School-based services are health-related and rehabilitative services provided to children with disabilities who receive services under the Individuals with Disabilities Education Act (IDEA).  These services are provided by school districts, charter schools, and infant toddler programs and are considered medically necessary for children to participate in their educational program. 

School districts, charter schools, and infant toddler programs that enroll as Medicaid providers can receive reimbursement for school-based services provided that:

• The child is eligible for Medicaid
• Each service is specifically identified on an Individualized Education Program (IEP) or Individualized Family Service Plan (IFSP)
• Services are medically necessary for a child to benefit from their educational program

Parents/guardians are notified that the school district, charter school, or infant toddler program intends to bill Medicaid for the child’s services.

If schools do not wish to receive Medicaid reimbursement, they are still required to provide those services mandated by the IDEA.  If a child loses Medicaid, the services that they receive through their IEP or IFSP should not be affected. 

School-based services are not counted in hour limitations that apply to Medicaid services received outside of school.

Services Available:

Medically necessary services are determined by your child’s IEP/IFSP planning team.  To find out what services are available for your child, contact your local school district.

Attention Providers:

If you are a school-based services provider looking for provider specific information, please see the provider section of this Web site.  Provider information available includes:

• MedicAide Newsletter
• Medicaid Fee Schedule
• Provider Enrollment
• Information Releases

Contact Information: