See below for information about DC school based Medicaid, including coverage, eligibility, and billing. Also, discover how to bring Relay to DC!Schedule Research Meeting
• Behavioral Supports
• Nutrition Services
• Occupational Therapy
• Speech Therapy
• Physical Therapy
• Orientation and Mobility
• Personal Care Services
• Skilled Nursing
• Specialized Transportation
Eligibility defined as medically necessary school-based health services provided to Medicaid-eligible children ages 3 to 21 as delineated in the District of Columbia’s Medicaid State Plan Amendment (SPA) pursuant to an IEP under IDEA. The billing providers are the Local Education Agencies (LEAs), including schools and school districts. Individual rendering providers are not required to enroll separately in Medicaid for billing.
Modifiers on Procedure Codes
Free Care Expansion
Not yet taken action on Medicaid expansion in schools.
Contact us to enquire about bringing Relay to District of Columbia or fill out a quick market research survey to see if we can ensure sustainable success.
Before we start working with a new district, we schedule research meetings to make sure there is strategic alignment between Relay, the district, and the state to ensure that your return on investment is sustainable and substantial. Using the framework below, we will assess the benefits in each category.
Please fill out the form below if you are interested in talking to one of our team members about bringing Relay to your state. We will aim to answer all requests as soon as possible.
*This information is based upon review of publicly available documents as of 2021 and is subject to change at any time. This information should not be considered as legal or compliance advice. Contact individual states or Relay to verify Medicaid program requirements.
Healthy Students Promising Futureshttps://healthystudentspromisingfutures.org/map-school-medicaid-programs/#0
Healthy Students, Promising Futures “Free Care” Rule:https://healthystudentspromisingfutures.org/free-care-rule/
DC Special Education Coop:https://specialedcoop.org/programs/school-based-medicaid/