Learn about Illinois’ School Based Health Services (SBHS).

See below for information about Illinois school based Medicaid, including coverage, eligibility, and billing. Also, discover how to bring Relay to Illinois!

Schedule Research Meeting

Illinois School Medicaid Coverage

Audiology Services

Developmental Assessments

Hearing Screening

Medical Equipment

Medical Services

Medical Supplies

Nursing Services

Occupational Therapy

Physical Therapy

Speech Therapy

Psychological Services

School Health Aide

Social Work Services


Vision Screening

Eligibility & Billing in Illinois

Eligibility defined as Medicaid-eligible children under 21 for covered services that are medically necessary for development of IEP/IFSP or fully documented in IEP/IFSP. The billing providers are the Local Education Agencies (LEAs), including school districts, special education cooperatives, and schools administered by the Illinois Department of Human Services, Office of Rehabilitation Services. Rendering providers are not required to enroll in Medicaid.

About Illinois School Medicaid

Supervision Signoff

Modifiers on Procedure Codes

Prescriptions Needed


Free Care Expansion

SPA submitted to CMS to expand coverage to all Medicaid-enrolled students and pending approval.

Bring Relay to Illinois

Contact us to enquire about bringing Relay to Illinois or fill out a quick market research survey to see if we can ensure sustainable success.

We Want to Ensure Sustainable Success with Medicaid in Your State.

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.

Sustainable Success Graphic


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 Futures “Free Care” Rule:


Illinois Department of Healthcare and Family Services: