To ensure that pages on this website display correctly, please use one of the supported browsers: Firefox, Chrome, Internet Explorer 7, 8 or 9. (Internet Explorer 10 is not supported at this time) |
Medicaid is a jointly funded Federal-State health insurance program for persons with low income and/or disabilities. School Based Services allows districts to receive reimbursement for services provided to students with special needs under the Individuals with Disabilities Education Act (IDEA).
The program's purpose is to assure that Medicaid eligible children and teenagers, who are special-education certified, receive needed health care. Shiawassee RESD is the Medicaid provider under which all claims are made.
The School Based Services program is divided into two very distinct segments:
- The Fee for Service program receives partial reimbursement for direct medical services provided to special education students through the age of 21.
- The Administrative Outreach program receives partial reimbursement for the administrative costs to identify and help students who are considered "at risk" for various health problems.
Health services in the school systems include not only physical health, but mental and emotional health as well.
| Fee for Service program | ||||
|
This portion of the program obtains reimbursement for districts to provide direct health-related services and for case management services for special-education certified, Medicaid eligible students. The personnel in the local districts who service these students are as follows:
These dedicated school staff provide a wide range of health services to their students. Special education teachers provide case management services by making sure the student's plan of care is adhered to. The above staff report their services monthly for reimbursement. This program generates revenue by tracking the time spent on Outreach activities by school personnel, and by factoring the district's expense for staff providing these services. School personnel chosen in the random moment sample are expected to complete their time study. Failure to do so affects the administrative portion of the state-wide reimbursement.
|
||||
