School-Based Medicaid Billing Software for Maine

Key facts about school-based Medicaid that Maine 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.

Maine
School-Based Medicaid Billing Software for Maine
School-Based Medicaid Billing Software for Maine

Maine School Medicaid Coverage

  • Physical Therapy
  • Occupational Therapy
  • Speech Therapy
  • Behavioral Health
  • Rehabilitative and Community Support Services
  • Nursing Services
  • Medical Evaluations
  • Specialized Transportation

Eligibility & Billing in Maine

To be eligible, Medicaid school-based health services, be “medically necessary” and listed on a student’s Individualized Family Service Plan (IFSP) or Individual Education Plan (IEP). The billing providers are Local Education Agencies (LEAs) or an enrolled MaineCare provider who has contracted with a school to provide services. Individual rendering providers may enroll separately into Medicaid but are only required to if they are a contract employee with a billing provider.

What's Needed in Maine

Supervision Signoff
Yes
Modifiers on Procedure Codes
Yes
Prescriptions Needed
Yes
Telehealth
No
Free Care Expansion
Note
Not yet taken action on Medicaid expansion in schools.
*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

f03653e4-fae4-4c16-974f-ddc7ffb1ab72
/thank-you
7018b000001cutEAAQ