
$33,364.42
$0.00
$0.00
$0.00
$0.00
$131,706.70
56.36%
ADM 1,866
$52,553.99
$184,260.69
Page 196 of 270
Report Date: 10/9/2015 at 1:25:30PM
OZARK UNLIMITED RESOURCES CO-OP
2015 School-Based Medicaid Profile
0520
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$0.00
$12,768.64
$0.00
$0.00
$0.00
$0.00
$12,768.64
69.50%
ADM 212
$27,274.76
$40,043.40
Page 197 of 270
Report Date: 10/9/2015 at 1:25:30PM
PALESTINE-WHEATLEY SCH. DISTRICT
2015 School-Based Medicaid Profile
6205
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$7,794.20
$13,601.40
$0.00
$0.00
$0.00
$0.00
$0.00
$21,395.60
87.73%
ADM 767
$28,091.17
$49,486.77
Page 198 of 270
Report Date: 10/9/2015 at 1:25:30PM
PANGBURN SCHOOL DISTRICT
2015 School-Based Medicaid Profile
7309
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$3,251.48
$68,040.40
$0.00
$0.00
$0.00
$5,179.48
$76,471.36
60.06%
ADM 766
$41,151.22
$117,622.58
Page 199 of 270
Report Date: 10/9/2015 at 1:25:30PM
PARAGOULD SCHOOL DISTRICT
2015 School-Based Medicaid Profile
2808
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$72,224.44
$88,437.12
$37,136.79
$0.00
$0.00
$205.84
$9,669.02
$207,673.21
62.71%
ADM 3,049
$95,979.10
$303,652.31
Page 200 of 270
Report Date: 10/9/2015 at 1:25:30PM
PARIS SCHOOL DISTRICT
2015 School-Based Medicaid Profile
4203
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$49,325.52
$28,053.60
$15,913.58
$0.00
$1,555.26
$6,012.62
$100,860.58
73.16%
ADM 1,089
$48,050.02
$148,910.60
Page 201 of 270
Report Date: 10/9/2015 at 1:25:30PM
PARKERS CHAPEL SCHOOL DISTRICT
2015 School-Based Medicaid Profile
7007
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$16,664.18
$16,569.31
$27,660.92
$0.00
$0.00
$0.00
$0.00
$60,894.41
60.79%
ADM 783
$27,991.40
$88,885.81
Page 202 of 270
Report Date: 10/9/2015 at 1:25:30PM
PEA RIDGE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
0407
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$19,346.84
$6,005.76
$1,231.52
$6,947.02
$0.00
$0.00
$20,025.22
$53,556.36
45.59%
ADM 1,841
$36,695.04
$90,251.40
Page 203 of 270
Report Date: 10/9/2015 at 1:25:30PM
PERRYVILLE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
5303
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$11,468.80
$47,839.36
$27,678.72
$0.00
$0.00
$0.00
$0.00
$86,986.88
61.11%
ADM 977
$16,461.78
$103,448.66
Page 204 of 270
Report Date: 10/9/2015 at 1:25:30PM
PIGGOTT SCHOOL DISTRICT
2015 School-Based Medicaid Profile
1104
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$42,444.68
$9,582.25
$1,393.48
$1,772.37
$0.00
$0.00
$6,991.72
$62,184.50
64.06%
ADM 889
$32,724.54
$94,909.04
Page 205 of 270
Report Date: 10/9/2015 at 1:25:30PM
PINE BLUFF SCHOOL DISTRICT
2015 School-Based Medicaid Profile
3505
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$783.36
$3,111.68
$5,010.78
$0.00
$0.00
$0.00
$36,483.66
$45,389.48
76.70%
ADM 4,240
$107,345.08
$152,734.56
Page 206 of 270
Report Date: 10/9/2015 at 1:25:30PM
PineBluff Lighthouse Charter School
2015 School-Based Medicaid Profile
