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$5,065,517.38
$9,358,040.67
$11,019,000.33
$1,615,189.13
$24,315.04
$10,864.96
$1,586,284.88
$28,684,921.83
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: 10/25/2016 at 10:59:33AM
2016 School-Based Medicaid Arkansas State Profile
ADM 478,467
$15,545,275.21
$44,230,197.04
Report Date: 10/25/2016 at 10:59:33AM
ACADEMIC PLUS CHARTER SCHOOL
2016 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) =
$2,698.24
$9,239.92
$14,886.16
$0.00
$0.00
$0.00
$0.00
$26,824.32
70.62%
ADM 853
$20,458.94
$47,283.26
Page 1 of 271
Report Date: 10/25/2016 at 10:59:33AM
ALMA SCHOOL DISTRICT
2016 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) =
$50,822.40
$135,012.32
$52,029.08
$0.00
$0.00
$0.00
$7,910.02
$245,773.82
62.09%
ADM 3,212
$112,383.58
$358,157.40
Page 2 of 271
Report Date: 10/25/2016 at 10:59:33AM
ALPENA SCHOOL DISTRICT
2016 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) =
$2,023.68
$13,209.82
$1,785.52
$15,590.99
$0.00
$0.00
$3,346.64
$35,956.65
61.70%
ADM 500
$19,299.59
$55,256.24
Page 3 of 271
Report Date: 10/25/2016 at 10:59:33AM
AR SCHOOL FOR THE BLIND
2016 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) =
$52,531.62
$72,606.08
$35,543.44
$75.42
$0.00
$0.00
$494.18
$161,250.74
70.62%
ADM 77
$62,443.69
$223,694.43
Page 4 of 271
Report Date: 10/25/2016 at 10:59:33AM
AR SCHOOL FOR THE DEAF
2016 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) =
$11,946.24
$17,779.52
$785.36
$0.00
$0.00
$0.00
$661.76
$31,172.88
70.62%
ADM 113
$60,520.75
$91,693.63
Page 5 of 271
Report Date: 10/25/2016 at 10:59:33AM
ARCH FORD EDUCATION SERVICE CO-OP
2016 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) =
$8,348.96
$15,433.32
$151,090.10
$0.00
$0.00
$0.00
$0.00
$174,872.38
56.47%
ADM 682
$41,555.16
$216,427.54
Page 6 of 271
Report Date: 10/25/2016 at 10:59:33AM
ARKADELPHIA SCHOOL DISTRICT
2016 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) =
$28,984.30
$40,502.52
$42,356.36
$0.00
$0.00
$0.00
$4,997.12
$116,840.30
77.92%
ADM 1,896
$50,963.04
$167,803.34
Page 7 of 271
Report Date: 10/25/2016 at 10:59:33AM
ARKANSAS ARTS ACADEMY
2016 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
48.78%
ADM 774
$13,292.24
$13,292.24
Page 8 of 271
Report Date: 10/25/2016 at 10:59:33AM
ARKANSAS RIVER EDUCATION SERVICE CO-OP
2016 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) =
$1,459.92
$4,870.12
$23,142.58
$0.00
$0.00
$0.00
$144.24
$29,616.86
63.95%
ADM 366
$26,206.91
$55,823.77
Page 9 of 271
Report Date: 10/25/2016 at 10:59:33AM
ARKANSAS VIRTUAL CHARTER SCHOOL
2016 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
$1,740.80
$957.44
$0.00
$0.00
$0.00
$0.00
$2,698.24
70.62%
ADM 1,812
$57,248.68
$59,946.92
Page 10 of 271
Report Date: 10/25/2016 at 10:59:33AM
ARMOREL SCHOOL DISTRICT
2016 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) =
$7,233.72
$5,554.00
$0.00
$0.00
$0.00
$0.00
$0.00
$12,787.72
82.61%
ADM 404
$13,921.96
$26,709.68
Page 11 of 271
Report Date: 10/25/2016 at 10:59:33AM
ASHDOWN SCHOOL DISTRICT
2016 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) =
$15,882.94
$22,741.30
$32,208.14
$50,551.55
$0.00
$0.00
$5,602.92
$126,986.85
68.25%
ADM 1,426
$43,446.94
$170,433.79
Page 12 of 271
Report Date: 10/25/2016 at 10:59:33AM
ATKINS SCHOOL DISTRICT
2016 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) =
$40,162.88
$72,104.16
$173,109.23
$0.00
$0.00
$0.00
$4,180.12
$289,556.39
62.59%
ADM 1,007
$11,790.46
$301,346.85
Page 13 of 271
Report Date: 10/25/2016 at 10:59:33AM
AUGUSTA SCHOOL DISTRICT
2016 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
$19,170.36
$56,817.28
$0.00
$0.00
$0.00
$263.06
$76,250.70
81.63%
ADM 376
$7,944.96
$84,195.66
Page 14 of 271
Report Date: 10/25/2016 at 10:59:33AM
BALD KNOB SCHOOL DISTRICT
2016 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) =
$28,412.34
$92,010.32
$41,440.00
$0.00
$0.00
$0.00
$0.00
$161,862.66
64.23%
ADM 1,240
$38,070.32
$199,932.98
Page 15 of 271
Report Date: 10/25/2016 at 10:59:33AM
BARTON-LEXA SCHOOL DISTRICT
2016 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) =
$6,283.92
$24,474.44
$0.00
$0.00
$0.00
$0.00
$4,508.78
$35,267.14
83.32%
ADM 806
$24,743.68
$60,010.82
Page 16 of 271
Report Date: 10/25/2016 at 10:59:33AM
BATESVILLE SCHOOL DISTRICT
2016 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) =
$52,921.18
$73,331.12
$82,892.82
$0.00
$0.00
$0.00
$13,474.82
$222,619.94
67.57%
ADM 2,978
$153,225.68
$375,845.62
Page 17 of 271
Report Date: 10/25/2016 at 10:59:33AM
BAUXITE SCHOOL DISTRICT
2016 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) =
$11,609.92
$34,511.80
$1,369.72
$0.00
$0.00
$0.00
$0.00
$47,491.44
51.45%
ADM 1,634
$18,349.74
$65,841.18
Page 18 of 271
Report Date: 10/25/2016 at 10:59:33AM
BAY SCHOOL DISTRICT
2016 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) =
$3,648.20
$16,229.28
$36,175.74
$0.00
$0.00
$0.00
$0.00
$56,053.22
61.67%
ADM 577
$15,209.40
$71,262.62
Page 19 of 271
Report Date: 10/25/2016 at 10:59:33AM
BEARDEN SCHOOL DISTRICT
2016 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) =
$5,254.80
$15,520.80
$26,211.54
$0.00
$0.00
$0.00
$0.00
$46,987.14
74.38%
ADM 483
$28,906.13
$75,893.27
Page 20 of 271
Report Date: 10/25/2016 at 10:59:33AM
BEEBE SCHOOL DISTRICT
2016 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) =
$26,482.12
$54,418.80
$13,942.16
$0.00
$0.00
$0.00
$15,102.30
$109,945.38
64.23%
ADM 3,280
$71,413.95
$181,359.33
Page 21 of 271
Report Date: 10/25/2016 at 10:59:33AM
BENTON SCHOOL DISTRICT
2016 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) =
$948.72
$0.00
$863.00
$5,916.28
$0.00
$0.00
$18,253.88
$25,981.88
51.45%
ADM 5,045
$115,156.23
$141,138.11
Page 22 of 271
Report Date: 10/25/2016 at 10:59:33AM
BENTONVILLE SCHOOL DISTRICT
2016 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) =
$59,304.98
$126,634.20
$174,766.90
$115,616.97
$0.00
$0.00
$23,859.18
$500,182.23
48.78%
ADM 16,060
$533,852.88
$1,034,035.11
Page 23 of 271
Report Date: 10/25/2016 at 10:59:33AM
BERGMAN SCHOOL DISTRICT
2016 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) =
$17,534.14
$24,289.76
$9,734.62
$0.00
$0.00
$0.00
$3,860.74
$55,419.26
61.70%
ADM 1,079
$32,394.06
$87,813.32
Page 24 of 271
Report Date: 10/25/2016 at 10:59:33AM
BERRYVILLE SCHOOL DISTRICT
2016 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) =
$20,216.96
$29,285.04
$48,839.02
$8,338.78
$0.00
$0.00
$8,504.48
$115,184.28
79.26%
ADM 2,009
$74,039.00
$189,223.28
Page 25 of 271
Report Date: 10/25/2016 at 10:59:33AM
BISMARCK SCHOOL DISTRICT
2016 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) =
$12,375.08
$39,533.00
$31,239.50
$9,926.11
$0.00
$0.00
$3,031.38
$96,105.07
65.09%
ADM 967
$22,796.36
$118,901.43
Page 26 of 271
Report Date: 10/25/2016 at 10:59:33AM
BLEVINS SCHOOL DISTRICT
2016 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) =
$15,037.76
$14,495.56
$17,257.86
$0.00
$0.00
$0.00
$0.00
$46,791.18
83.89%
ADM 480
$11,949.60
$58,740.78
Page 27 of 271
Report Date: 10/25/2016 at 10:59:33AM
BLYTHEVILLE SCHOOL DISTRICT
2016 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) =
$33,846.67
$31,302.00
$116,215.76
$0.00
$0.00
$0.00
$23,795.30
$205,159.73
82.61%
ADM 2,238
$180,344.32
$385,504.05
Page 28 of 271
Report Date: 10/25/2016 at 10:59:33AM
BOONEVILLE SCHOOL DISTRICT
2016 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) =
$32,997.68
$104,924.88
$24,096.52
$0.00
$1,340.68
$0.00
$1,566.00
$164,925.76
76.24%
ADM 1,229
$50,311.74
$215,237.50
Page 29 of 271
Report Date: 10/25/2016 at 10:59:33AM
BRADFORD SCHOOL DISTRICT
2016 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
$2,611.20
$65,783.86
$0.00
$0.00
$0.00
$2,583.90
$70,978.96
64.23%
ADM 434
$21,352.09
$92,331.05
Page 30 of 271
Report Date: 10/25/2016 at 10:59:33AM
BRINKLEY SCHOOL DISTRICT
2016 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) =
$13,617.96
$21,938.28
$0.00
$0.00
$0.00
$0.00
$0.00
$35,556.24
88.88%
ADM 536
$23,661.81
$59,218.05
Page 31 of 271
Report Date: 10/25/2016 at 10:59:33AM
BROOKLAND SCHOOL DISTRICT
2016 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) =
$20,838.36
$107,343.16
$3,545.10
$0.00
$0.00
$0.00
$6,695.34
$138,421.96
61.67%
ADM 2,207
$71,964.34
$210,386.30
Page 32 of 271
Report Date: 10/25/2016 at 10:59:33AM
BRYANT SCHOOL DISTRICT
2016 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) =
$65,046.17
$213,379.24
$17,184.18
$4.19
$19,279.16
$0.00
$34,392.26
$349,285.20
51.45%
ADM 8,969
$272,781.04
$622,066.24
Page 33 of 271
