School-Based Medicaid (SBMP) Billing Software for Louisiana

Key facts about SBMP that Louisiana 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.

Louisiana

Louisiana School Medicaid Coverage

Behavioral Health Services
Nursing Services
Personal Care
Rehabilitative Services
Audiology
Physical Therapy
Occupational Therapy
Speech Therapy
Specialized Transportation
Optometry
Physician Services
Personal Care Services
Respiratory

Eligibility & Billing in Louisiana

All Medicaid-eligible recipients age 3 through 20 for EPSDT and medically necessary services. The billing providers are the Local Education Agencies (LEAs). Rendering providers do not need to enroll in Medicaid.

What's Needed in Louisiana

Supervision Signoff

Yes

Modifiers on Procedure Codes

Yes

Prescriptions Needed

Yes

Telehealth

Yes

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.

Resource Hub