Medicaid School-Based Services

School-based services are health-related and rehabilitative services provided to children with disabilities who receive services under the Individuals with Disabilities Education Act (IDEA)

Services Provided by School Districts, and Charter Schools

School districts and charter schools that enroll as Medicaid providers can receive reimbursement for school-based services provided that:

  • The child is eligible for Medicaid
  • Each service is specifically identified on an Individualized Education Program (IEP)
  • Services are medically necessary for a child to benefit from their educational program
Important Notices
  • Parents/guardians are notified that the school district or charter school intends to bill Medicaid for the child’s services
  • Parents have the opportunity to sign a release form to have the school bill Medicaid directly for services rendered
  • If schools do not wish to receive Medicaid reimbursement, they are still required to provide those services mandated by the IDEA 
  • If a child loses Medicaid, the services that they receive through their IEP should not be affected 
Services and Training

Services that enrolled school districts or charter schools can receive reimbursement for include:

  • Evaluations 
  • Medical Equipment and Supplies 
  • Nursing Services
  • Speech/Audiological Therapy and Evaluation
  • Occupational Therapy and Evaluation
  • Physical Therapy and Evaluation
  • Community Based Rehabilitation Services
  • Transportation Services
  • Interpretive Services
  • Psychotherapy
  • Psychological Evaluation
  • Personal Care Services
  • Behavior Consultation
  • Behavior Intervention