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Go Solutions Group

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Go Solutions Group
File:Go Solutions Logo.png
ISIN🆔
IndustryMedicaid Billing
Founded 📆1994
Founder 👔
Headquarters 🏙️Lansing, MI
Area served 🗺️
Members
Number of employees
🌐 Websitehttp://www.gosolutions.net
📇 Address
📞 telephone

Go Solutions is a Michigan based company that works in partnership with schools across the United States by assisting in the recoupment of compliant Medicaid reimbursements. The company specializes in special education services tracking and school-based Medicaid reimbursement, both for Medicaid Administrative Claiming and Fee for Service (direct service) claiming. Since the company's establishment in 1994, they have worked with school districts in: Alabama, Arizona, Florida, Georgia, Illinois, Indiana, Michigan, Nebraska, Nevada, New Mexico, Ohio and Wisconsin. Go Solutions hosts web-based special education management and billing software programs.[1]

History of School-Based Medicaid[edit]

The Fee-For-Service (Direct Service) Program was created to offer to schools throughout the United States for reimbursement of costs associated with the services delivered to special education students. Federal law mandates that every disabled child in America receive a “free appropriate public education.” Decisions by the United States Supreme Court and subsequent changes in federal law made it clear that Medicaid must pay for services provided for all Medicaid eligible disabled children. The Centers for Medicare & Medicaid Services (CMS), is the federal agency within the United States Department of Health and Human Services (DHHS), that is responsible for the coordination of Medicare and Medicaid.

The Direct Service reimbursement program was established after IDEA was passed. The Individuals with Disabilities Education Act (IDEA) is a law ensuring services to children with disabilities throughout the nation. IDEA governs how states and public agencies provide early intervention, special education and related services to more than 6.5 million eligible infants, toddlers, children and youth with disabilities.

Infants and toddlers with disabilities (birth-2) and their families receive early intervention services under IDEA Part C. Children and youth (ages 3–21) receive special education and related services under IDEA Part B.

In addition to the Direct Service Program, Title XIX of the Social Security Act authorizes a proportion of expenditures necessary for the administration of the state plan. This is referred to as Medicaid Administrative Claiming.

Company[edit]


Go Solutions Group, Inc. (GSGI) began exclusively supporting School Districts in the pursuit and recovery of Medicaid reimbursements for School Based Health Services in 1994.[2] With exclusive focus on schools GSGI was able to develop programs and procedures that focused on the myriad of challenges schools faced (then and today) in translating school based services and terminology into the well-established Medicaid “Medical Model.” GSGI over time has evolved into a leading expert in this field. GSGI currently provides their contracted School Districts who participate in the Fee-For-Service program with a web-based solution GoClaim™. GoClaim™ provides flexibility in data reporting and allows for the customization of associated reports to meet the needs of its School District clients.[3] Apart from the FFS program, GSGI provides their contracted School Districts who participate in Administrative claiming with a web-based solution eMAC™. This program assists districts in recovering indirect and administrative costs.

References[edit]

  1. http://www.go-sgi.com/
  2. "Go Solutions Group, Inc.: Private Company Information - Businessweek". Investing.businessweek.com. Retrieved 2012-12-26.
  3. http://www.go-sgi.com/AboutUs.aspx

External links[edit]


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