School-Based Medicaid Billing Software for Colorado

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

Colorado
School-Based Medicaid Billing Software for Colorado
School-Based Medicaid Billing Software for Colorado

Colorado School Medicaid Coverage

  • Physician Services
  • Nursing Services
  • Personal Care Services
  • Psychology
  • Counseling
  • Social Work Services
  • Orientation, Mobility
  • Vision Services
  • Audiology Services
  • Speech Therapy
  • Occupational Therapy
  • Physical Therapy
  • Specialized Transportation – requires IEP/IFSP

Eligibility & Billing in Colorado

Eligibility defined as Medicaid-eligible children under age 21 for covered medically necessary services provided pursuant to an IEP, IFSP, Section 504 plan, other individualized health or behavioral health plan, or other medical plan(s) of care, or where medical necessity has been otherwise established. The billing providers are the Local Education Agencies (LEAs) and Boards of Cooperative Educational Services. Rendering providers do not enroll separately in Medicaid, but need to meet required registration, certification and/or licensure.

What's Needed in Colorado

Supervision Signoff
Yes
Modifiers on Procedure Codes
Yes
Prescriptions Needed
Yes
Telehealth
No
Free Care Expansion
Note
Approved SPA to expand coverage to all Medicaid-enrolled students.
*This should not be taken as state guidance and please refer to your state manual for the most updated guidance and regulations.

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.

Bring Relay to Your State

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