Call for Presenters Instructions and Application

Call for Presenters ~ Instructions and Application

Due Date: April 30, 2014

NAME Advocates Program Integrity for School Based Medicaid Reimbursement

Call for Presenters

The NAME Annual Conference,a national forum for professionals working in education and/or health care and related fields, seeks to provideprofessional development with the latest information aboutresearch, experience and best practices in: Medicaid reimbursement to schools; quality assurance; and service delivery issues, among others. NAME selects presentations that contain some or all of the essential components of compliant Medicaid school based services programs.

We are seeking proposals from individuals, teams and panels to present breakout and/or nugget sessions for the September 16-19, 2014 Annual Conference in New YorkState:

Breakout sessions are 1.5 hours in length, allow for an in-depth presentation on a specific relevant topic and leave time for audience participation.
Nugget sessions are 30-40 minutes in length and are repeated two orthree consecutive times. Nugget sessions provide a focused overview of a specific topic. Conference participants are able to attend two or three different nugget sessions from those offered concurrently.

Audience

Professionals who work in fields related to Medicaid reimbursement to schools, such as special educators, health care providers, Medicaid policy specialists, education administrators, state and local government policymakers, Medicaid coordinators in school districts, Medicaid billing and consulting vendors, and others.

Recent Conferences Attendance

2009 – 195 2010 – 217 2011 – 257 2012 – 245 2013 – 270

2014 Conference Goals:

Share current information, news, research, successful systems and best practices with members and other interested individuals and organizations on the wide array of issues pertinent to Medicaid covered services delivered in public schools.
Provide a forum for professional development to enhance the capacity of school personnel, clinicians, administrators and others to comply with federal Medicaid and special education requirements.
Build relationships with attendees from federal agencies and other national organizations and agencies who are also interested in supporting school based health services programs.
Facilitate networking between Medicaid and special education professionals.
Promote membership in NAME and provide opportunities for members to become engaged and actively involved in the organization.

How to Submit a Presentation Proposal

This document contains the Application to Present.
SAVE this document to your computer and complete the entire 3 page application form.
E-mail your proposal by April 30, 2014as an attachment to: .
Keep a copy for your records.
Please see the Application to Present for details on the selection procedure and criteria, submission deadlines, presentation requirements and suggestions and a proposal checklist.

**Presenters must register and pay for the Conference and are responsible for their own travel expenses.

Application to Present

Due Date: April 30, 2014

E-mail completed form as an attachment to:

Lead Presenter Contact Information: The lead presenter is the person with whom the Education and Program Subcommittee will communicate and who is responsible to share communication with co-presenters. If your presentation is selected, THIS INDIVIDUAL WILL RECEIVE a $50 discount from the Conference Registration fee, unless you specify otherwise on the last page of this application.

Name
Title
Organization
Address
Phone Number
E-mail Address
Short bio of your professional career. Include education, degrees and positions held, including responsibilities in current position. Limit 200 words. This will appear in the official Conference Program.
Additional Session Presenter Information (cut and paste if more presenters, or attach additional pages if necessary):
Name
Title
Organization
Address
Phone Number
E-mail Address
Short bio of your professional career. Include education, degrees and positions held, including responsibilities in current position. Limit 200 words. This will appear in the official Conference Program.
Presentation Details
Suggested Title of Presentation
(less than 10 words) / This should as closely as possible inform attendees what the session is about and entice them to attend. Be creative. Hint: Use the Conference theme if possible.
Program Abstract - describe in detail the essence of your presentation (limit to 100 words) / Some, or all, of this will appear in the official Conference Program and may be edited for clarity and / or space.
Learning Outcomes – provide at least three course Objectives. These are to be included in your actual presentation as well. / Samples are provided here. Simply delete, and then enter your own.
Participants of this session will be able to:

Use at least three techniques to prepare for an audit of their program
Identify federal regulations related to Third Party Liability (TPL)
List at least two strategies for long-term success of a Medicaid School Based Services Program.

Which area(s) does your proposal address? Insert an “X” for each (it is acceptable to check more than one.) / ___ Medicaid Administrative Claiming
___ Medicaid Direct Billing for IEP Services
___ IDEA Funding or Regulations
___ Innovative Programs/Services for Children with Disabilities
___ Professional Development
___ Affordable Care Act
___ Other (please specify): ______
Type of session proposed / ___ Nugget: 30-40 minute session that is repeated, back-to-back two to three times concurrent with multiple other sessions.
___ We are / I am willing to repeat this Nugget in more than one time slot
___ Breakout Session: In-depth presentation on specific relevant topic. Provided concurrently with other breakout sessions and lasting 1.5 hours.
___ We are / I am willing to repeat this Breakout Session more than once.
Audio / Visual Needs / So we may set up the room correctly, please check all equipment that you will need/be using for your presentation:
___ Overhead projector ___ TV/DVD Player
___ Data (computer) projector ___ Microphone
___ Flip Charts / Markers ___ Internet Access
___ Other:
NOTE: Presenters of breakout sessions are required to bring their own laptop, and Nugget presenters, a laptop and projector

Proposal Agreement:

I / We agree that by submitting a proposal to conduct a presentation at the 2014 National Alliance for Medicaid in Education, Inc. (NAME) Annual Conference, each presenter will comply with the conditions below. Please check each statement to indicate you understand.

___ To attend the Conference (not just as a presenter), it is necessary to register and pay the registration fee.*

___ I / We are responsible for our own travel expenses.

___ Our presentation materials will be submitted according to the timelines established by NAME.

___ Presentation and handout materials will be placed on the NAME website.

___ This presentation will not include product, marketing and/or sales pitches or company logos.

___ Each member of our presentation team will sign a Speaker Declaration Form and disclose to Conference participants the existence of significant and /or financial relationship(s) with commercial company(ies) or entity(ies) whose products are discussed in our presentation.

Select only one of the lines below and fill in the person’s name, if applicable:

Each unique Nugget and Breakout presentation accepted will receive ONE $50 Conference registration discount.

___ As explained in the first section of this application, the lead member of our presentation team will receive this discount.

___ Instead of the lead presenter receiving the registration discount, we have designated another presentation member to receive the discount. Name:

Signature of Lead Presenter:

*Presenters must register and pay for the Conference and are responsible for their own travel expenses.

Proposal Checklist:

___ Deadline for submissions of proposals is April 30, 2014.

___ Double-check that you completed all information in the application and saved a copy for your records.

___ Submitted applications are evaluated and will be edited if necessary by the Conference Education and Program Subcommittee using the following Selection Criteria:

___ Presenter qualifications

___ Session supports the Conference goals

___ Appropriate for the NAME audience

___ Furthers the Mission of NAME

___ Is NOT a sales, marketing or promotional pitch.

___ Applicants will be notified of acceptance in May 2014.

___ Final presentation materials (i.e., PowerPoint, handouts) must be submitted electronically to NAME by August 15, 2014.

Submit this completed form by April 30, 2014 via e-mail attachment to:

Questions? Contact Education and Program Subcommittee Co-Chairs

Kelly Gicobbi: Lisa Newton:

518-486-7828734-334-1821