Medicaid Information

School Based Services and Medicaid Reimbursement

What is Medicaid?

  • Medicaid is for low-income families and persons with disabilities, including children and has over 62 million enrollees, making it the largest healthcare program in the US.

  • Medicaid is jointly funded by State and Federal governments to pay for health care and long term care assistance.

  • Medicaid was created by an act of Congress in 1965.

What are Medicaid School Based Services?

  • Direct services allows partial reimbursement for directly provided medical services to special education students through age 21.

    • Evaluations and tests performed for assessments

      • Occupational Therapy Services

      • Orientation and Mobility Services

      • Assistive Technology Device Services

      • Physical Therapy Services

      • Speech, Language and Hearing Therapy Services

      • Developmental Testing Services

      • Personal Care Services

      • Targeted Case Management (TCM) Services

      • Specialized Transportation Services

    • Administrative Outreach Program assists families with accessing Medicaid services via referral, planning, monitoring, coordinating, etc.

Resources for Families and Students:
Medicaid Annual Notification Regarding Parental Consent

Medicaid Billing Timeline for Providers
2022-2023 School Year

Resources for Providers

Administrative Outreach Program Resources

Random Moment Time Study:
Random Moment Time Study (RMTS) At A Glance

Quality Assurance Plan Information

Other Resources