3541
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$98.88
$4,656.64
$0.00
$0.00
$0.00
$0.00
$4,755.52
76.70%
ADM 293
$12,318.96
$17,074.48
Page 207 of 270
Report Date: 10/9/2015 at 1:25:30PM
POCAHONTAS SCHOOL DISTRICT
2015 School-Based Medicaid Profile
6103
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$53,447.76
$26,468.34
$14,635.67
$0.00
$0.00
$0.00
$94,551.77
83.64%
ADM 1,883
$63,535.94
$158,087.71
Page 208 of 270
Report Date: 10/9/2015 at 1:25:30PM
POTTSVILLE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
5804
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$65,644.32
$71,581.76
$87,263.28
$0.00
$0.00
$0.00
$9,990.10
$234,479.46
57.11%
ADM 1,647
$57,661.35
$292,140.81
Page 209 of 270
Report Date: 10/9/2015 at 1:25:30PM
POYEN SCHOOL DISTRICT
2015 School-Based Medicaid Profile
2703
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$3,722.88
$20,090.24
$10,393.52
$8,824.14
$0.00
$0.00
$841.04
$43,871.82
31.83%
ADM 582
$13,993.42
$57,865.24
Page 210 of 270
Report Date: 10/9/2015 at 1:25:30PM
PRAIRIE GROVE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
7206
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$9,698.02
$6,904.28
$18,425.12
$0.00
$0.00
$0.00
$5,384.50
$40,411.92
51.38%
ADM 1,840
$55,737.79
$96,149.71
Page 211 of 270
Report Date: 10/9/2015 at 1:25:30PM
Premier High School of Little Rock
2015 School-Based Medicaid Profile
6053
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
67.32%
ADM 130
$0.00
$0.00
Page 212 of 270
Report Date: 10/9/2015 at 1:25:30PM
PRESCOTT SCHOOL DISTRICT
2015 School-Based Medicaid Profile
5006
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$13,395.00
$16,679.36
$12,923.12
$0.00
$0.00
$0.00
$0.00
$42,997.48
69.76%
ADM 1,006
$40,248.57
$83,246.05
Page 213 of 270
Report Date: 10/9/2015 at 1:25:30PM
PULASKI CO. SPEC. SCHOOL DISTRICT
2015 School-Based Medicaid Profile
6003
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$75,082.02
$94,038.96
$249,028.02
$0.00
$0.00
$4,734.66
$45,373.82
$468,257.48
67.32%
ADM 16,592
$472,193.19
$940,450.67
Page 214 of 270
Report Date: 10/9/2015 at 1:25:30PM
Quest Middle School of PineBluff
2015 School-Based Medicaid Profile
3542
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
76.70%
ADM 57
$0.00
$0.00
Page 215 of 270
Report Date: 10/9/2015 at 1:25:30PM
QUITMAN SCHOOL DISTRICT
2015 School-Based Medicaid Profile
1203
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$3,416.32
$34,622.32
$0.00
$0.00
$0.00
$0.00
$1,459.54
$39,498.18
68.54%
ADM 656
$16,981.91
$56,480.09
Page 216 of 270
Report Date: 10/9/2015 at 1:25:30PM
RECTOR SCHOOL DISTRICT
2015 School-Based Medicaid Profile
1106
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$9,344.64
$5,309.68
$0.00
$0.00
$0.00
$0.00
$0.00
$14,654.32
64.06%
ADM 609
$5,253.31
$19,907.63
Page 217 of 270
Report Date: 10/9/2015 at 1:25:30PM
RIVERCREST
2015 School-Based Medicaid Profile
4706
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$22,366.08
$0.00
