See below for information about New Jersey school based Medicaid, including coverage, eligibility, and billing.Schedule Research Meeting
• Health-Related Evaluation Services
• Nursing Services
• Occupational Therapy
• Physical Therapy
• Speech Therapy
• Psychological/Psychotherapeutic Counseling
• Specialized Transportation
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.
Modifiers on Procedure Codes
Free Care Expansion
Not yet taken action on Medicaid expansion in schools.
Contact us to enquire about bringing Relay to New Jersey or fill out a quick market research survey to see if we can ensure sustainable success.
Before we start working with a new district, we schedule research meetings to make sure there is strategic alignment between Relay, the district, and the state to ensure that your return on investment is sustainable and substantial. Using the framework below, we will assess the benefits in each category.
Please fill out the form below if you are interested in talking to one of our team members about bringing Relay to your state. We will aim to answer all requests as soon as possible.
*This information is based upon review of publicly available documents as of 2021 and is subject to change at any time. This information should not be considered as legal or compliance advice. Contact individual states or Relay to verify Medicaid program requirements.
Healthy Students Promising Futureshttps://healthystudentspromisingfutures.org/map-school-medicaid-programs/#0
Healthy Students, Promising Futures “Free Care” Rule:https://healthystudentspromisingfutures.org/free-care-rule/
SCHOOL-BASED MEDICAID REIMBURSEMENT PROGRAMS PROVIDER HANDBOOK:https://www.nj.gov/treasury/administration/semi-mac/pdf/SEMIProviderHandbook_FY21.pdf