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OT Attendance and Medicaid: Clear Logs Without the Redundancy

Logging attendance shouldn’t take an hour — and Medicaid billing definitely shouldn’t require cross-referencing sticky notes, spreadsheets, and memory. Whether you're tracking service minutes for compliance or preparing documentation for reimbursement, Kit helps school-based OTs do it faster, cleaner, and with fewer duplicate steps.
By Lisa Kathman, M.S. CCC-SLP

Logging attendance shouldn’t take an hour — and Medicaid billing definitely shouldn’t require cross-referencing sticky notes, spreadsheets, and memory. Whether you’re tracking service minutes for compliance or preparing documentation for reimbursement, Kit helps school-based OTs do it faster, cleaner, and with fewer duplicate steps.

What Logging Attendance Usually Looks Like

If you’re like most OTs working in schools, tracking services might look like:

    • Jotting attendance on a post-it during the session
    • Manually adding service minutes into a spreadsheet
    • Digging through past notes when it’s time to log Medicaid
    • Wondering if you even have all the data you need

It’s not just time-consuming — it’s hard to stay consistent.

Kit Makes It Easy to Track Services

Kit’s Instruction and Attendance features let you:

    • Log student attendance with just a click
    • Mark absences with reasons like illness, provider absence, or holiday
    • Auto-calculate service minutes per student
    • Export a detailed attendance report with IEP time comparisons
    • Copy Medicaid billing info directly into your billing software or download a report

“I used to dread Medicaid billing days. Now I just export my report and I’m done in 10 minutes.” — Amanda, OT

What It Looks Like in Practice

With Kit, it’s simple to:

    • Click to mark who’s present or absent
    • Add notes or reasons for missed sessions
    • View attendance trends and total minutes delivered vs. required
    • Select the students you need and export reports in seconds

Why It Matters

Whether you bill Medicaid or not, attendance tracking is essential for:

    • Verifying that service minutes match IEPs
    • Planning make-up sessions when needed
    • Demonstrating service delivery during audits

If you do bill Medicaid, Kit saves you hours each month by letting you:

    • aotatay ahead of documentation — not behind it

How to Know What Needs to Be Made Up

Not every missed session requires a make-up — and Kit helps you track the type and reason for each absence so your team can make informed decisions. According to Devon Breithart, a school-based OT and expert in IDEA interpretation, the key issue is whether a missed service could result in denial of FAPE (Free Appropriate Public Education). It’s not just about the reason the session was missed — it’s about the impact.

👉 See The Dynamic OT Devon Breithart’s full article on missed related services

Want to Try It?

Kit for Teams is built by and for school-based providers — including OTs. Start your free 14-day trial (no credit card needed!) and see how simple it can be to track attendance, service time, and Medicaid logs all in one place.

👉 Start my free trial


More from This Series

This blog is part of our Kit Feature Deep Dive series for school-based OTs. Explore other posts in the series:

Lisa Kathman, M.S. CCC-SLP
Lisa Kathman is a veteran school-based SLP and the co-founder of SLP Toolkit, the parent company of Kit for Teams, and also co-founder of Bright Ideas Media, an inclusive, educator-led continuing education company. After two decades in the field — including serving as lead SLP in Arizona’s largest school district — Lisa is on a mission to simplify the day-to-day work of special education providers. She nerds out over data, documentation, and anything that helps special education teams feel more confident and less overwhelmed.

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