July 21, 2021

Third-Party Billing Updates

Billing for School-Based Community Services

The Minnesota Department of Human Services (DHS) recently updated the Minnesota Health Care Program (MHCP) Provider Manual to include a new section on School-Based Community Services (SBCES). As of July 1, 2021, Minnesota public schools are able to bill for SBCS.

SCBS are not new or expanded services; they are part of the Medical Assistance (MA) benefit package. Schools have the option in providing these services to help students who are not receiving health-related services through an Individualized Education Program (IEP) or an Individualized Family Service Plan (IFSP). In addition, some children on IEP or IFSP may also qualify for SBCS services not covered under their existing program. SBCS are provided in the school by a qualified professional working within their scope of practice.

In this manual section, you will find covered services, eligibility, billing and resources information. For more information, email DHS Minnesota Health Care Providers.

Record Keeping and Documentation Clarified

In the IEP Record Keeping and Documentation – Special Transportation section, DHS clarified if a school creates a self-designed trip log, it is the responsibility of the school that their version meets the same requirements as the DHS version. Under Personal Care Assistance (PCA), DHS clarified if a school creates a self-designed PCA Activities Checklist, it is the responsibility of the school that their version meets the same requirements as the DHS version. DHS does not review or approve documents created by the school.