Report Date: 10/25/2016 at 10:59:33AM
BUFFALO IS. CENTRAL SCH. DISTRICT
2016 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) =
$47,955.04
$31,693.68
$9,740.94
$0.00
$0.00
$0.00
$0.00
$89,389.66
61.67%
ADM 767
$21,960.55
$111,350.21
Page 34 of 271
Report Date: 10/25/2016 at 10:59:33AM
CABOT SCHOOL DISTRICT
2016 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) =
$137,438.68
$242,833.60
$164,924.71
$84,995.10
$0.00
$0.00
$22,132.82
$652,324.91
46.56%
ADM 10,058
$287,296.71
$939,621.62
Page 35 of 271
Report Date: 10/25/2016 at 10:59:33AM
CADDO HILLS SCHOOL DISTRICT
2016 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) =
$735.44
$435.20
$5,099.84
$0.00
$0.00
$0.00
$0.00
$6,270.48
91.13%
ADM 578
$41,178.13
$47,448.61
Page 36 of 271
Report Date: 10/25/2016 at 10:59:33AM
CALICO ROCK SCHOOL DISTRICT
2016 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
$5,890.18
$7,844.42
$0.00
$0.00
$0.00
$3,163.94
$16,898.54
73.13%
ADM 419
$17,274.97
$34,173.51
Page 37 of 271
Report Date: 10/25/2016 at 10:59:33AM
CAMDEN FAIRVIEW SCHOOL DISTRICT
2016 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) =
$19,818.60
$76,553.68
$21,816.19
$31,138.09
$0.00
$0.00
$19,217.50
$168,544.06
74.38%
ADM 2,554
$125,462.07
$294,006.13
Page 38 of 271
Report Date: 10/25/2016 at 10:59:33AM
CARLISLE SCHOOL DISTRICT
2016 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
$14,405.12
$4,204.04
$0.00
$0.00
$0.00
$0.00
$18,609.16
46.56%
ADM 670
$19,225.76
$37,834.92
Page 39 of 271
Report Date: 10/25/2016 at 10:59:33AM
CAVE CITY SCHOOL DISTRICT
2016 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) =
$20,334.24
$54,516.64
$46,556.22
$0.00
$0.00
$0.00
$0.00
$121,407.10
72.00%
ADM 1,261
$30,810.75
$152,217.85
Page 40 of 271
Report Date: 10/25/2016 at 10:59:33AM
CEDAR RIDGE SCHOOL DISTRICT
2016 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) =
$42,267.72
$35,937.48
$18,797.12
$0.00
$0.00
$0.00
$4,775.96
$101,778.28
67.57%
ADM 850
$25,118.96
$126,897.24
Page 41 of 271
Report Date: 10/25/2016 at 10:59:33AM
CEDARVILLE SCHOOL DISTRICT
2016 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) =
$0.00
$0.00
$2,924.92
$0.00
$0.00
$0.00
$2,341.78
$5,266.70
62.09%
ADM 830
$42,074.57
$47,341.27
Page 42 of 271
Report Date: 10/25/2016 at 10:59:33AM
CENTERPOINT SCHOOL DISTRICT
2016 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) =
$1,670.40
$24,436.48
$38,508.76
$0.00
$0.00
$0.00
$4,916.42
$69,532.06
65.55%
ADM 961
$23,780.86
$93,312.92
Page 43 of 271
Report Date: 10/25/2016 at 10:59:33AM
CHARLESTON SCHOOL DISTRICT
2016 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) =
$14,298.96
$14,611.36
$9,392.42
$2,689.98
$0.00
$0.00
$1,653.92
$42,646.64
59.48%
ADM 882
$29,410.16
$72,056.80
Page 44 of 271
Report Date: 10/25/2016 at 10:59:33AM
CLARENDON SCHOOL DISTRICT
2016 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) =
$2,717.14
$11,400.54
$0.00
$0.00
$0.00
$0.00
$0.00
$14,117.68
88.88%
ADM 513
$26,702.27
$40,819.95
Page 45 of 271
Report Date: 10/25/2016 at 10:59:33AM
CLARKSVILLE SCHOOL DISTRICT
2016 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) =
$108,421.84
$65,305.26
$46,413.12
$63,416.63
$0.00
$0.00
$13,595.02
$297,151.87
72.09%
ADM 2,682
$87,638.97
$384,790.84
Page 46 of 271
Report Date: 10/25/2016 at 10:59:33AM
CLEVELAND COUNTY SCHOOL DISTRICT
2016 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) =
$9,018.06
$23,005.64
$4,771.36
$13,466.66
$0.00
$0.00
$4,015.28
$54,277.00
57.67%
ADM 870
$16,887.23
$71,164.23
Page 47 of 271
Report Date: 10/25/2016 at 10:59:33AM
CLINTON SCHOOL DISTRICT
2016 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) =
$13,578.24
$60,713.52
$36,001.04
$4,473.41
$0.00
$0.00
$4,639.62
$119,405.83
73.51%
ADM 1,297
$74,775.45
$194,181.28
Page 48 of 271
Report Date: 10/25/2016 at 10:59:33AM
CONCORD SCHOOL DISTRICT
2016 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) =
$18,902.28
$46,552.12
$15,219.18
$5,497.28
$0.00
$0.00
$72.12
$86,242.98
71.45%
ADM 435
$22,659.83
$108,902.81
Page 49 of 271
Report Date: 10/25/2016 at 10:59:33AM
CONWAY SCHOOL DISTRICT
2016 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) =
$39,366.52
$54,324.08
$206,099.66
$112,387.67
$0.00
$0.00
$35,597.34
$447,775.27
52.11%
ADM 9,734
$294,918.92
$742,694.19
Page 50 of 271
Report Date: 10/25/2016 at 10:59:33AM
CORNING SCHOOL DISTRICT
2016 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) =
$0.00
$13,962.76
$77,830.28
$0.00
$0.00
$0.00
$5,819.62
$97,612.66
67.79%
ADM 933
$17,346.00
$114,958.66
Page 51 of 271
Report Date: 10/25/2016 at 10:59:33AM
Cossatot River
2016 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) =
$8,666.73
$8,154.40
$6,061.92
$972.00
$0.00
$315.88
$4,522.86
$28,693.79
69.56%
ADM 1,066
$30,954.16
$59,647.95
Page 52 of 271
Report Date: 10/25/2016 at 10:59:33AM
COTTER SCHOOL DISTRICT
2016 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) =
$28,431.32
$39,698.92
$2,900.20
$1,806.25
$0.00
$0.00
$2,852.80
$75,689.49
68.31%
ADM 680
$33,027.80
$108,717.29
Page 53 of 271
Report Date: 10/25/2016 at 10:59:33AM
COUNTY LINE SCHOOL DISTRICT
2016 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) =
$7,761.28
$10,748.28
$9,113.70
$2,752.83
$0.00
$0.00
$0.00
$30,376.09
59.48%
ADM 461
$23,795.02
$54,171.11
Page 54 of 271
Report Date: 10/25/2016 at 10:59:33AM
Covenant Keepers
2016 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
70.62%
ADM 171
$17,406.81
$17,406.81
Page 55 of 271
Report Date: 10/25/2016 at 10:59:33AM
CROSS COUNTY SCHOOL DISTRICT
2016 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) =
$23,009.04
$23,872.68
$28,490.08
$19,842.21
$0.00
$0.00
$1,752.48
$96,966.49
62.61%
ADM 626
$28,574.49
$125,540.98
Page 56 of 271
Report Date: 10/25/2016 at 10:59:33AM
CROSSETT SCHOOL DISTRICT
2016 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) =
$26,843.32
$54,551.50
$24,049.10
$35,929.25
$0.00
$0.00
$4,938.74
$146,311.91
71.20%
ADM 1,720
$49,862.86
$196,174.77
Page 57 of 271
Report Date: 10/25/2016 at 10:59:33AM
CROWLEY'S RIDGE EDUCATIONAL CO-OP
2016 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) =
$0.00
$0.00
$70,110.58
$0.00
$0.00
$0.00
$0.00
$70,110.58
67.86%
ADM 529
$19,988.72
$90,099.30
Page 58 of 271
Report Date: 10/25/2016 at 10:59:33AM
CUTTER-MORNING STAR SCHOOL DISTRICT
2016 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) =
$4,472.84
$28,291.52
$68,982.56
$0.00
$0.00
$0.00
$3,818.50
$105,565.42
73.14%
ADM 583
$32,691.90
$138,257.32
Page 59 of 271
Report Date: 10/25/2016 at 10:59:33AM
DANVILLE SCHOOL DISTRICT
2016 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) =
$48,770.94
$60,406.62
$96,181.09
$4,131.34
$0.00
$0.00
$0.00
$209,489.99
67.71%
ADM 849
$23,486.54
$232,976.53
Page 60 of 271
Report Date: 10/25/2016 at 10:59:33AM
DARDANELLE SCHOOL DISTRICT
2016 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) =
$29,733.64
$73,828.64
$85,810.40
$0.00
$0.00
$0.00
$0.00
$189,372.68
67.71%
ADM 2,093
$86,659.12
$276,031.80
Page 61 of 271
Report Date: 10/25/2016 at 10:59:33AM
DAWSON EDUCATION SERVICE CO-OP
2016 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) =
$1,026.60
$8,396.20
$75,623.76
$0.00
$0.00
$0.00
$0.00
$85,046.56
60.82%
ADM 400
$36,253.29
$121,299.85
Page 62 of 271
Report Date: 10/25/2016 at 10:59:33AM
DECATUR SCHOOL DISTRICT
2016 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) =
$3,307.52
$5,803.76
$5,468.98
$3,514.50
$0.00
$49.50
$1,592.10
$19,736.36
48.78%
ADM 585
$12,753.35
$32,489.71
Page 63 of 271
Report Date: 10/25/2016 at 10:59:33AM
DEER/MT. JUDEA SCHOOL DISTRICT
2016 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
$0.00
$0.00
$0.00
$0.00
$2,047.82
$2,047.82
72.82%
ADM 349
$23,467.30
$25,515.12
Page 64 of 271
Report Date: 10/25/2016 at 10:59:33AM
DEQUEEN SCHOOL DISTRICT
2016 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) =
$12,998.04
$12,811.52
$42,299.25
$0.00
$0.00
$0.00
$6,155.14
$74,263.95
80.25%
ADM 2,431
$68,625.26
$142,889.21
Page 65 of 271
Report Date: 10/25/2016 at 10:59:33AM
DEQUEEN/MENA EDUCATIONAL CO-OP
2016 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) =
$4,705.11
$9,337.40
$83,576.49
$0.00
$0.00
$1,397.58
$0.00
$99,016.58
68.05%
ADM 271
$27,072.58
$126,089.16
Page 66 of 271
Report Date: 10/25/2016 at 10:59:33AM
DERMOTT SCHOOL DISTRICT
2016 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) =
$783.00
$0.00
$8,760.64
$328.50
$0.00
$0.00
$0.00
$9,872.14
100.00%
ADM 373
$17,511.81
$27,383.95
Page 67 of 271
Report Date: 10/25/2016 at 10:59:33AM
DES ARC SCHOOL DISTRICT
2016 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
