Go Solutions Group, Inc.

Go Solutions Group is a Michigan based company that works in partnership with schools across the United States by assisting in the recoupment of compliant Medicaid reimbursements. The company specializes in special education services tracking and school-based Medicaid reimbursement, both for Medicaid Administrative Claiming and Fee for Service (direct service) claiming. Go Solutions Group provides consulting services, and tracking and billing solutions to schools ranging in size from small rural schools to large metropolitan districts. Since the company's establishment in 1994, they have worked with school districts in: Alabama, Arizona, Florida, Georgia, Illinois, Indiana, Michigan, Nebraska, Nevada, New Mexico, Ohio and Wisconsin. Go Solutions Group hosts web-based special education management and billing software programs. The programs are intended to provide an efficient, user-friendly method of tracking services that are provided to students.

History of School-Based Medicaid

The Fee for Service (Direct Service) Program was created to offer to schools throughout the United States for reimbursement of costs associated with the services delivered to special education students. Federal law mandates that every disabled child in America receive a “free appropriate public education.” Decisions by the United States Supreme Court and subsequent changes in federal law made it clear that Medicaid must pay for services provided for all Medicaid eligible disabled children.

Company

Go Solutions Group Inc. (GSGI) began exclusively supporting School Districts in the pursuit and recovery of Medicaid reimbursements for School Based Health Services in 1994. With exclusive focus on schools GSGI was able to develop programs and procedures that focused on the myriad of challenges schools faced (then and today) in translating school based services and terminology into the well-established Medicaid “Medical Model.” GSGI over time has evolved into a leading expert in this field. GSGI currently provides their contracted School Districts who participate in the Fee-For-Service program with a web-based solution GoClaim™. GoClaim™ provides flexibility in data reporting and allows for the customization of associated reports to meet the needs of its School District clients. Apart from the FFS program, GSGI provides their contracted School Districts who participate in Administrative claiming with a web-based solution eMAC™. This program assists districts that are interested in recovering some indirect and administrative costs. Go Solutions administrative claiming solutions include negotiations of federal approvals, staff training, quarterly claim calculation and quality assurance activities.

GSGI’s range of experience includes working nationally with LEAs, Regional Consortiums, and School Districts (varying widely in size and demographic profile), and under the guidance of varying State Medicaid Agencies, State Medicaid Plans and associated CMS regional offices. GSGI’s broad base of experience assisted in the development and implementation of their web-based software GoClaim™. The designed system assists with maintaining compliancy with the frequently changing Medicaid policies; Titles XIX & XXI, HIPPAA)

GSGI is aligned with MAXIMUS®. MAXIMUS® provides the IEP portion, which later can be uploaded into the GoClaim™ system.

In recent months, GSGI began a partnership with PresenceLearning, a leading provider of live online speech therapy services.

MAXIMUS®

MAXIMUS developed its pioneering TIENET software to assist in managing instruction, assessment, intervention, and special education. The three robust TIENET solutions, can be integrated with existing systems or as a single coordinated system. TIENET software helps school districts manage No Child Left Behind (NCLB) standards compliance in the areas of instruction, intervention and special education case management.

• Instructional Data Management
• Response to Intervention (RtI) Management
• Special Education Case Management

TIENET has been endorsed by the Council of Administrators of Special Education (CASE) as a solution that helps promote the professional standards and practice of special education.

External links

• Go Solutions Facebook
• Illinois School Based Services
• Wisconsin Medicaid
• Indiana Medicaid
• Indiana School Based Medicaid
• Michigan Medicaid Provider Manual
• Ohio Medicaid
• Nevada Medicaid
• LEAnet
• National Alliance for Medicaid in Education
• Centers for Medicare & Medicaid Services
• Council of Administrators of Special Education
• Maximus