School-Based Medicaid (SBCHS) Billing Software for Nevada

Key facts about SBCHS that Nevada 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.

Nevada
School-Based Medicaid (SBCHS) Billing Software for Nevada
School-Based Medicaid (SBCHS) Billing Software for Nevada

Nevada School Medicaid Coverage

  • Screening, Diagnostic, Treatment
  • Physician Services
  • Mental Health and Substance Use Disorder Services
  • Nursing Services
  • Physical Therapy
  • Occupational Therapy
  • Speech Therapy
  • Audiological Services
  • Personal Care Services
  • Dental Services
  • Optometry
  • Case Management
  • Telehealth Services

Eligibility & Billing in Nevada

School services are covered by Medicaid if medically necessary and listed in student’s Plan of Care (POC), and/or if they are preventive services under EPSDT. Children eligible for coverage of school services include Medicaid-eligible and “Nevada Check Up” children ages 3 to 21. The billing providers are the Local Education Agencies (LEAs) and the State Education Agency. Ordering, Prescribing and Referring providers must be enrolled in Medicaid.

What's Needed in Nevada

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.

Bring Relay to Your State

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