$7,665.44
$10,241.56
$0.00
$0.00
$0.00
$1,917.32
$19,824.32
71.13%
ADM 515
$16,614.39
$36,438.71
Page 68 of 271
Report Date: 10/25/2016 at 10:59:33AM
DEWITT SCHOOL DISTRICT
2016 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
$21,018.32
$3,895.78
$0.00
$0.00
$455.72
$25,369.82
73.10%
ADM 1,258
$44,462.16
$69,831.98
Page 69 of 271
Report Date: 10/25/2016 at 10:59:33AM
DIERKS SCHOOL DISTRICT
2016 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) =
$3,184.20
$0.00
$8,440.16
$0.00
$0.00
$82.50
$0.00
$11,706.86
62.86%
ADM 553
$21,032.70
$32,739.56
Page 70 of 271
Report Date: 10/25/2016 at 10:59:33AM
DOLLARWAY SCHOOL DISTRICT
2016 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
$51,708.91
$0.00
$0.00
$0.00
$6,534.62
$58,243.53
80.80%
ADM 1,192
$73,405.50
$131,649.03
Page 71 of 271
Report Date: 10/25/2016 at 10:59:33AM
DOVER SCHOOL DISTRICT
2016 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) =
$35,980.24
$63,032.96
$158,098.60
$0.00
$0.00
$0.00
$6,520.88
$263,632.68
62.59%
ADM 1,404
$52,254.65
$315,887.33
Page 72 of 271
Report Date: 10/25/2016 at 10:59:33AM
DREW CENTRAL SCHOOL DISTRICT
2016 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) =
$17,382.40
$40,409.54
$49,592.20
$41,937.90
$0.00
$0.00
$849.62
$150,171.66
65.89%
ADM 955
$23,880.97
$174,052.63
Page 73 of 271
Report Date: 10/25/2016 at 10:59:33AM
DUMAS SCHOOL DISTRICT
2016 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) =
$7,381.04
$22,178.86
$18,715.97
$0.00
$0.00
$0.00
$7,374.28
$55,650.15
72.62%
ADM 1,358
$32,333.46
$87,983.61
Page 74 of 271
Report Date: 10/25/2016 at 10:59:33AM
Earle School District
2016 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) =
$2,659.52
$7,780.24
$1,914.88
$0.00
$0.00
$0.00
$0.00
$12,354.64
73.46%
ADM 606
$29,305.33
$41,659.97
Page 75 of 271
Report Date: 10/25/2016 at 10:59:33AM
EAST END SCHOOL DISTRICT
2016 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) =
$26,737.52
$34,910.93
$61,202.84
$0.00
$0.00
$0.00
$5,682.94
$128,534.23
64.54%
ADM 668
$25,449.06
$153,983.29
Page 76 of 271
Report Date: 10/25/2016 at 10:59:33AM
EAST POINSETT CO. SCHOOL DISTRICT
2016 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) =
$18,832.88
$22,549.12
$99,062.06
$0.00
$0.00
$0.00
$2,045.76
$142,489.82
78.81%
ADM 683
$34,236.15
$176,725.97
Page 77 of 271
Report Date: 10/25/2016 at 10:59:33AM
EL DORADO SCHOOL DISTRICT
2016 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) =
$38,165.60
$43,993.52
$79,236.48
$98,687.71
$0.00
$0.00
$11,647.82
$271,731.13
63.45%
ADM 4,522
$156,985.92
$428,717.05
Page 78 of 271
Report Date: 10/25/2016 at 10:59:33AM
ELKINS SCHOOL DISTRICT
2016 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) =
$5,446.64
$6,219.68
$11,333.04
$0.00
$0.00
$0.00
$1,513.80
$24,513.16
53.99%
ADM 1,131
$28,490.92
$53,004.08
Page 79 of 271
Report Date: 10/25/2016 at 10:59:33AM
EMERSON-TAYLOR-BRADLEY SCHOOL DISTRICT
2016 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) =
$3,967.24
$9,069.92
$2,365.64
$0.00
$0.00
$0.00
$0.00
$15,402.80
61.19%
ADM 986
$10,861.76
$26,264.56
Page 80 of 271
Report Date: 10/25/2016 at 10:59:33AM
ENGLAND SCHOOL DISTRICT
2016 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
$1,653.76
$49,422.49
$0.00
$0.00
$0.00
$78.30
$51,154.55
46.56%
ADM 757
$19,540.43
$70,694.98
Page 81 of 271
Report Date: 10/25/2016 at 10:59:33AM
eSTEM Charter Public School
2016 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) =
$4,961.28
$5,773.95
$30,383.36
$0.00
$0.00
$0.00
$2,830.48
$43,949.07
70.62%
ADM 1,462
$29,911.10
$73,860.17
Page 82 of 271
Report Date: 10/25/2016 at 10:59:33AM
EUREKA SPRINGS SCHOOL DISTRICT
2016 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) =
$12,673.82
$19,818.66
$14,706.96
$0.00
$0.00
$0.00
$2,021.72
$49,221.16
79.26%
ADM 625
$42,000.63
$91,221.79
Page 83 of 271
Report Date: 10/25/2016 at 10:59:33AM
Exalt Academy of SouthWest LR
2016 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) =
$1,914.88
$2,797.12
$5,222.40
$0.00
$0.00
$0.00
$0.00
$9,934.40
70.62%
ADM 233
$16,724.07
$26,658.47
Page 84 of 271
Report Date: 10/25/2016 at 10:59:33AM
FARMINGTON SCHOOL DISTRICT
2016 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) =
$9,516.02
$10,870.80
$27,344.80
$0.00
$0.00
$0.00
$3,135.78
$50,867.40
53.99%
ADM 2,366
$60,775.37
$111,642.77
Page 85 of 271
Report Date: 10/25/2016 at 10:59:33AM
FAYETTEVILLE SCHOOL DISTRICT
2016 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) =
$34,154.60
$13,192.12
$109,933.46
$0.00
$0.00
$734.68
$16,520.62
$174,535.48
53.99%
ADM 9,652
$364,573.06
$539,108.54
Page 86 of 271
Report Date: 10/25/2016 at 10:59:33AM
FLIPPIN SCHOOL DISTRICT
2016 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) =
$22,350.80
$44,386.20
$0.00
$12,648.54
$0.00
$0.00
$10,317.74
$89,703.28
98.16%
ADM 820
$48,878.60
$138,581.88
Page 87 of 271
Report Date: 10/25/2016 at 10:59:33AM
FORDYCE SCHOOL DISTRICT
2016 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) =
$18,028.56
$25,429.80
$9,572.44
$5,364.82
$0.00
$0.00
$3,681.82
$62,077.44
100.00%
ADM 806
$33,181.20
$95,258.64
Page 88 of 271
Report Date: 10/25/2016 at 10:59:33AM
FOREMAN SCHOOL DISTRICT
2016 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) =
$1,531.20
$6,934.08
$5,842.56
$0.00
$0.00
$0.00
$0.00
$14,307.84
68.25%
ADM 481
$18,420.26
$32,728.10
Page 89 of 271
Report Date: 10/25/2016 at 10:59:33AM
FORREST CITY SCHOOL DISTRICT
2016 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) =
$20,701.14
$53,633.46
$27,113.66
$28,690.46
$0.00
$0.00
$0.00
$130,138.72
100.00%
ADM 2,478
$111,802.16
$241,940.88
Page 90 of 271
Report Date: 10/25/2016 at 10:59:33AM
FORT SMITH SCHOOL DISTRICT
2016 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) =
$5,470.80
$37,040.60
$99,973.86
$0.00
$982.68
$0.00
$87,084.16
$230,552.10
68.52%
ADM 14,383
$635,907.10
$866,459.20
Page 91 of 271
Report Date: 10/25/2016 at 10:59:33AM
FOUKE SCHOOL DISTRICT
2016 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) =
$948.32
$4,160.00
$6,279.66
$11,894.32
$0.00
$0.00
$3,768.36
$27,050.66
79.06%
ADM 1,048
$24,052.64
$51,103.30
Page 92 of 271
Report Date: 10/25/2016 at 10:59:33AM
FOUNTAIN LAKE SCHOOL DISTRICT
2016 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) =
$44,311.24
$63,931.44
$59,786.96
$10,001.53
$0.00
$1,322.92
$7,077.22
$186,431.31
73.14%
ADM 1,357
$38,327.38
$224,758.69
Page 93 of 271
Report Date: 10/25/2016 at 10:59:33AM
GENOA CENTRAL SCHOOL DISTRICT
2016 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) =
$69.60
$6,680.32
$10,121.48
$0.00
$0.00
$0.00
$1,925.22
$18,796.62
79.06%
ADM 1,143
$41,587.15
$60,383.77
Page 94 of 271
Report Date: 10/25/2016 at 10:59:33AM
GENTRY SCHOOL DISTRICT
2016 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) =
$17,421.76
$29,099.94
$18,937.48
$39,052.68
$0.00
$509.86
$5,063.40
$110,085.12
48.78%
ADM 1,446
$32,723.10
$142,808.22
Page 95 of 271
Report Date: 10/25/2016 at 10:59:33AM
GLEN ROSE SCHOOL DISTRICT
2016 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) =
$12,271.32
$23,833.88
$17,609.80
$11,137.02
$0.00
$0.00
$2,409.44
$67,261.46
65.09%
ADM 1,008
$22,368.12
$89,629.58
Page 96 of 271
Report Date: 10/25/2016 at 10:59:33AM
GOSNELL SCHOOL DISTRICT
2016 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) =
$466.86
$13,965.28
$7,951.80
$0.00
$0.00
$0.00
$1,553.98
$23,937.92
82.61%
ADM 1,299
$23,855.86
$47,793.78
Page 97 of 271
Report Date: 10/25/2016 at 10:59:33AM
GRAVETTE SCHOOL DISTRICT
2016 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) =
$25,059.20
$31,959.04
$17,458.12
$15,084.34
$0.00
$0.00
$4,846.02
$94,406.72
48.78%
ADM 1,809
$40,518.31
$134,925.03
Page 98 of 271
Report Date: 10/25/2016 at 10:59:33AM
Great Rivers Educational Co-op
2016 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
$7,314.96
$0.00
$0.00
$0.00
$0.00
$7,314.96
67.09%
ADM 396
$30,366.83
$37,681.79
Page 99 of 271
Report Date: 10/25/2016 at 10:59:33AM
GREEN FOREST SCHOOL DISTRICT
2016 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) =
$16,729.12
$43,988.43
$43,833.10
$59,227.74
$0.00
$0.00
$2,665.98
$166,444.37
79.26%
ADM 1,200
$60,962.78
$227,407.15
Page 100 of 271
Report Date: 10/25/2016 at 10:59:33AM
GREENBRIER SCHOOL DISTRICT
2016 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) =
$15,908.48
$79,471.04
$62,460.24
$19,977.92
$0.00
$336.20
$9,127.10
$187,280.98
52.11%
ADM 3,393
$79,112.26
$266,393.24
Page 101 of 271
Report Date: 10/25/2016 at 10:59:33AM
GREENE COUNTY TECH SCHOOL DISTRICT
