Medicaid & Schools

Reimbursement to school divisions

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.

Services that must be included in the Individualized Education Program (IEP)	Services and administrative duties for general education and special education students
Physical Therapy Occupational Therapy Speech-Language Pathology 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	Early Periodic Screening, Diagnosis and Treatment (EPSDT) Administrative Claiming

General Information

Local Education Agency Provider Manual (PDF) – (Note: in the drop-down menu on this Web page, change Available Manuals to Local Education Agency, then click the SEARCH button.)
Parental Consent for Billing Public Insurance (Word) – updated September 2013
Notification for Accessing Public Benefits or Insurance (Word)

Forms

The following resources are provided by The Virginia Department of Medical Assistance Services (DMAS)

Virginia Medicaid Web Portal
Medicaid Provider Forms Search (Note: in the drop-down menu on this Web page, change All Types to Local Education Agency, then click the SEARCH button.)
Medicaid Reimbursement for School Based Services – for information about:
- Self Audit Eligibility
- Guidance Letters
- Direct Service Cost Settlement
- Time Study
- Administrative Services Cost Reimbursement
- Transportation Cost Settlement
- Eligibility Matching
- Parental Consent FAQ's

Outside Resources

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