School-Based Medi-Cal Billing Software for California

Key facts about school-based Medi-Cal that California districts need to know, from covered services to billing rules. Relay's Medi-Cal billing software helps you manage your Medi-Cal program, from documentation to reimbursement.

California
School-Based Medi-Cal Billing Software for California

What our clients in California say

Relay is very user-friendly and has by far been the easiest system I have had to learn with this new job.

Support Services Secretary
California

Key Features in California

  • California Expertise: Dedicated California Medi-Cal specialists provide guidance on compliance, claiming strategy, and program updates — helping districts maximize reimbursement while staying aligned with DHCS requirements
  • Connected Data Workflows: Relay syncs with SEIS, SIRAS, PowerSchool, and other district systems to pull the data needed for compliant Medi-Cal claiming — minimizing manual entry and improving data accuracy
  • Actionable Reporting & Analytics: Real-time dashboards give visibility into service capture, claim status, reimbursement trends, and provider performance
  • Expanded Compliance & Administrative Support: Relay supports ORP workflows and the Cost Reimbursement Comparison Schedule (CRCS), saving staff time while strengthening compliant claiming practices
School-Based Medi-Cal Billing Software for California

California School Medicaid Coverage

  • Health and Mental Health Evaluation or Education
  • Audiology Services
  • Nursing Services
  • Nutrition Services
  • Occupational Therapy
  • Physical Therapy
  • Speech Therapy
  • Vision/Hearing Assessments
  • Orientation and Mobility
  • Physician Services
  • Psychology and Counseling
  • Respiratory Care
  • School Health Aide
  • Transportation
  • Targeted Case Management

Eligibility & Billing in California

California Medi-Cal program pays for medically necessary services for Medicaid-eligible children under age 21 (included birth to three). The billing providers are the Local Education Agencies (LEAs), including school districts, county offices of education, charter schools. Individual rendering providers are not required to enroll in Medicaid to bill, and LEAs are required to ensure that only qualified rendering providers are providing services.

What's Needed in California

Supervision Signoff
Yes
Modifiers on Procedure Codes
Yes
Prescriptions Needed
Yes
Telehealth
Yes
Free Care Expansion
Yes
*This should not be taken as state guidance and please refer to your state manual for the most updated guidance and regulations.

Spend Less Time on Medicaid Administration. Gain Confidence in Compliance and Funding.

Support documentation and billing across IEP and expanded services, turning the work your providers deliver into audit-ready claims and Medicaid funding.

Equip Your Special Services Team

Documenting, claiming, and reimbursing for Medicaid in school districts is complex and evolves quickly. These resources will equip your team with the resources they need to simplify special services and recoup the Medicaid revenue they've earned.

Give your team their time back

See how Relay makes special services simpler from the first log to the last claim.