2016 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) =
$65,549.92
$133,272.88
$153,695.50
$0.00
$0.00
$0.00
$14,091.60
$366,609.90
68.19%
ADM 3,619
$186,999.60
$553,609.50
Page 102 of 271
Report Date: 10/25/2016 at 10:59:33AM
GREENLAND SCHOOL DISTRICT
2016 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) =
$3,288.84
$6,865.26
$13,836.86
$0.00
$0.00
$0.00
$1,379.18
$25,370.14
53.99%
ADM 849
$25,600.91
$50,971.05
Page 103 of 271
Report Date: 10/25/2016 at 10:59:33AM
GREENWOOD SCHOOL DISTRICT
2016 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) =
$20,993.00
$73,841.36
$117,425.76
$6,359.48
$707.04
$985.08
$5,437.70
$225,749.42
68.52%
ADM 3,630
$107,570.09
$333,319.51
Page 104 of 271
Report Date: 10/25/2016 at 10:59:33AM
GURDON SCHOOL DISTRICT
2016 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) =
$4,003.84
$15,019.12
$18,909.08
$10,609.08
$0.00
$0.00
$2,739.82
$51,280.94
77.92%
ADM 711
$37,776.56
$89,057.50
Page 105 of 271
Report Date: 10/25/2016 at 10:59:33AM
GUY-PERKINS SCHOOL DISTRICT
2016 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) =
$10,378.88
$61,307.17
$21,011.24
$0.00
$0.00
$0.00
$1,867.18
$94,564.47
52.11%
ADM 368
$13,986.89
$108,551.36
Page 106 of 271
Report Date: 10/25/2016 at 10:59:33AM
HACKETT SCHOOL DISTRICT
2016 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) =
$5,794.20
$0.00
$22,240.64
$7,177.47
$0.00
$0.00
$3,477.82
$38,690.13
68.52%
ADM 861
$36,256.06
$74,946.19
Page 107 of 271
Report Date: 10/25/2016 at 10:59:33AM
HAMBURG SCHOOL DISTRICT
2016 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) =
$15,246.56
$37,489.96
$23,669.88
$25,965.43
$0.00
$0.00
$6,017.08
$108,388.91
71.20%
ADM 1,893
$29,505.92
$137,894.83
Page 108 of 271
Report Date: 10/25/2016 at 10:59:33AM
HAMPTON SCHOOL DISTRICT
2016 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) =
$6,960.00
$15,821.06
$29,376.20
$0.00
$0.00
$0.00
$2,252.50
$54,409.76
79.84%
ADM 546
$16,494.63
$70,904.39
Page 109 of 271
Report Date: 10/25/2016 at 10:59:33AM
HARMONY GROVE SCHOOL DISTRICT (OUACHITA)
2016 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) =
$5,802.92
$24,277.08
$14,285.42
$0.00
$0.00
$0.00
$4,800.00
$49,165.42
74.38%
ADM 967
$31,420.57
$80,585.99
Page 110 of 271
Report Date: 10/25/2016 at 10:59:33AM
HARMONY GROVE SCHOOL DISTRICT (SALINE)
2016 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) =
$3,514.80
$17,600.44
$12,766.75
$0.00
$0.00
$0.00
$2,388.84
$36,270.83
51.45%
ADM 1,167
$25,103.91
$61,374.74
Page 111 of 271
Report Date: 10/25/2016 at 10:59:33AM
HARRISBURG SCHOOL DISTRICT
2016 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) =
$35,194.53
$58,089.92
$60,104.12
$0.00
$0.00
$0.00
$5,006.74
$158,395.31
78.81%
ADM 1,229
$64,086.41
$222,481.72
Page 112 of 271
Report Date: 10/25/2016 at 10:59:33AM
HARRISON SCHOOL DISTRICT
2016 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) =
$32,105.72
$92,767.52
$61,606.42
$58,401.34
$2,005.48
$0.00
$15,805.30
$262,691.78
61.70%
ADM 2,668
$90,691.44
$353,383.22
Page 113 of 271
Report Date: 10/25/2016 at 10:59:33AM
HAZEN SCHOOL DISTRICT
2016 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) =
$13,671.04
$32,665.60
$117,711.24
$0.00
$0.00
$0.00
$0.00
$164,047.88
71.13%
ADM 643
$15,079.15
$179,127.03
Page 114 of 271
Report Date: 10/25/2016 at 10:59:33AM
HEBER SPRINGS SCHOOL DISTRICT
2016 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) =
$52,564.40
$157,208.83
$21,544.50
$456.71
$0.00
$0.00
$8,771.32
$246,255.20
71.45%
ADM 1,742
$63,174.40
$309,429.60
Page 115 of 271
Report Date: 10/25/2016 at 10:59:33AM
HECTOR SCHOOL DISTRICT
2016 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) =
$22,553.60
$38,294.92
$62,181.12
$0.00
$0.00
$0.00
$0.00
$123,029.64
62.59%
ADM 576
$8,609.69
$131,639.33
Page 116 of 271
Report Date: 10/25/2016 at 10:59:33AM
HELENA/ W.HELENA SCHOOL DISTRICT
2016 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) =
$0.00
$23,129.32
$4,764.64
$0.00
$0.00
$0.00
$12,574.72
$40,468.68
83.32%
ADM 1,425
$21,394.26
$61,862.94
Page 117 of 271
Report Date: 10/25/2016 at 10:59:33AM
HERMITAGE SCHOOL DISTRICT
2016 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
$11,632.36
$5,020.68
$28,795.59
$0.00
$0.00
$2,489.46
$47,938.09
75.09%
ADM 418
$15,992.25
$63,930.34
Page 118 of 271
Report Date: 10/25/2016 at 10:59:33AM
HIGHLAND SCHOOL DISTRICT
2016 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) =
$36,995.60
$42,344.80
$18,167.04
$9,729.18
$0.00
$0.00
$365.40
$107,602.02
72.00%
ADM 1,565
$54,687.04
$162,289.06
Page 119 of 271
Report Date: 10/25/2016 at 10:59:33AM
HILLCREST SCHOOL DISTRICT
2016 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
$3,655.68
$6,961.80
$13,206.68
$0.00
$0.00
$3,242.24
$27,066.40
65.14%
ADM 408
$12,621.93
$39,688.33
Page 120 of 271
Report Date: 10/25/2016 at 10:59:33AM
HOPE SCHOOL DISTRICT
2016 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) =
$25,238.16
$18,653.96
$29,416.59
$9,304.62
$0.00
$0.00
$0.00
$82,613.33
83.89%
ADM 2,492
$36,633.67
$119,247.00
Page 121 of 271
Report Date: 10/25/2016 at 10:59:33AM
HORATIO SCHOOL DISTRICT
2016 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) =
$1,711.56
$6,954.60
$33,747.66
$0.00
$0.00
$0.00
$4,804.12
$47,217.94
80.25%
ADM 840
$31,205.22
$78,423.16
Page 122 of 271
Report Date: 10/25/2016 at 10:59:33AM
HOT SPRINGS SCHOOL DISTRICT
2016 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) =
$47,272.70
$69,606.50
$92,342.48
$0.00
$0.00
$0.00
$26,098.64
$235,320.32
73.14%
ADM 3,642
$135,396.00
$370,716.32
Page 123 of 271
Report Date: 10/25/2016 at 10:59:33AM
HOXIE SCHOOL DISTRICT
2016 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) =
$24,242.52
$44,802.71
$21,833.32
$37,561.53
$0.00
$0.00
$0.00
$128,440.08
65.14%
ADM 826
$23,442.37
$151,882.45
Page 124 of 271
Report Date: 10/25/2016 at 10:59:33AM
HUNTSVILLE SCHOOL DISTRICT
2016 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) =
$10,096.64
$5,005.96
$5,195.15
$0.00
$0.00
$0.00
$13,365.26
$33,663.01
79.14%
ADM 2,286
$62,503.65
$96,166.66
Page 125 of 271
Report Date: 10/25/2016 at 10:59:33AM
IMBODEN CHARTER SCHOOL DIST
2016 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
$2,403.24
$6,630.36
$0.00
$0.00
$0.00
$0.00
$9,033.60
59.49%
ADM 44
$0.00
$9,033.60
Page 126 of 271
Report Date: 10/25/2016 at 10:59:33AM
IZARD CO. CONS. SCHOOL DISTRICT
2016 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) =
$12,298.36
$2,437.12
$23,819.86
$0.00
$0.00
$0.00
$0.00
$38,555.34
73.13%
ADM 488
$27,112.02
$65,667.36
Page 127 of 271
Report Date: 10/25/2016 at 10:59:33AM
JACKSON CO. SCHOOL DISTRICT
2016 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) =
$14,252.28
$15,516.96
$0.00
$0.00
$0.00
$0.00
$0.00
$29,769.24
88.88%
ADM 875
$10,716.24
$40,485.48
Page 128 of 271
Report Date: 10/25/2016 at 10:59:33AM
JACKSONVILLE LIGHT HOUSE CHARTER SCHOOL
2016 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
$4,611.84
$174.08
$0.00
$0.00
$0.00
$0.00
$4,785.92
70.62%
ADM 1,004
$36,099.58
$40,885.50
Page 129 of 271
Report Date: 10/25/2016 at 10:59:33AM
JASPER SCHOOL DISTRICT
2016 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) =
$9,248.68
$12,444.68
$19,984.18
$994.50
$0.00
$0.00
$4,767.02
$47,439.06
72.82%
ADM 859
$70,690.67
$118,129.73
Page 130 of 271
Report Date: 10/25/2016 at 10:59:33AM
JESSIEVILLE SCHOOL DISTRICT
2016 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) =
$16,640.60
$51,537.28
$32,887.60
$0.00
$0.00
$300.30
$2,282.72
$103,648.50
73.14%
ADM 898
$20,466.32
$124,114.82
Page 131 of 271
Report Date: 10/25/2016 at 10:59:33AM
JONESBORO SCHOOL DISTRICT
2016 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) =
$122,447.62
$225,143.92
$136,897.04
$0.00
$0.00
$0.00
$25,895.32
$510,383.90
61.67%
ADM 5,918
$166,041.54
$676,425.44
Page 132 of 271
Report Date: 10/25/2016 at 10:59:33AM
JUNCTION CITY SCHOOL DISTRICT
2016 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
$11,791.86
$8,595.20
$0.00
$0.00
$0.00
$2,021.72
$22,408.78
63.45%
ADM 660
$23,368.29
$45,777.07
Page 133 of 271
Report Date: 10/25/2016 at 10:59:33AM
KIPP: DELTA COLLEGE PREP SCHOOL
2016 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) =
$23.76
$32,851.20
$17,255.02
$0.00
$0.00
$0.00
$17,537.84
$67,667.82
83.32%
ADM 1,411
$10,951.65
$78,619.47
Page 134 of 271
Report Date: 10/25/2016 at 10:59:33AM
KIRBY SCHOOL DISTRICT
2016 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) =
$0.00
$2,915.84
$4,336.16
$0.00
$0.00
$0.00
$1,427.26
$8,679.26
65.55%
ADM 329
$11,612.73
$20,291.99
Page 135 of 271
Report Date: 10/25/2016 at 10:59:33AM
