Medicaid Billing

In 1993, Michigan's Medicaid Program added the SBS component to reimburse for some health services provided by school districts. Medicaid determined that only ISD-level districts will be allowed to enroll as Medicaid providers for this program.

Medicaid reimburses these providers for some health care services provided to individuals who are enrolled in Medicaid and who are eligible for special education or other programs like Early On. The services reimbursed are those provided during the school day by qualified personnel as set forth in the student's IEP or IFSP.

MARESA currently uses Ed Plan (suite of programs) from PCG for its Medicaid billing and consulting, as well as for its web-based IEP system.

Eligible School Services For Billing

Note - Services must be behavioral/medical in nature and not academic. They also must be included in the IEP and some MEDICAL services require a prescription.

  • Audiological Services
  • Case Management Services
  • COTA & PTA
  • Occupational Therapy
  • Orientation & Mobility Services
  • Personal Care Services
  • Physical Therarpy
  • Psychological Services
  • RN & LPN Services
  • Social Work Sevices
  • Speech & Language Service

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