$81,703.24
$0.00
$0.00
$0.00
$0.00
$104,069.32
80.25%
ADM 1,247
$31,508.77
$135,578.09
Page 218 of 270
Report Date: 10/9/2015 at 1:25:30PM
RIVERSIDE SCHOOL DISTRICT (CRAIGHEAD)
2015 School-Based Medicaid Profile
1613
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$10,218.56
$7,181.81
$14,190.68
$574.03
$0.00
$0.00
$1,068.04
$33,233.12
57.73%
ADM 802
$23,067.56
$56,300.68
Page 219 of 270
Report Date: 10/9/2015 at 1:25:30PM
RIVERVIEW SCHOOL DISTRICT (WHITE)
2015 School-Based Medicaid Profile
7307
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$3,612.16
$5,486.52
$15,977.78
$0.00
$0.00
$0.00
$7,193.30
$32,269.76
60.06%
ADM 1,369
$43,542.06
$75,811.82
Page 220 of 270
Report Date: 10/9/2015 at 1:25:30PM
ROGERS SCHOOL DISTRICT
2015 School-Based Medicaid Profile
0405
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$66,172.22
$11,504.00
$28,945.90
$695.54
$0.00
$0.00
$51,414.24
$158,731.90
45.59%
ADM 15,027
$254,691.55
$413,423.45
Page 221 of 270
Report Date: 10/9/2015 at 1:25:30PM
ROSE BUD SCHOOL DISTRICT
2015 School-Based Medicaid Profile
7310
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$14,075.20
$52,803.98
$46,783.44
$3,775.19
$0.00
$0.00
$1,341.06
$118,778.87
60.06%
ADM 842
$23,845.81
$142,624.68
Page 222 of 270
Report Date: 10/9/2015 at 1:25:30PM
RUSSELLVILLE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
5805
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$113,858.65
$178,771.32
$60,295.84
$800.29
$0.00
$0.00
$17,196.82
$370,922.92
57.11%
ADM 5,191
$181,415.92
$552,338.84
Page 223 of 270
Report Date: 10/9/2015 at 1:25:30PM
SALEM SCHOOL DISTRICT
2015 School-Based Medicaid Profile
2502
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$11,332.96
$522.24
$0.00
$0.00
$0.00
$3,132.00
$14,987.20
68.96%
ADM 766
$13,580.22
$28,567.42
Page 224 of 270
Report Date: 10/9/2015 at 1:25:30PM
SCRANTON SCHOOL DISTRICT
2015 School-Based Medicaid Profile
4204
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$1,270.28
$6,285.20
$3,686.22
$0.00
$0.00
$0.00
$0.00
$11,241.70
73.16%
ADM 413
$15,759.72
$27,001.42
Page 225 of 270
Report Date: 10/9/2015 at 1:25:30PM
SEARCY COUNTY SCHOOL DISTRICT
2015 School-Based Medicaid Profile
6502
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$11.88
$20,553.12
$15,189.80
$0.00
$0.00
$0.00
$7,405.88
$43,160.68
59.53%
ADM 816
$17,770.79
$60,931.47
Page 226 of 270
Report Date: 10/9/2015 at 1:25:30PM
SEARCY SCHOOL DISTRICT
2015 School-Based Medicaid Profile
7311
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$120,209.21
$267,197.21
$279,258.56
$0.00
$0.00
$0.00
$18,046.78
$684,711.76
60.06%
ADM 4,142
$30,217.94
$714,929.70
Page 227 of 270
Report Date: 10/9/2015 at 1:25:30PM
SHERIDAN SCHOOL DISTRICT
2015 School-Based Medicaid Profile
2705
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$51,500.96
$70,060.32
$64,851.42
$0.00
$0.00
$0.00
$10,724.00
$197,136.70
31.83%
ADM 4,119
$67,549.98
$264,686.68
Page 228 of 270
Report Date: 10/9/2015 at 1:25:30PM