LAFAYETTE COUNTY SCHOOL DISTRICT
2016 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) =
$0.00
$1,781.16
$493.60
$0.00
$0.00
$0.00
$2,668.38
$4,943.14
100.00%
ADM 628
$19,379.71
$24,322.85
Page 136 of 271
Report Date: 10/25/2016 at 10:59:33AM
LAKE HAMILTON SCHOOL DISTRICT
2016 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) =
$29,612.34
$102,805.12
$102,281.76
$293.30
$0.00
$236.78
$18,240.14
$253,469.44
73.14%
ADM 4,378
$128,760.94
$382,230.38
Page 137 of 271
Report Date: 10/25/2016 at 10:59:33AM
LAKESIDE SCHOOL DISTRICT (CHICOT)
2016 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) =
$2,062.08
$10,484.20
$8,175.42
$0.00
$0.00
$0.00
$4,596.00
$25,317.70
100.00%
ADM 1,060
$16,723.83
$42,041.53
Page 138 of 271
Report Date: 10/25/2016 at 10:59:33AM
LAKESIDE SCHOOL DISTRICT (GARLAND)
2016 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) =
$54,281.84
$50,435.26
$99,346.28
$0.00
$0.00
$0.00
$0.00
$204,063.38
73.14%
ADM 3,391
$123,594.62
$327,658.00
Page 139 of 271
Report Date: 10/25/2016 at 10:59:33AM
LAMAR SCHOOL DISTRICT
2016 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) =
$24,415.64
$22,157.12
$96,466.44
$3,044.40
$0.00
$0.00
$7,352.30
$153,435.90
72.09%
ADM 1,255
$55,703.92
$209,139.82
Page 140 of 271
Report Date: 10/25/2016 at 10:59:33AM
LAVACA SCHOOL DISTRICT
2016 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) =
$12,070.92
$37,632.80
$68,986.88
$1,923.21
$0.00
$0.00
$2,467.14
$123,080.95
68.52%
ADM 838
$31,957.10
$155,038.05
Page 141 of 271
Report Date: 10/25/2016 at 10:59:33AM
LAWRENCE COUNTY
2016 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) =
$65,088.24
$33,392.96
$9,409.80
$0.00
$0.00
$0.00
$7,030.52
$114,921.52
65.14%
ADM 970
$17,251.72
$132,173.24
Page 142 of 271
Report Date: 10/25/2016 at 10:59:33AM
LEAD HILL SCHOOL DISTRICT
2016 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) =
$3,634.80
$10,104.40
$478.84
$0.00
$0.00
$0.00
$2,312.94
$16,530.98
61.70%
ADM 369
$17,488.07
$34,019.05
Page 143 of 271
Report Date: 10/25/2016 at 10:59:33AM
LEE COUNTY SCHOOL DISTRICT
2016 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) =
$20,235.56
$147.92
$0.00
$0.00
$0.00
$0.00
$0.00
$20,383.48
100.00%
ADM 781
$20,535.02
$40,918.50
Page 144 of 271
Report Date: 10/25/2016 at 10:59:33AM
Lighthouse Academies of Central Arkansas
2016 School-Based Medicaid Profile
6056
Physical Therapy
Occupational 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
70.62%
ADM 297
$4,303.31
$4,303.31
Page 145 of 271
Report Date: 10/25/2016 at 10:59:33AM
LINCOLN SCHOOL DISTRICT
2016 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) =
$9,677.39
$6,921.30
$21,814.88
$0.00
$0.00
$0.00
$2,242.54
$40,656.11
53.99%
ADM 1,203
$31,165.39
$71,821.50
Page 146 of 271
Report Date: 10/25/2016 at 10:59:33AM
LISA ACADEMY CHARTER SCHOOL
2016 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) =
$1,827.04
$7,307.36
$40,804.39
$0.00
$0.00
$0.00
$0.00
$49,938.79
70.62%
ADM 1,525
$44,828.57
$94,767.36
Page 147 of 271
Report Date: 10/25/2016 at 10:59:33AM
LITTLE ROCK PREPARATORY ACADEMY CHARTER SCHOOL
2016 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
$3,462.88
$9,485.28
$0.00
$0.00
$0.00
$0.00
$12,948.16
70.62%
ADM 430
$28,739.43
$41,687.59
Page 148 of 271
Report Date: 10/25/2016 at 10:59:33AM
LITTLE ROCK SCHOOL DISTRICT
2016 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) =
$23,126.20
$97,255.48
$244,490.72
$3,569.08
$0.00
$0.00
$80,918.96
$449,360.44
70.62%
ADM 23,164
$760,487.76
$1,209,848.20
Page 149 of 271
Report Date: 10/25/2016 at 10:59:33AM
LONOKE SCHOOL DISTRICT
2016 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) =
$37,282.72
$42,692.72
$67,962.88
$0.00
$0.00
$0.00
$52.20
$147,990.52
46.56%
ADM 1,748
$38,404.48
$186,395.00
Page 150 of 271
Report Date: 10/25/2016 at 10:59:33AM
MAGAZINE SCHOOL DISTRICT
2016 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) =
$18,038.66
$12,740.80
$32,998.08
$0.00
$0.00
$0.00
$3,854.56
$67,632.10
76.24%
ADM 546
$31,580.21
$99,212.31
Page 151 of 271
Report Date: 10/25/2016 at 10:59:33AM
MAGNET COVE SCHOOL DISTRICT
2016 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) =
$16,919.36
$16,825.80
$11,006.50
$1,256.49
$0.00
$0.00
$2,131.96
$48,140.11
65.09%
ADM 679
$21,844.32
$69,984.43
Page 152 of 271
Report Date: 10/25/2016 at 10:59:33AM
MAGNOLIA SCHOOL DISTRICT
2016 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) =
$13,482.88
$31,699.84
$35,656.99
$0.00
$0.00
$0.00
$0.00
$80,839.71
61.19%
ADM 2,871
$61,014.37
$141,854.08
Page 153 of 271
Report Date: 10/25/2016 at 10:59:33AM
MALVERN SCHOOL DISTRICT
2016 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) =
$63,345.47
$144,862.78
$255,849.30
$18,485.81
$0.00
$0.00
$14,620.12
$497,163.48
65.09%
ADM 2,025
$82,917.68
$580,081.16
Page 154 of 271
Report Date: 10/25/2016 at 10:59:33AM
MAMMOTH SPRING SCHOOL DISTRICT
2016 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) =
$15,939.24
$33,380.64
$0.00
$0.00
$0.00
$0.00
$0.00
$49,319.88
78.74%
ADM 449
$15,833.18
$65,153.06
Page 155 of 271
Report Date: 10/25/2016 at 10:59:33AM
MANILA SCHOOL DISTRICT
2016 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) =
$2,985.76
$5,885.12
$6,603.96
$0.00
$0.00
$0.00
$4,793.48
$20,268.32
82.61%
ADM 1,063
$41,004.52
$61,272.84
Page 156 of 271
Report Date: 10/25/2016 at 10:59:33AM
MANSFIELD SCHOOL DISTRICT
2016 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) =
$0.00
$15,892.48
$13,983.84
$0.00
$0.00
$0.00
$3,025.54
$32,901.86
68.52%
ADM 831
$34,344.55
$67,246.41
Page 157 of 271
Report Date: 10/25/2016 at 10:59:33AM
MARION SCHOOL DISTRICT
2016 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) =
$38,698.56
$25,752.56
$34,286.22
$4,246.22
$0.00
$0.00
$14,867.40
$117,850.96
73.46%
ADM 1,804
$191,207.55
$309,058.51
Page 158 of 271
Report Date: 10/25/2016 at 10:59:33AM
MARKED TREE SCHOOL DISTRICT
2016 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) =
$6,953.48
$12,320.00
$72,260.78
$0.00
$0.00
$0.00
$3,896.80
$95,431.06
78.81%
ADM 564
$33,527.52
$128,958.58
Page 159 of 271
Report Date: 10/25/2016 at 10:59:33AM
MARMADUKE SCHOOL DISTRICT
2016 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) =
$59,592.34
$40,314.92
$190.08
$15,962.20
$0.00
$0.00
$3,234.34
$119,293.88
68.19%
ADM 744
$10,809.50
$130,103.38
Page 160 of 271
Report Date: 10/25/2016 at 10:59:33AM
MARVELL SCHOOL DISTRICT
2016 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) =
$14,695.76
$10,268.56
$27,261.84
$0.00
$0.00
$0.00
$0.00
$52,226.16
83.32%
ADM 361
$19,730.05
$71,956.21
Page 161 of 271
Report Date: 10/25/2016 at 10:59:33AM
MAYFLOWER SCHOOL DISTRICT
2016 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) =
$12,937.83
$34,711.60
$30,884.48
$0.00
$0.00
$0.00
$0.00
$78,533.91
52.11%
ADM 1,090
$50,833.74
$129,367.65
Page 162 of 271
Report Date: 10/25/2016 at 10:59:33AM
MAYNARD SCHOOL DISTRICT
2016 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
$8,280.64
$7,625.80
$0.00
$0.00
$0.00
$3,172.18
$19,078.62
85.15%
ADM 444
$25,233.93
$44,312.55
Page 163 of 271
Report Date: 10/25/2016 at 10:59:33AM
MCCRORY SCHOOL DISTRICT
2016 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
$45,509.76
$62,984.32
$0.00
$0.00
$0.00
$0.00
$108,494.08
81.63%
ADM 603
$16,319.96
$124,814.04
Page 164 of 271
Report Date: 10/25/2016 at 10:59:33AM
MCGEHEE SCHOOL DISTRICT
2016 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) =
$5,456.24
$18,146.70
$6,343.04
$0.00
$0.00
$0.00
$5,495.08
$35,441.06
72.62%
ADM 1,167
$19,044.00
$54,485.06
Page 165 of 271
Report Date: 10/25/2016 at 10:59:33AM
MELBOURNE SCHOOL DISTRICT
2016 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) =
$3,161.12
$6,294.76
$12,616.78
$0.00
$0.00
$0.00
$3,445.20
$25,517.86
73.13%
ADM 871
$22,775.09
$48,292.95
Page 166 of 271
Report Date: 10/25/2016 at 10:59:33AM
MENA SCHOOL DISTRICT
2016 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) =
$29,345.27
$40,583.36
$57,417.32
$0.00
$0.00
$0.00
$8,923.46
$136,269.41
69.56%
ADM 1,763
$20,288.29
$156,557.70
Page 167 of 271
Report Date: 10/25/2016 at 10:59:33AM
MIDLAND SCHOOL DISTRICT
2016 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
$50,850.63
$54,901.52
$0.00
$0.00
$0.00
$2,830.82
$108,582.97
67.57%
ADM 517
$14,502.92
$123,085.89
Page 168 of 271
Report Date: 10/25/2016 at 10:59:33AM
MINERAL SPRINGS SCHOOL DISTRICT
2016 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) =
$4,789.84
$5,241.12
$11,300.12
$0.00
$0.00
$0.00
$0.00
$21,331.08
62.86%
ADM 411
$18,169.39
$39,500.47
Page 169 of 271
