Efficient, Effective, Essential: Streamlining Medicaid Reimbursement in Schools
Join us for the inaugural School-Based Medicaid Reimbursement Program Conference, focusing on enhancing operational efficiency in school-based health services. This event will provide valuable insights on optimizing processes, from billing to service delivery, to strengthen Medicaid-supported programs in schools. This event is for everyone even if your district is not utilizing School-based Medicaid reimbursement.
Highlights Include:
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Breakout Sessions: Targeted discussions on key topics such as Medicaid Administrative Claiming (MAC), Medicaid billing beyond the IEP/IFSP, program specific billing training, and more to enhance your program's impact.
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Panel Discussion: A dynamic exchange with experienced professionals for Oklahoma school districts in Medicaid reimbursement and school health.
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Collaboration: Opportunity to collaborate with other districts that have established successful Medicaid billing practices.
This essential conference is designed for professionals interested in creating efficient and impactful school-based health reimbursement programs. Register at the link below.
The Oklahoma State Department of Education is conducting a comprehensive infrastructure and needs assessment to improve school-based Medicaid reimbursement and ensure students have access to the healthcare resources they need to thrive in a school setting. This assessment evaluates existing systems, identifies gaps, and informs strategies for better Medicaid-funded services in schools. Your input is vital, and we encourage parents, community members, tribal officials, school district administrators, medical providers, and school staff to participate. The survey will take about 10-20 minutes, depending on your role, and your feedback will help shape equitable and effective solutions. Please complete the survey by Friday, December 20th to ensure your voice is included in this important initiative. Together, we can strengthen the framework for student health and well-being.
Since its state-wide inception, the Medicaid agency (OHCA) has approved over $10 million in school-based revenue for Oklahoma school districts. Currently, schools can be reimbursed for services including Occupational Therapy, Physical Therapy, Speech Therapy, and Administrative Claiming. Excitingly, for the 2025-2026 school year, Nursing, Counseling, and Behavioral Health Services will also be eligible for reimbursement.
Interested in Participating? If your district wants to learn more about reimbursement through the School-Based Health Services (SBHS) program, email PCG to set up a meeting.
SBHS Participation Agreement for 2025- 2026 The SBHS Participation Agreement is now available via the Grants Management System (GMS). Follow these steps to complete your online application:
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Navigate to GMS Access / Select and find available applications under IDEA.
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Click Create on the “School Based Health Part” line. Once created, the application will appear under your applications.
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Agree to all assurances, upload the completed contract, and submit it.
Important Sections to Complete:
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Page 12: Enter district information.
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Signature Page: Ensure it includes the signature, printed name, title, and date of board approval.
Take advantage of this opportunity to expand vital health services and secure Medicaid reimbursement for your school district!
EDPlan Health is an electronic web-based health service management and documentation solution tailored to the needs of school health staff (e.g., RNs, LPNs, Health Aides, etc.). The system provides districts with a data platform that is efficient, comprehensive, and scalable allowing users to enter and view pertinent student health information and encounters. The short video HERE highlights the features and benefits of EDPlan Health.
The Oklahoma State Department of Education (OSDE) and Public Consulting Group (PCG) would like to invite you to a Listen & Learn Webinar about the School-Based Medicaid Program. This overview will include information about the fee-for-service and Medicaid Administrative Claiming (MAC) programs. Both programs can reimburse schools for services they are currently providing.
These programs can create a SUSTAINABLE source of reimbursement to replace lost funding, such as Elementary and Secondary School Emergency Relief (ESSER), and WILL NOT affect other sources of reimbursement or funding your district may already be receiving. These meetings will happen on the 2nd Tuesday of every month.
Please click on this registration links to register for the Listen & Learn Webinar:
Each webinar session will include time to address district questions. If you think others in your district would benefit from hearing about these programs, please pass along this training notice.
If you have any questions, please feel free to contact PCG at MAC or FeesForService
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