SHIRLEY SCHOOL DISTRICT
2015 School-Based Medicaid Profile
7104
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$12,414.78
$6,009.84
$0.00
$0.00
$0.00
$2,525.52
$20,950.14
71.55%
ADM 412
$24,531.59
$45,481.73
Page 229 of 270
Report Date: 10/9/2015 at 1:25:30PM
SIATECH High School
2015 School-Based Medicaid Profile
6052
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
67.32%
ADM 152
$10,804.88
$10,804.88
Page 230 of 270
Report Date: 10/9/2015 at 1:25:30PM
SILOAM SPRINGS SCHOOL DISTRICT
2015 School-Based Medicaid Profile
0406
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$72,581.60
$45,886.96
$64,540.30
$1,114.54
$0.00
$0.00
$6,433.38
$190,556.78
45.59%
ADM 4,113
$84,384.50
$274,941.28
Page 231 of 270
Report Date: 10/9/2015 at 1:25:30PM
SLOAN-HENDRIX SCHOOL DISTRICT
2015 School-Based Medicaid Profile
3806
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$7,355.72
$5,221.60
$0.00
$0.00
$0.00
$0.00
$4,332.26
$16,909.58
62.02%
ADM 706
$10,012.77
$26,922.35
Page 232 of 270
Report Date: 10/9/2015 at 1:25:30PM
SMACKOVER-NORPHLET SCHOOL DISTRICT
2015 School-Based Medicaid Profile
7008
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$12,637.32
$52,528.86
$46,461.60
$0.00
$0.00
$0.00
$0.00
$111,627.78
60.79%
ADM 1,182
$52,177.05
$163,804.83
Page 233 of 270
Report Date: 10/9/2015 at 1:25:30PM
SO. CONWAY CO. SCHOOL DISTRICT
2015 School-Based Medicaid Profile
1507
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$65,809.12
$149,700.66
$204,818.22
$7,940.05
$0.00
$0.00
$12,932.22
$441,200.27
66.01%
ADM 2,294
$67,238.84
$508,439.11
Page 234 of 270
Report Date: 10/9/2015 at 1:25:30PM
SOUTH CENTRAL SERVICE CO-OP
2015 School-Based Medicaid Profile
5220
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$4,521.52
$23,461.21
$0.00
$0.00
$0.00
$0.00
$27,982.73
63.86%
ADM 267
$29,750.05
$57,732.78
Page 235 of 270
Report Date: 10/9/2015 at 1:25:30PM
SOUTH PIKE COUNTY SCHOOL DISTRICT
2015 School-Based Medicaid Profile
5504
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$10,887.72
$10,642.80
$4,619.16
$0.00
$0.00
$0.00
$3,017.98
$29,167.66
64.70%
ADM 695
$32,922.58
$62,090.24
Page 236 of 270
Report Date: 10/9/2015 at 1:25:30PM
SOUTH SIDE SCHOOL DISTRICT (VANBUREN)
2015 School-Based Medicaid Profile
7105
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$12,736.96
$15,950.08
$5,537.58
$0.00
$0.00
$26.40
$2,842.84
$37,093.86
71.55%
ADM 497
$39,224.48
$76,318.34
Page 237 of 270
Report Date: 10/9/2015 at 1:25:30PM
SOUTHEAST ARKANSAS EDUCATIONAL SERVICE CO-OP
2015 School-Based Medicaid Profile
2220
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$3,988.40
$8,364.42
$97,396.98
$0.00
$0.00
$872.04
$0.00
$110,621.84
58.95%
ADM 608
$37,321.78
$147,943.62
Page 238 of 270
Report Date: 10/9/2015 at 1:25:30PM
SOUTHSIDE SCHOOL DISTRICT (INDEPENDENCE)
2015 School-Based Medicaid Profile
3209
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$20,958.92
$48,045.24
$24,802.00
$0.00
$0.00
$0.00
$5,699.42
$99,505.58
62.94%
ADM 1,658
