School-Based Medicaid (SBCS) Billing Software for Minnesota

Key facts about SBCS that Minnesota 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.

Minnesota
School-Based Medicaid (SBCS) Billing Software for Minnesota
School-Based Medicaid (SBCS) Billing Software for Minnesota

Minnesota School Medicaid Coverage

  • Interpretative Services
  • Public Health Nursing Services
  • Mental Health Services
  • Occupational Therapy
  • Physical Therapy
  • Speech Therapy
  • EPSDT Services*
  • Minnesota covers the following IEP health services:
  • Assistive Technology Devices
  • Interpreter Services
  • Mental Health – Children’s Therapeutic Services & Supports (CTSS)
  • Nursing
  • Occupations Therapy
  • Personal Care Assistance
  • Physical Therapy
  • Speech Language Pathology, Therapy and Audiology
  • Transportation Services

Eligibility & Billing in Minnesota

Eligibility defined as children enrolled in Medicaid under age 21 with a current IEP or IFSP. Eligible schools have the option to provide and seek Medicaid reimbursement for eligible medically necessary services to students that are not receiving health-related services through an IEP or an IFSP, or when the services are not identified in the IEP. The billing providers are the Local Education Agencies (LEAs), including Minnesota public schools and school districts, and charter schools and tribal schools enrolled with the Department of Human Services. For IEP services, the rendering providers do not need to enroll separately in Medicaid.

What's Needed in Minnesota

Supervision Signoff
Yes
Modifiers on Procedure Codes
Yes
Prescriptions Needed
Yes
Telehealth
No
Free Care Expansion
Note
Expanded school-based Medicaid to all Medicaid-enrolled students (no SPA needed).
*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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