Medicaid Billing Resources

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Medicaid is a jointly funded Federal-State health insurance program for persons with low income and/or disabilities. School Based Services allows reimbursement under the Medicaid program for services administered to students with special needs under the Individuals with Disabilities Education Act (IDEA) and is administered through Berrien RESA .

The School Based Services (SBS) program consists of two programs, Fee for Service and Administrative Outreach. The Fee for Service program allows Medicaid reimbursement for direct health-related services provided to individuals who are Medicaid eligible and who are receiving Special Education services. The following services are eligible for reimbursement:

  • Assistive Technology
  • Audiology Services
  • Case Management Services
  • IDEA Assessments
  • Nursing Services
  • Occupational Therapy
  • Orientation & Mobility Services
  • Physical Therapy
  • Social Worker Services
  • Special Transportation
  • Speech Therapy

The Administrative Outreach program allows school districts to obtain reimbursement for administrative costs of identifying and helping students who are considered "at-risk" for various health problems. A time-study occurs quarterly and is used to track the time spent on Outreach activities by school personnel.


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