Medicaid Reimbursement

School-Based Services Program

Information reprinted with permission from Mecosta-Osceola Intermediate School District.

What is School-Based Services?

Since 1993 the State of Michigan has participated in a Federal program called School-Based Services. The program assists school districts by providing partial reimbursement for health related services that are listed on a student’s Individualized Educational Program (IEP). This reimbursement helps school districts with some of the costs of health care services that are provided to children when they are at school. The State of Michigan also receives some of this Federal reimbursement. Although this partial reimbursement is available only for students who are Medicaid eligible, services are provided to all students with disabilities regardless of their Medicaid eligibility status. The Michigan School-Based Services program is under the direction of the Michigan Department of Community Health.

Is there a cost to me?

No.  IEP services are provided to students while they are at school at no cost to the family.

Will it impact my family’s Medicaid?

The School-Based Services program does not impact a family’s Medicaid services, funds, or limits.

What type of services for children does the School-Based Services program cover?

  • Occupational Therapy
  • Physical Therapy
  • Speech & Language Therapy
  • Orientation & Mobility
  • Assistive Technology Services
  • Psychological/Social Work
  • Evaluations
  • Developmental Testing
  • Case Management
  • Special Education Transportation

How can I assure my school district receives benefits from the School-Based Services program?

School districts have been participating since 1993 but recently Federal regulations changed to require the parent/guardian:

  • To be fully informed about the School-Based Services program.
  • Provide consent to release school records containing the student’s information to Michigan Medicaid and billing agencies for the purpose of participating in the School-Based Services program.
  • To understand that consent is voluntary and can be revoked in writing but is not retroactive.

 

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