School-Based Medicaid Billing Software for New York

Key facts about school-based Medicaid that New York 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 York
School-Based Medicaid Billing Software for New York
School-Based Medicaid Billing Software for New York

New York School Medicaid Coverage

  • Medical Evaluations
  • Medical Specialist Evaluations
  • Psychological Evaluations
  • Audiological Evaluations
  • Physical Therapy
  • Occupational Therapy
  • Speech Therapy
  • Psychological Counseling
  • Skilled Nursing
  • Special Transportation

Eligibility & Billing in New York

Eligibility defined as Medicaid-eligible children ages 3 to 21 for covered medically necessary services provided pursuant to an IEP or IFSP. The billing providers are the Local Education Agencies (LEAs). Rendering providers enroll in Medicaid but are not required.

What's Needed in New York

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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