$57,154.44
$156,660.02
Page 239 of 270
Report Date: 10/9/2015 at 1:25:30PM
SOUTHWEST ARKANSAS EDUCATIONAL CO-OP
2015 School-Based Medicaid Profile
2920
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$0.00
$16,315.54
$0.00
$0.00
$0.00
$0.00
$16,315.54
75.74%
ADM 346
$30,772.17
$47,087.71
Page 240 of 270
Report Date: 10/9/2015 at 1:25:30PM
SPRING HILL SCHOOL DISTRICT
2015 School-Based Medicaid Profile
2906
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$8,676.16
$10,998.12
$5,571.23
$0.00
$0.00
$0.00
$0.00
$25,245.51
79.70%
ADM 570
$12,948.16
$38,193.67
Page 241 of 270
Report Date: 10/9/2015 at 1:25:30PM
SPRINGDALE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
7207
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$10,393.36
$64,817.76
$106,934.04
$63,039.19
$0.00
$0.00
$86,455.86
$331,640.21
51.38%
ADM 21,120
$485,663.07
$817,303.28
Page 242 of 270
Report Date: 10/9/2015 at 1:25:30PM
STAR CITY SCHOOL DISTRICT
2015 School-Based Medicaid Profile
4003
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$12,425.96
$39,685.00
$47,509.36
$27,967.85
$0.00
$0.00
$6,655.50
$134,243.67
78.37%
ADM 1,570
$65,368.86
$199,612.53
Page 243 of 270
Report Date: 10/9/2015 at 1:25:30PM
STRONG-HUTTIG SCHOOL DISTRICT
2015 School-Based Medicaid Profile
7009
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$13,045.86
$43,668.98
$24,925.92
$0.00
$0.00
$0.00
$2,722.30
$84,363.06
60.79%
ADM 335
$16,486.82
$100,849.88
Page 244 of 270
Report Date: 10/9/2015 at 1:25:30PM
STUTTGART SCHOOL DISTRICT
2015 School-Based Medicaid Profile
0104
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$0.00
$84,833.08
$1,428.79
$0.00
$0.00
$9,863.40
$96,125.27
67.32%
ADM 1,661
$55,795.10
$151,920.37
Page 245 of 270
Report Date: 10/9/2015 at 1:25:30PM
TEXARKANA SCHOOL DISTRICT
2015 School-Based Medicaid Profile
4605
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$15,456.90
$28,284.64
$6,011.98
$20,847.96
$0.00
$0.00
$10,749.78
$81,351.26
72.53%
ADM 4,321
$186,896.29
$268,247.55
Page 246 of 270
Report Date: 10/9/2015 at 1:25:30PM
TRUMANN SCHOOL DISTRICT
2015 School-Based Medicaid Profile
5605
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$53,792.74
$47,241.89
$75,886.48
$0.00
$0.00
$0.00
$13,358.40
$190,279.51
75.99%
ADM 1,636
$66,940.38
$257,219.89
Page 247 of 270
Report Date: 10/9/2015 at 1:25:30PM
TWO RIVERS SCHOOL DISTRICT
2015 School-Based Medicaid Profile
7510
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$16,469.20
$30,387.72
$91,875.60
$318.44
$0.00
$0.00
$0.00
$139,050.96
65.71%
ADM 794
$32,033.37
$171,084.33
Page 248 of 270
Report Date: 10/9/2015 at 1:25:30PM
VALLEY SPRINGS SCHOOL DISTRICT
2015 School-Based Medicaid Profile
0505
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$11,342.72
$27,044.92
$21,721.12
$10,940.09
$0.00
$0.00
$6,904.14
$77,952.99
58.07%
ADM 934
$33,705.99
$111,658.98
Page 249 of 270
Report Date: 10/9/2015 at 1:25:30PM
VALLEY VIEW SCHOOL DISTRICT
2015 School-Based Medicaid Profile
1612
