Posted: Fri, 09/23/2011 - 3:18pm Updated: Tue, 03/28/2017 - 12:11pm

Federal law makes Medicaid reimbursement available for health-related services that schools provide to meet the educational needs of students with disabilities. By law, Medicaid claiming for Individualized Education Program (IEP) services cannot affect the student’s Medicaid eligibility or benefits. Approximately 140 Indiana public school corporations claim Medicaid reimbursement for covered IEP services (such as physical therapy, nursing and audiology) subject to parental consent. Additionally, nearly 100 public school corporations participate in school-based Medicaid Administrative Claiming to recover costs of administrative activities that school staff perform to help address students’ unmet healthcare needs. Federal Medicaid funds from both programs help local schools defray costs associated with administrative activities as well as equipment, supplies, professional development and specialized training required to comply with the federal Special Education mandate.

General Information

Announcements, Bulletins and Topic-Specific Questions/Answers

Manuals

  • Indiana MAC Time Study Participant Manual - Updated July 2016
  • Medicaid Billing Guidebook - Updated January 2017 - The Guidebook is a high-level overview intended to orient school personnel to the Medicaid program and to general concepts involved in Medicaid claiming for school-based health services and related administrative activities.
  • Medicaid Billing Tool Kit, 18th Edition - Updated February 2017 – The Tool Kit discusses Indiana Medicaid billing requirements for covered health-related services in a student’s IEP. It includes general billing guidelines for all IEP services, as well as coverage limitations, Medicaid provider qualifications and other billing details applicable to each type of Medicaid-covered IEP service.
  • Update Log for the 18th Edition of the Medicaid Billing Tool Kit - Updated February 2017 – The Update Log identifies what changed from the previous edition of the Medicaid Billing Tool Kit.

Sample Forms and Parent Information Sheets