Report Date: 10/25/2016 at 10:59:33AM
MONTICELLO SCHOOL DISTRICT
2016 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) =
$10,218.78
$21,663.58
$24,863.04
$26,027.80
$0.00
$0.00
$7,996.22
$90,769.42
65.89%
ADM 2,059
$89,238.96
$180,008.38
Page 170 of 271
Report Date: 10/25/2016 at 10:59:33AM
MOUNT IDA SCHOOL DISTRICT
2016 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) =
$9,087.36
$8,191.66
$16,134.46
$0.00
$0.00
$0.00
$2,699.98
$36,113.46
91.13%
ADM 474
$33,303.01
$69,416.47
Page 171 of 271
Report Date: 10/25/2016 at 10:59:33AM
MOUNTAIN HOME SCHOOL DISTRICT
2016 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) =
$96,363.48
$117,426.56
$100,224.56
$0.00
$0.00
$0.00
$14,161.66
$328,176.26
68.31%
ADM 3,919
$110,272.58
$438,448.84
Page 172 of 271
Report Date: 10/25/2016 at 10:59:33AM
MOUNTAIN PINE SCHOOL DISTRICT
2016 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) =
$10,638.64
$36,965.76
$101,504.72
$0.00
$0.00
$0.00
$0.00
$149,109.12
73.14%
ADM 513
$15,579.37
$164,688.49
Page 173 of 271
Report Date: 10/25/2016 at 10:59:33AM
MOUNTAIN VIEW SCHOOL DISTRICT
2016 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) =
$15,358.68
$105,005.21
$24,750.84
$0.00
$0.00
$0.00
$10,636.08
$155,750.81
82.28%
ADM 1,660
$69,714.90
$225,465.71
Page 174 of 271
Report Date: 10/25/2016 at 10:59:33AM
MOUNTAINBURG SCHOOL DISTRICT
2016 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) =
$0.00
$0.00
$725.52
$0.00
$0.00
$0.00
$0.00
$725.52
62.09%
ADM 666
$26,362.04
$27,087.56
Page 175 of 271
Report Date: 10/25/2016 at 10:59:33AM
MT. VERNON/ENOLA SCHOOL DISTRICT
2016 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) =
$6,369.32
$16,381.44
$11,740.48
$737.44
$0.00
$0.00
$704.70
$35,933.38
52.11%
ADM 512
$17,492.09
$53,425.47
Page 176 of 271
Report Date: 10/25/2016 at 10:59:33AM
MULBERRY SCHOOL DISTRICT
2016 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) =
$1,996.32
$19,847.24
$0.00
$0.00
$0.00
$0.00
$0.00
$21,843.56
62.09%
ADM 359
$10,695.66
$32,539.22
Page 177 of 271
Report Date: 10/25/2016 at 10:59:33AM
N. LITTLE ROCK SCHOOL DISTRICT
2016 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) =
$69,722.73
$96,646.44
$165,345.22
$6,049.12
$0.00
$330.18
$29,338.14
$367,431.83
70.62%
ADM 8,413
$251,824.27
$619,256.10
Page 178 of 271
Report Date: 10/25/2016 at 10:59:33AM
NASHVILLE SCHOOL DISTRICT
2016 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) =
$28,666.28
$16,530.68
$18,949.90
$0.00
$0.00
$0.00
$9,375.74
$73,522.60
62.86%
ADM 1,909
$51,800.88
$125,323.48
Page 179 of 271
Report Date: 10/25/2016 at 10:59:33AM
NEMO VISTA SCHOOL DISTRICT
2016 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) =
$2,196.54
$18,611.52
$48,985.96
$0.00
$0.00
$0.00
$809.10
$70,603.12
71.70%
ADM 423
$18,215.97
$88,819.09
Page 180 of 271
Report Date: 10/25/2016 at 10:59:33AM
NETTLETON SCHOOL DISTRICT
2016 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) =
$62,148.20
$138,103.79
$126,941.88
$0.00
$0.00
$0.00
$12,176.00
$339,369.87
61.67%
ADM 3,306
$115,496.17
$454,866.04
Page 181 of 271
Report Date: 10/25/2016 at 10:59:33AM
NEVADA SCHOOL DISTRICT
2016 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) =
$7,650.68
$7,508.18
$2,009.00
$0.00
$0.00
$0.00
$1,459.54
$18,627.40
74.14%
ADM 418
$15,059.32
$33,686.72
Page 182 of 271
Report Date: 10/25/2016 at 10:59:33AM
NEWPORT SCHOOL DISTRICT
2016 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) =
$44,698.20
$84,273.76
$92,806.18
$0.00
$0.00
$0.00
$7,150.72
$228,928.86
88.88%
ADM 1,208
$121,239.42
$350,168.28
Page 183 of 271
Report Date: 10/25/2016 at 10:59:33AM
NORFORK SCHOOL DISTRICT
2016 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) =
$11,989.24
$17,352.36
$5,997.68
$8,163.80
$0.00
$0.00
$0.00
$43,503.08
68.31%
ADM 426
$15,299.18
$58,802.26
Page 184 of 271
Report Date: 10/25/2016 at 10:59:33AM
NORTH CENTRAL ARKANSAS EDUCATION SERVICE CENTER
2016 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) =
$9,730.96
$13,415.20
$28,616.00
$0.00
$0.00
$0.00
$0.00
$51,762.16
67.10%
ADM 377
$26,784.67
$78,546.83
Page 185 of 271
Report Date: 10/25/2016 at 10:59:33AM
NORTHEAST ARKANSAS EDUCATION SERVICE CENTER
2016 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
$19,291.36
-$768.54
$0.00
$0.00
$0.00
$0.00
$18,522.82
68.37%
ADM 194
$16,385.55
$34,908.37
Page 186 of 271
Report Date: 10/25/2016 at 10:59:33AM
NorthWest Arkansas Classical Academy
2016 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
48.78%
ADM 551
$0.00
$0.00
Page 187 of 271
Report Date: 10/25/2016 at 10:59:33AM
NORTHWEST ARKANSAS EDUCATION SERVICE CENTER
2016 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) =
$2,480.33
$17,088.84
$104,182.40
$0.00
$0.00
$0.00
$0.00
$123,751.57
49.11%
ADM 427
$10,369.08
$134,120.65
Page 188 of 271
Report Date: 10/25/2016 at 10:59:33AM
OMAHA SCHOOL DISTRICT
2016 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) =
$3,459.68
$10,717.60
$373.76
$0.00
$0.00
$0.00
$2,266.58
$16,817.62
61.70%
ADM 403
$17,994.12
$34,811.74
Page 189 of 271
Report Date: 10/25/2016 at 10:59:33AM
OSCEOLA SCHOOL DISTRICT
2016 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) =
$16,534.84
$98.88
$67,775.66
$0.00
$0.00
$0.00
$0.00
$84,409.38
82.61%
ADM 1,236
$35,068.67
$119,478.05
Page 190 of 271
Report Date: 10/25/2016 at 10:59:33AM
OUACHITA RIVER SCHOOL DISTRICT
2016 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
$174.08
$10,272.80
$0.00
$0.00
$0.00
$3,476.80
$13,923.68
69.56%
ADM 718
$31,653.91
$45,577.59
Page 191 of 271
Report Date: 10/25/2016 at 10:59:33AM
OUACHITA SCHOOL DISTRICT
2016 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) =
$197.76
$4,158.08
$6,458.90
$0.00
$0.00
$0.00
$0.00
$10,814.74
65.09%
ADM 513
$21,523.38
$32,338.12
Page 192 of 271
Report Date: 10/25/2016 at 10:59:33AM
Ozark Montessori Academy
2016 School-Based Medicaid Profile
7241
Physical Therapy
Occupational 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
53.99%
ADM 136
$0.00
$0.00
Page 193 of 271
Report Date: 10/25/2016 at 10:59:33AM
OZARK MOUNTAIN SCHOOL DISTRICT (SEARCY)
2016 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) =
$31,060.24
$51,972.52
$10,602.06
$39,614.22
$0.00
$0.00
$4,990.94
$138,239.98
59.12%
ADM 665
$29,006.43
$167,246.41
Page 194 of 271
Report Date: 10/25/2016 at 10:59:33AM
OZARK SCHOOL DISTRICT (FRANKLIN)
2016 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) =
$6,846.56
$97,998.02
$42,242.98
$0.00
$0.00
$0.00
$0.00
$147,087.56
59.48%
ADM 1,832
$47,520.19
$194,607.75
Page 195 of 271
Report Date: 10/25/2016 at 10:59:33AM
OZARK UNLIMITED RESOURCES CO-OP
2016 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
$28,097.20
$0.00
$0.00
$0.00
$0.00
$28,097.20
69.50%
ADM 211
$26,141.22
$54,238.42
Page 196 of 271
Report Date: 10/25/2016 at 10:59:33AM
PALESTINE-WHEATLEY SCH. DISTRICT
2016 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) =
$6,967.52
$18,654.96
$1,566.72
$0.00
$0.00
$0.00
$0.00
$27,189.20
100.00%
ADM 768
$25,373.62
$52,562.82
Page 197 of 271
Report Date: 10/25/2016 at 10:59:33AM
PANGBURN SCHOOL DISTRICT
2016 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
$1,635.64
$64,997.80
$0.00
$0.00
$0.00
$1,023.74
$67,657.18
64.23%
ADM 733
$47,343.07
$115,000.25
Page 198 of 271
Report Date: 10/25/2016 at 10:59:33AM
PARAGOULD SCHOOL DISTRICT
2016 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) =
$99,712.40
$99,019.32
$29,231.40
$0.00
$0.00
$219.04
$35,845.28
$264,027.44
68.19%
ADM 3,057
$83,228.01
$347,255.45
Page 199 of 271
Report Date: 10/25/2016 at 10:59:33AM
PARIS SCHOOL DISTRICT
2016 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) =
$16,007.36
$57,884.36
$52,046.16
$14,673.21
$0.00
$214.80
$3,635.78
$144,461.67
76.24%
ADM 1,098
$40,292.22
$184,753.89
Page 200 of 271
Report Date: 10/25/2016 at 10:59:33AM
PARKERS CHAPEL SCHOOL DISTRICT
2016 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) =
$9,934.44
$14,095.71
$27,722.24
$0.00
$0.00
$0.00
$0.00
$51,752.39
63.45%
ADM 787
$26,018.75
$77,771.14
Page 201 of 271
Report Date: 10/25/2016 at 10:59:33AM
PEA RIDGE SCHOOL DISTRICT
2016 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) =
$26,599.72
$41,968.76
$12,424.50
$0.00
$0.00
$0.00
$3,768.36
$84,761.34
48.78%
ADM 1,930
$50,644.80
$135,406.14
Page 202 of 271
Report Date: 10/25/2016 at 10:59:33AM
PERRYVILLE SCHOOL DISTRICT
2016 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) =
$9,149.84
$30,116.54
$27,593.44
$0.00
$0.00
$0.00
$4,848.42
$71,708.24
64.54%
ADM 952
$17,321.77
$89,030.01
Page 203 of 271
Report Date: 10/25/2016 at 10:59:33AM