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$33,831.88
$39,559.24
$0.00
$5,174.65
$0.00
$0.00
$0.00
$78,565.77
57.73%
ADM 2,683
$67,994.10
$146,559.87
Page 250 of 270
Report Date: 10/9/2015 at 1:25:30PM
VAN BUREN SCHOOL DISTRICT
2015 School-Based Medicaid Profile
1705
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$47,162.88
$6,386.50
$206,322.02
$0.00
$0.00
$0.00
$21,382.44
$281,253.84
59.09%
ADM 5,828
$90,113.88
$371,367.72
Page 251 of 270
Report Date: 10/9/2015 at 1:25:30PM
VILONIA SCHOOL DISTRICT
2015 School-Based Medicaid Profile
2307
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$32,968.16
$98,343.84
$152,779.84
$8,195.64
$0.00
$289.46
$6,927.84
$299,504.78
48.12%
ADM 3,228
$100,906.95
$400,411.73
Page 252 of 270
Report Date: 10/9/2015 at 1:25:30PM
VIOLA SCHOOL DISTRICT
2015 School-Based Medicaid Profile
2503
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$6,316.24
$17,121.12
$443.20
$0.00
$0.00
$0.00
$0.00
$23,880.56
68.96%
ADM 392
$11,954.71
$35,835.27
Page 253 of 270
Report Date: 10/9/2015 at 1:25:30PM
WALDRON SCHOOL DISTRICT
2015 School-Based Medicaid Profile
6401
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$16,155.93
$15,368.16
$49,341.73
$0.00
$703.52
$0.00
$52.20
$81,621.54
85.85%
ADM 1,521
$71,142.82
$152,764.36
Page 254 of 270
Report Date: 10/9/2015 at 1:25:30PM
WARREN SCHOOL DISTRICT
2015 School-Based Medicaid Profile
0602
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$6,340.34
$17,295.20
$30,528.97
$32,623.34
$0.00
$0.00
$19,418.08
$106,205.93
69.32%
ADM 1,655
$59,663.45
$165,869.38
Page 255 of 270
Report Date: 10/9/2015 at 1:25:30PM
WATSON CHAPEL SCHOOL DISTRICT
2015 School-Based Medicaid Profile
3509
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$0.00
$28,419.78
$0.00
$0.00
$0.00
$7,421.68
$35,841.46
76.70%
ADM 2,779
$50,641.25
$86,482.71
Page 256 of 270
Report Date: 10/9/2015 at 1:25:30PM
WEST FORK SCHOOL DISTRICT
2015 School-Based Medicaid Profile
7208
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$1,961.50
$5,399.72
$11,877.46
$0.00
$0.00
$0.00
$825.24
$20,063.92
51.38%
ADM 1,122
$19,812.21
$39,876.13
Page 257 of 270
Report Date: 10/9/2015 at 1:25:30PM
WEST MEMPHIS SCHOOL DISTRICT
2015 School-Based Medicaid Profile
1803
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$25,793.84
$15,030.88
$41,879.72
$0.00
$0.00
$0.00
$24,567.98
$107,272.42
72.47%
ADM 5,437
$193,334.48
$300,606.90
Page 258 of 270
Report Date: 10/9/2015 at 1:25:30PM
WESTERN ARKANSAS CO-OP
2015 School-Based Medicaid Profile
2420
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$98.88
$1,474.56
$0.00
$0.00
$0.00
$0.00
$1,573.44
64.34%
ADM 229
$23,108.65
$24,682.09
Page 259 of 270
Report Date: 10/9/2015 at 1:25:30PM
WESTERN YELL CO. SCHOOL DISTRICT
2015 School-Based Medicaid Profile
7509
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$10,396.16
$16,466.80
$38,828.90
$0.00
$0.00
$0.00
$0.00
$65,691.86
65.71%
ADM 423
$7,936.01
$73,627.87
Page 260 of 270
Report Date: 10/9/2015 at 1:25:30PM
