MEDICAID AND SCHOOLS

Information Regarding Cost Based Reimbursement:

• Final Revision of Cost Based Reimbursement Reports
• Letter to the School Division Superintendent
• Letters to the Medicaid Contact:
  • Methodology changes 2007-2008 School Year
  • Methodology changes 2006-2007 School Year

School Divisions can submit claims to Medicaid for reimbursement for the following services. These services can be provided by school division employees, contracted employees, or contracted agencies.

The following services must be in the Individual Education Plan (IEP):
	Physical Therapy
	Occupational Therapy
	Speech-Language Pathology
	Skilled Nursing Services
	Psychological Services provided by a psychologist or school social worker
	Personal Care Assistant Services (special ed aides, nursing aides)
	Audiology Services
	Medical Evaluations Services
	Transportation
The following services/administrative duties are for general education and special education students:
	Early Periodic Screening, Diagnosis, and Treatment (EPSDT)
	Administrative Claiming

Medicaid Menu

Procedure Codes (Word Document)

Provider Qualifications

Medicaid Forms

Virginia Medicaid & Schools Newsletters (PDF files):   May 2004       May 2002       July 2000

Virginia Department of Medical Assistance Services (DMAS)

FAMIS (Family Access to Medical Insurance Security)