PIGGOTT SCHOOL DISTRICT
2016 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) =
$53,869.08
$20,455.22
$0.00
$703.92
$0.00
$0.00
$144.58
$75,172.80
67.79%
ADM 909
$29,331.36
$104,504.16
Page 204 of 271
Report Date: 10/25/2016 at 10:59:33AM
PINE BLUFF SCHOOL DISTRICT
2016 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) =
$3,512.86
$4,917.76
$11,387.10
$0.00
$0.00
$0.00
$18,831.48
$38,649.20
80.80%
ADM 4,016
$108,654.60
$147,303.80
Page 205 of 271
Report Date: 10/25/2016 at 10:59:33AM
PineBluff Lighthouse Charter School
2016 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
$0.00
$348.16
$0.00
$0.00
$0.00
$0.00
$348.16
80.80%
ADM 343
$17,510.82
$17,858.98
Page 206 of 271
Report Date: 10/25/2016 at 10:59:33AM
POCAHONTAS SCHOOL DISTRICT
2016 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) =
$46,040.40
$77,511.34
$34,784.74
$1,575.44
$0.00
$0.00
$0.00
$159,911.92
85.15%
ADM 1,911
$77,535.55
$237,447.47
Page 207 of 271
Report Date: 10/25/2016 at 10:59:33AM
POTTSVILLE SCHOOL DISTRICT
2016 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) =
$65,729.21
$69,879.68
$103,907.40
$0.00
$0.00
$0.00
$5,519.12
$245,035.41
62.59%
ADM 1,699
$67,702.66
$312,738.07
Page 208 of 271
Report Date: 10/25/2016 at 10:59:33AM
POYEN SCHOOL DISTRICT
2016 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) =
$1,918.04
$19,921.92
$15,114.96
$0.00
$0.00
$0.00
$1,628.16
$38,583.08
33.22%
ADM 568
$11,190.64
$49,773.72
Page 209 of 271
Report Date: 10/25/2016 at 10:59:33AM
PRAIRIE GROVE SCHOOL DISTRICT
2016 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) =
$8,495.42
$7,366.76
$21,020.24
$0.00
$0.00
$0.00
$2,401.20
$39,283.62
53.99%
ADM 1,881
$60,388.16
$99,671.78
Page 210 of 271
Report Date: 10/25/2016 at 10:59:33AM
Premier High School of Little Rock
2016 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
70.62%
ADM 116
$0.00
$0.00
Page 211 of 271
Report Date: 10/25/2016 at 10:59:33AM
PRESCOTT SCHOOL DISTRICT
2016 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) =
$8,543.16
$15,594.20
$23,338.96
$0.00
$0.00
$0.00
$4,085.68
$51,562.00
74.14%
ADM 999
$37,078.88
$88,640.88
Page 212 of 271
Report Date: 10/25/2016 at 10:59:33AM
PULASKI CO. SPEC. SCHOOL DISTRICT
2016 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) =
$59,180.78
$96,761.92
$241,999.24
$0.00
$0.00
$2,949.36
$57,407.82
$458,299.12
70.62%
ADM 16,562
$464,409.39
$922,708.51
Page 213 of 271
Report Date: 10/25/2016 at 10:59:33AM
Quest Middle School of PineBluff
2016 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
80.80%
ADM 89
$0.00
$0.00
Page 214 of 271
Report Date: 10/25/2016 at 10:59:33AM
Quest Middle School West Little Rock
2016 School-Based Medicaid Profile
6054
Physical Therapy
Occupational 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
70.62%
ADM 231
$0.00
$0.00
Page 215 of 271
Report Date: 10/25/2016 at 10:59:33AM
QUITMAN SCHOOL DISTRICT
2016 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) =
$7,934.40
$42,526.72
$25,141.22
$0.00
$0.00
$0.00
$2,545.78
$78,148.12
71.45%
ADM 631
$20,694.46
$98,842.58
Page 216 of 271
Report Date: 10/25/2016 at 10:59:33AM
RECTOR SCHOOL DISTRICT
2016 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) =
$5,233.48
$4,797.72
$0.00
$346.50
$0.00
$0.00
$2,033.74
$12,411.44
67.79%
ADM 611
$5,779.32
$18,190.76
Page 217 of 271
Report Date: 10/25/2016 at 10:59:33AM
RIVERCREST
2016 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) =
$16,279.84
$24,069.64
$39,086.70
$0.00
$0.00
$0.00
$1,618.20
$81,054.38
82.61%
ADM 1,252
$35,955.65
$117,010.03
Page 218 of 271
Report Date: 10/25/2016 at 10:59:33AM
RIVERSIDE SCHOOL DISTRICT (CRAIGHEAD)
2016 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) =
$10,729.76
$10,229.28
$19,590.80
$953.86
$0.00
$0.00
$182.70
$41,686.40
61.67%
ADM 818
$17,530.32
$59,216.72
Page 219 of 271
Report Date: 10/25/2016 at 10:59:33AM
RIVERVIEW SCHOOL DISTRICT (WHITE)
2016 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) =
$3,888.12
$21,805.44
$33,434.86
$0.00
$0.00
$0.00
$4,256.36
$63,384.78
64.23%
ADM 1,345
$43,496.87
$106,881.65
Page 220 of 271
Report Date: 10/25/2016 at 10:59:33AM
Rockbridge Montessori
2016 School-Based Medicaid Profile
6057
Physical Therapy
Occupational 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
$197.76
$0.00
$0.00
$0.00
$0.00
$0.00
$197.76
70.62%
ADM 111
$0.00
$197.76
Page 221 of 271
Report Date: 10/25/2016 at 10:59:33AM
ROGERS SCHOOL DISTRICT
2016 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) =
$53,825.44
$17,747.28
$57,428.26
$7,193.85
$0.00
$0.00
$42,048.50
$178,243.33
48.78%
ADM 15,077
$224,544.71
$402,788.04
Page 222 of 271
Report Date: 10/25/2016 at 10:59:33AM
ROSE BUD SCHOOL DISTRICT
2016 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) =
$20,645.24
$65,729.20
$61,467.86
$6,440.96
$0.00
$0.00
$1,112.32
$155,395.58
64.23%
ADM 837
$21,756.88
$177,152.46
Page 223 of 271
Report Date: 10/25/2016 at 10:59:33AM
RUSSELLVILLE SCHOOL DISTRICT
2016 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) =
$122,739.04
$175,846.72
$52,759.70
$10,047.63
$0.00
$0.00
$18,801.98
$380,195.07
62.59%
ADM 5,240
$134,095.37
$514,290.44
Page 224 of 271
Report Date: 10/25/2016 at 10:59:33AM
SALEM SCHOOL DISTRICT
2016 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) =
$6,177.00
$19,906.40
$4,330.24
$0.00
$0.00
$0.00
$0.00
$30,413.64
78.74%
ADM 793
$15,276.20
$45,689.84
Page 225 of 271
Report Date: 10/25/2016 at 10:59:33AM
SCRANTON SCHOOL DISTRICT
2016 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) =
$2,674.08
$7,501.72
$2,297.68
$0.00
$0.00
$0.00
$1,879.20
$14,352.68
76.24%
ADM 409
$14,258.72
$28,611.40
Page 226 of 271
Report Date: 10/25/2016 at 10:59:33AM
SEARCY COUNTY SCHOOL DISTRICT
2016 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) =
$0.00
$42,023.68
$28,166.50
$0.00
$0.00
$0.00
$22,539.76
$92,729.94
59.12%
ADM 828
$19,931.66
$112,661.60
Page 227 of 271
Report Date: 10/25/2016 at 10:59:33AM
SEARCY SCHOOL DISTRICT
2016 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) =
$130,248.75
$318,764.81
$305,896.87
$0.00
$0.00
$0.00
$90.32
$755,000.75
64.23%
ADM 4,146
$38,948.21
$793,948.96
Page 228 of 271
Report Date: 10/25/2016 at 10:59:33AM
SHERIDAN SCHOOL DISTRICT
2016 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) =
$54,717.04
$100,403.34
$72,742.48
$0.00
$0.00
$0.00
$6,883.88
$234,746.74
33.22%
ADM 4,130
$67,965.82
$302,712.56
Page 229 of 271
Report Date: 10/25/2016 at 10:59:33AM
SHIRLEY SCHOOL DISTRICT
2016 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
$10,853.56
$98.92
$0.00
$0.00
$0.00
$1,676.24
$12,628.72
73.51%
ADM 383
$24,714.65
$37,343.37
Page 230 of 271
Report Date: 10/25/2016 at 10:59:33AM
SIATECH High School
2016 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
70.62%
ADM 166
$12,961.45
$12,961.45
Page 231 of 271
Report Date: 10/25/2016 at 10:59:33AM
SILOAM SPRINGS SCHOOL DISTRICT
2016 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) =
$111,662.54
$67,691.92
$111,727.68
$64,884.60
$0.00
$0.00
$22,864.64
$378,831.38
48.78%
ADM 4,139
$82,604.33
$461,435.71
Page 232 of 271
Report Date: 10/25/2016 at 10:59:33AM
SLOAN-HENDRIX SCHOOL DISTRICT
2016 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) =
$14,091.24
$9,030.60
$0.00
$0.00
$0.00
$0.00
$5,631.08
$28,752.92
65.14%
ADM 718
$10,274.79
$39,027.71
Page 233 of 271
Report Date: 10/25/2016 at 10:59:33AM
SMACKOVER-NORPHLET SCHOOL DISTRICT
2016 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) =
$12,994.96
$34,765.26
$22,807.20
$0.00
$0.00
$0.00
$5,942.90
$76,510.32
63.45%
ADM 1,160
$60,586.85
$137,097.17
Page 234 of 271
Report Date: 10/25/2016 at 10:59:33AM
SO. CONWAY CO. SCHOOL DISTRICT
2016 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) =
$65,621.12
$168,698.18
$256,897.20
$12,799.07
$0.00
$0.00
$4,683.58
$508,699.15
71.70%
ADM 2,205
$72,322.61
$581,021.76
Page 235 of 271
Report Date: 10/25/2016 at 10:59:33AM
SOUTH CENTRAL SERVICE CO-OP
2016 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) =
$8,507.48
$18,994.04
$48,708.61
$0.00
$0.00
$0.00
$0.00
$76,210.13
63.87%
ADM 258
$34,895.16
$111,105.29
Page 236 of 271
Report Date: 10/25/2016 at 10:59:33AM
SOUTH PIKE COUNTY SCHOOL DISTRICT
2016 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) =
$16,414.72
$19,685.30
$9,450.92
$0.00
$0.00
$0.00
$3,760.12
$49,311.06
65.55%
ADM 705
$34,540.48
$83,851.54
Page 237 of 271
Report Date: 10/25/2016 at 10:59:33AM
SOUTH SIDE SCHOOL DISTRICT (VANBUREN)
2016 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) =