WESTSIDE CONS. SCHOOL DISTRICT
2015 School-Based Medicaid Profile
1602
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$29,791.79
$34,977.97
$30,006.24
$0.00
$0.00
$0.00
$3,728.18
$98,504.18
57.73%
ADM 1,709
$31,243.54
$129,747.72
Page 261 of 270
Report Date: 10/9/2015 at 1:25:30PM
WESTSIDE SCHOOL DISTRICT (CLEBURNE)
2015 School-Based Medicaid Profile
1204
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$20,266.36
$8,767.48
$1,751.42
$0.00
$0.00
$3,786.56
$34,571.82
68.54%
ADM 445
$18,493.72
$53,065.54
Page 262 of 270
Report Date: 10/9/2015 at 1:25:30PM
WESTSIDE SCHOOL DISTRICT (JOHNSON)
2015 School-Based Medicaid Profile
3606
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$3,260.28
$16,318.72
$10,015.52
$0.00
$0.00
$0.00
$3,208.24
$32,802.76
68.27%
ADM 654
$22,053.23
$54,855.99
Page 263 of 270
Report Date: 10/9/2015 at 1:25:30PM
WHITE CO. CENTRAL SCHOOL DISTRICT
2015 School-Based Medicaid Profile
7304
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$2,356.00
$12,821.56
$0.00
$0.00
$0.00
$3,097.66
$18,275.22
60.06%
ADM 680
$25,021.72
$43,296.94
Page 264 of 270
Report Date: 10/9/2015 at 1:25:30PM
WHITE HALL SCHOOL DISTRICT
2015 School-Based Medicaid Profile
3510
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$52,310.24
$27,013.34
$0.00
$0.00
$0.00
$1,821.50
$81,145.08
76.70%
ADM 2,944
$124,377.13
$205,522.21
Page 265 of 270
Report Date: 10/9/2015 at 1:25:30PM
WILBUR D. MILLS EDUCATION SERVICE CO-OP
2015 School-Based Medicaid Profile
7320
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$2,939.80
$15,585.44
$179,989.31
$0.00
$0.00
$0.00
$0.00
$198,514.55
63.09%
ADM 326
$36,002.24
$234,516.79
Page 266 of 270
Report Date: 10/9/2015 at 1:25:30PM
WONDERVIEW SCHOOL DISTRICT
2015 School-Based Medicaid Profile
1505
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$4,288.64
$14,680.00
$33,506.40
$0.00
$0.00
$0.00
$0.00
$52,475.04
66.01%
ADM 419
$20,554.79
$73,029.83
Page 267 of 270
Report Date: 10/9/2015 at 1:25:30PM
WOODLAWN SCHOOL DISTRICT
2015 School-Based Medicaid Profile
1304
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$0.00
$1,021.28
$19,900.14
$0.00
$0.00
$0.00
$1,819.10
$22,740.52
55.75%
ADM 542
$16,896.87
$39,637.39
Page 268 of 270
Report Date: 10/9/2015 at 1:25:30PM
WYNNE SCHOOL DISTRICT
2015 School-Based Medicaid Profile
1905
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$69,236.38
$126,027.72
$75,510.84
$7,919.10
$0.00
$0.00
$15,155.52
$293,849.56
58.80%
ADM 2,810
$53,936.37
$347,785.93
Page 269 of 270
Report Date: 10/9/2015 at 1:25:30PM
YELLVILLE-SUMMIT SCHOOL DISTRICT
2015 School-Based Medicaid Profile
4502
Physical Therapy
Occupational Therapy
Speech Therapy
Personal Care
SBMH
Audiology
EPSDT
Direct Funds
Medicaid Rate
ARMAC Total (Q1+Q2+Q3+Q4)
Total Reimbursement (ARMAC Total + Direct Funds) =
$8,264.64
$2,284.14
$4,758.92
$2,886.91
$0.00
$0.00
$0.00
$18,194.61
94.81%
ADM 694
$31,733.46
$49,928.07
Page 270 of 270
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