School-Based Medicaid Billing Software for New Jersey

Key facts about school-based Medicaid that New Jersey 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.

New Jersey
School-Based Medicaid Billing Software for New Jersey
School-Based Medicaid Billing Software for New Jersey

New Jersey School Medicaid Coverage

  • Audiology
  • Health-Related Evaluation Services
  • Nursing Services
  • Occupational Therapy
  • Physical Therapy
  • Speech Therapy
  • Psychological/Psychotherapeutic Counseling
  • Specialized Transportation

Eligibility & Billing in New Jersey

Eligibility defined as Medicaid-eligible children under age 21 for covered medically necessary services provided pursuant to an IEP. The billing providers are the Local Education Agencies (LEAs). Rendering practitioners do not have to be enrolled in Medicaid for the school to bill.

What's Needed in New Jersey

Supervision Signoff
Yes
Modifiers on Procedure Codes
Yes
Prescriptions Needed
Yes
Telehealth
Yes
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

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