$10,428.96
$27,132.08
$4,852.64
$0.00
$0.00
$0.00
$977.72
$43,391.40
73.51%
ADM 491
$38,416.46
$81,807.86
Page 238 of 271
Report Date: 10/25/2016 at 10:59:33AM
SOUTHEAST ARKANSAS EDUCATIONAL SERVICE CO-OP
2016 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) =
$6,681.60
$4,783.98
$86,798.80
$0.00
$0.00
$880.30
$0.00
$99,144.68
58.53%
ADM 660
$33,434.07
$132,578.75
Page 239 of 271
Report Date: 10/25/2016 at 10:59:33AM
SOUTHSIDE SCHOOL DISTRICT (INDEPENDENCE)
2016 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) =
$19,238.76
$61,355.64
$39,435.98
$0.00
$0.00
$0.00
$8,625.02
$128,655.40
67.57%
ADM 1,726
$77,654.00
$206,309.40
Page 240 of 271
Report Date: 10/25/2016 at 10:59:33AM
SOUTHWEST ARKANSAS EDUCATIONAL CO-OP
2016 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
$14,391.90
$0.00
$0.00
$0.00
$0.00
$14,391.90
75.70%
ADM 299
$30,711.58
$45,103.48
Page 241 of 271
Report Date: 10/25/2016 at 10:59:33AM
SPRING HILL SCHOOL DISTRICT
2016 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) =
$10,551.12
$11,974.84
$6,484.60
$0.00
$0.00
$0.00
$1,991.84
$31,002.40
83.89%
ADM 555
$13,530.65
$44,533.05
Page 242 of 271
Report Date: 10/25/2016 at 10:59:33AM
SPRINGDALE SCHOOL DISTRICT
2016 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) =
$6,943.84
$38,322.32
$77,891.48
$69,822.25
$0.00
$0.00
$81,227.20
$274,207.09
53.99%
ADM 21,260
$439,694.30
$713,901.39
Page 243 of 271
Report Date: 10/25/2016 at 10:59:33AM
STAR CITY SCHOOL DISTRICT
2016 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) =
$14,900.88
$34,154.06
$41,545.70
$18,672.58
$0.00
$0.00
$8,008.24
$117,281.46
79.99%
ADM 1,562
$63,915.58
$181,197.04
Page 244 of 271
Report Date: 10/25/2016 at 10:59:33AM
STRONG-HUTTIG SCHOOL DISTRICT
2016 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) =
$17,811.80
$36,724.58
$26,542.88
$0.00
$0.00
$0.00
$0.00
$81,079.26
63.45%
ADM 313
$15,858.51
$96,937.77
Page 245 of 271
Report Date: 10/25/2016 at 10:59:33AM
STUTTGART SCHOOL DISTRICT
2016 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
$46,124.30
$0.00
$0.00
$0.00
$4,346.68
$50,470.98
73.10%
ADM 1,634
$65,104.74
$115,575.72
Page 246 of 271
Report Date: 10/25/2016 at 10:59:33AM
TEXARKANA SCHOOL DISTRICT
2016 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) =
$13,703.40
$39,298.16
$22,437.66
$21,871.07
$0.00
$0.00
$12,171.88
$109,482.17
79.06%
ADM 4,270
$181,975.01
$291,457.18
Page 247 of 271
Report Date: 10/25/2016 at 10:59:33AM
TRUMANN SCHOOL DISTRICT
2016 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) =
$73,799.88
$65,108.28
$108,586.08
$0.00
$0.00
$0.00
$11,232.62
$258,726.86
78.81%
ADM 1,614
$63,807.61
$322,534.47
Page 248 of 271
Report Date: 10/25/2016 at 10:59:33AM
TWO RIVERS SCHOOL DISTRICT
2016 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) =
$28,756.20
$47,827.52
$95,296.32
$0.00
$0.00
$0.00
$4,426.70
$176,306.74
67.71%
ADM 815
$31,524.35
$207,831.09
Page 249 of 271
Report Date: 10/25/2016 at 10:59:33AM
VALLEY SPRINGS SCHOOL DISTRICT
2016 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) =
$16,425.92
$34,340.80
$24,406.44
$238.83
$0.00
$0.00
$5,599.14
$81,011.13
61.70%
ADM 893
$36,318.96
$117,330.09
Page 250 of 271
Report Date: 10/25/2016 at 10:59:33AM
VALLEY VIEW SCHOOL DISTRICT
2016 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) =
$55,282.96
$46,035.38
$58,037.32
$1,793.25
$0.00
$0.00
$11,467.86
$172,616.77
61.67%
ADM 2,709
$72,452.94
$245,069.71
Page 251 of 271
Report Date: 10/25/2016 at 10:59:33AM
VAN BUREN SCHOOL DISTRICT
2016 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) =
$46,466.48
$19,401.16
$202,285.57
$0.00
$0.00
$0.00
$16,524.74
$284,677.95
62.09%
ADM 5,818
$89,146.40
$373,824.35
Page 252 of 271
Report Date: 10/25/2016 at 10:59:33AM
VILONIA SCHOOL DISTRICT
2016 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) =
$29,569.76
$68,330.88
$126,477.80
$17,739.63
$0.00
$0.00
$9,439.62
$251,557.69
52.11%
ADM 3,230
$119,720.99
$371,278.68
Page 253 of 271
Report Date: 10/25/2016 at 10:59:33AM
VIOLA SCHOOL DISTRICT
2016 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) =
$2,945.04
$16,751.20
$3,665.48
$2,639.92
$0.00
$0.00
$1,433.44
$27,435.08
78.74%
ADM 410
$13,530.02
$40,965.10
Page 254 of 271
Report Date: 10/25/2016 at 10:59:33AM
WALDRON SCHOOL DISTRICT
2016 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) =
$18,675.00
$17,437.44
$41,869.73
$0.00
$0.00
$0.00
$17,597.24
$95,579.41
90.33%
ADM 1,450
$71,534.78
$167,114.19
Page 255 of 271
Report Date: 10/25/2016 at 10:59:33AM
WARREN SCHOOL DISTRICT
2016 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) =
$10,179.20
$28,333.20
$32,413.98
$56,897.52
$0.00
$0.00
$5,918.52
$133,742.42
75.09%
ADM 1,626
$45,261.42
$179,003.84
Page 256 of 271
Report Date: 10/25/2016 at 10:59:33AM
WATSON CHAPEL SCHOOL DISTRICT
2016 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) =
$4,864.32
$11,546.56
$39,664.46
$0.00
$0.00
$0.00
$5,458.68
$61,534.02
80.80%
ADM 2,605
$54,426.06
$115,960.08
Page 257 of 271
Report Date: 10/25/2016 at 10:59:33AM
WEST FORK SCHOOL DISTRICT
2016 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) =
$7,069.30
$9,473.78
$16,755.10
$0.00
$0.00
$0.00
$1,029.92
$34,328.10
53.99%
ADM 1,088
$27,127.17
$61,455.27
Page 258 of 271
Report Date: 10/25/2016 at 10:59:33AM
WEST MEMPHIS SCHOOL DISTRICT
2016 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) =
$27,935.78
$30,447.12
$67,656.14
$0.00
$0.00
$0.00
$15,299.08
$141,338.12
73.46%
ADM 5,621
$197,781.91
$339,120.03
Page 259 of 271
Report Date: 10/25/2016 at 10:59:33AM
WESTERN ARKANSAS CO-OP
2016 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
$0.00
$447.08
$0.00
$0.00
$0.00
$0.00
$447.08
64.32%
ADM 206
$25,010.98
$25,458.06
Page 260 of 271
Report Date: 10/25/2016 at 10:59:33AM
WESTERN YELL CO. SCHOOL DISTRICT
2016 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) =
$12,420.84
$23,029.32
$36,366.84
$0.00
$0.00
$0.00
$1,552.26
$73,369.26
67.71%
ADM 392
$11,552.65
$84,921.91
Page 261 of 271
Report Date: 10/25/2016 at 10:59:33AM
WESTSIDE CONS. SCHOOL DISTRICT
2016 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) =
$39,296.01
$60,972.47
$14,104.92
$976.50
$0.00
$0.00
$2,529.64
$117,879.54
61.67%
ADM 1,718
$31,918.34
$149,797.88
Page 262 of 271
Report Date: 10/25/2016 at 10:59:33AM
WESTSIDE SCHOOL DISTRICT (CLEBURNE)
2016 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) =
$3,288.56
$28,226.24
$38,326.58
$0.00
$0.00
$0.00
$1,312.90
$71,154.28
71.45%
ADM 461
$17,927.80
$89,082.08
Page 263 of 271
Report Date: 10/25/2016 at 10:59:33AM
WESTSIDE SCHOOL DISTRICT (JOHNSON)
2016 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) =
$5,205.12
$11,855.87
$11,271.68
$0.00
$0.00
$0.00
$3,602.48
$31,935.15
72.09%
ADM 665
$21,407.25
$53,342.40
Page 264 of 271
Report Date: 10/25/2016 at 10:59:33AM
WHITE CO. CENTRAL SCHOOL DISTRICT
2016 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
$0.00
$10,594.10
$0.00
$0.00
$0.00
$2,370.98
$12,965.08
64.23%
ADM 720
$26,990.82
$39,955.90
Page 265 of 271
Report Date: 10/25/2016 at 10:59:33AM
WHITE HALL SCHOOL DISTRICT
2016 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) =
$4,642.72
$65,682.96
$33,391.28
$0.00
$0.00
$0.00
$78.30
$103,795.26
80.80%
ADM 2,880
$127,197.63
$230,992.89
Page 266 of 271
Report Date: 10/25/2016 at 10:59:33AM
WILBUR D. MILLS EDUCATION SERVICE CO-OP
2016 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) =
$2,777.54
$12,057.84
$161,213.18
$0.00
$0.00
$0.00
$0.00
$176,048.56
53.10%
ADM 357
$30,719.96
$206,768.52
Page 267 of 271
Report Date: 10/25/2016 at 10:59:33AM
WONDERVIEW SCHOOL DISTRICT
2016 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) =
$4,755.52
$16,952.96
$41,721.76
$0.00
$0.00
$0.00
$2,339.04
$65,769.28
71.70%
ADM 424
$27,374.02
$93,143.30
Page 268 of 271
Report Date: 10/25/2016 at 10:59:33AM
WOODLAWN SCHOOL DISTRICT
2016 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
$356.80
$12,729.10
$0.00
$0.00
$0.00
$1,869.24
$14,955.14
57.67%
ADM 552
$19,455.53
$34,410.67
Page 269 of 271
Report Date: 10/25/2016 at 10:59:33AM
WYNNE SCHOOL DISTRICT
2016 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) =
$81,904.38
$130,921.04
$66,453.82
$14,062.26
$0.00
$0.00
$9,569.78
$302,911.28
62.61%
ADM 2,667
$53,158.44
$356,069.72
Page 270 of 271
Report Date: 10/25/2016 at 10:59:33AM
YELLVILLE-SUMMIT SCHOOL DISTRICT
2016 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) =
$4,059.20
-$478.96
$3,606.27
$1,958.83
$0.00
$0.00
$4,771.84
$13,917.18
98.16%
ADM 717
$31,284.31
$45,201.49
Page 271 of 271