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 Services Program (SSP) 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 Services Program (SSP) generates Medicaid reimbursement for direct health-related services and Administrative Outreach Program services provided to individuals who are Medicaid eligible and who are receiving Special Education services. 

The following direct health-related 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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