School-Based Medicaid Billing Software for North Carolina
Key facts about school-based Medicaid that North Carolina 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.
North Carolina
What our clients say
“Relay has been a great support for our district in helping us navigate the ever-changing landscape of Medicaid and the Medicaid billing process. Our client success manager has been right on top of everything we need to know and responds within minutes to the needs of our teachers and staff.”
Special Education Director
“Our district has been very pleased with the implementation of Relay this summer. Our client success manager has gone out of her way to figure out solutions to challenges we faced with changing from one provider to another. She has been quick with her responses to communication and we are so glad she is on our team.”
Special Education Director
“Relay has been a positive force in helping us receive the maximum reimbursements. Our Client Success Manager is always quick to respond and to offer tips on maximizing logging. The portal is easy to use and training new staff takes little time. Relay helps to make my job as Medicaid Coordinator easier.”
Medicaid Coordinator
Switching to Relay has been such a great move for our district! The platform gives us such great insights into our Medicaid billing and allows us to really close the gaps we didn't even know previously existed. The Relay team has been so amazing and helpful in getting our launch off the ground this year. I know help is always just an email away.
Direct of Student Support
The Relay team made what could have been a complicated process feel organized and manageable from start to finish. Our representative is extremely knowledgeable and truly a joy to work with. She takes the time to ensure we understand every step and is always responsive to our questions. The entire team has also been incredibly helpful, maintaining open communication and consistent support throughout our partnership. We are very pleased with our decision to switch and look forward to continuing to work with Relay.
Director of Special Education
Switching to Relay for our Medicaid billing services has been the best decision and smoothest transition ever for our therapy and support staff. Our account manager is always available and eager to help in our challenging state. We have developed a great partnership with Relay and appreciate their knowledge, skills, and guidance.
Financial Manager
Relay has made my job so much easier, and nobody is better than my Utah Medicaid Liaison!! She is amazing but her greatest quality is she cares. She makes sure I understand the process and is always right there to help.
Special Education Secretary
Relay has been very helpful this year! We recently switched and Relay has answered all of my questions. They are very accessible and work hard for their clients. I am very excited for this journey with Relay.
Special Education Director
We have been using Relay since 2016. Our Medicaid claiming has increased with revenue while decreasing districts’ time and effort. Howard County Public Schools are very happy with Relay billing system.
Medicaid Billing Analyst
When searching for a company to support our district's Medicaid service documentation, Relay was the one company that understood each layer of this work and had solutions to simplify our processes. The team has been easy to work with, extremely responsive, and has truly built a system for our district.
Medicaid Analyst
Before Relay, we did not have a centralized system to document all our reimbursable education based Medicaid claims. We needed a format that was not only transparent and easy to use, but also allowed us to determine where we were coming up short and dive deeper into untapped streams of reimbursement that we were already providing, but just not claiming using relay, we now have a centralized system for documenting the services that we were already and continue to provide, along with greatly increasing our reimbursement due to claims being formatted and submitted in accordance with our state's regulations.
Project Specialist
I've had the pleasure of partnering with Relay, and it has been a great and positive experience. The software is very user-friendly, and providers can quickly log services. Relay has saved us time, reduced billing errors, and allowed us to focus on increasing our reimbursements. One of the standout aspects of working with Relay is the exceptional support from our client success manager, who is always responsive, knowledgeable, and proactive in addressing any concerns.
Medicaid Lead
Relay has been a godsend to our district for Medicaid billing needs. From the start they have answered our questions and explained how to improve our process to obtain the highest reimbursement. Their customer service and support have been invaluable and we highly recommend their services!
Special Education Secretary
Relay is very user-friendly and has by far been the easiest system I have had to learn with this new job.
Support Services Secretary
Key Features for North Carolina
- Reduce Data Entry: Provides data transfer options with SIS and IEP platforms
- Automated Eligibility: Automated eligibility checks reduce tedious admin work
- Flexible Platform: Provides self-management of provider caseload and simple tracking of attendant care
- Reporting: Best-in-class Medicaid data analytics help you gain visibility into your Medicaid program
- Evaluation
- Audiology
- Nursing Services
- Psychological/Counseling Services
- Occupational Therapy
- Physical Therapy
- Speech Therapy
Eligibility defined as children ages 3 to 20 enrolled in a public school who are Medicaid-eligible when services are provided. The billing providers are the Local Education Agencies (LEAs). Rendering providers do not need to enroll in Medicaid.
Supervision Signoff
Yes
Modifiers on Procedure Codes
Yes
Prescriptions Needed
Yes
Telehealth
Note
Some services may qualify.
Free Care Expansion
Note
Approved SPA to expand coverage to all Medicaid-enrolled students. Must have an active Plan of Care.
*This should not be taken as state guidance and please refer to your state manual for the most updated guidance and regulations.
Spend Less Time on Medicaid Administration. Gain Confidence in Compliance and Funding.
Support documentation and billing across IEP and expanded services, turning the work your providers deliver into audit-ready claims and Medicaid funding.
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.
Whitepaper
December 3, 2025
Districts nationwide are entering 2026 with rising expectations, tighter budgets, and increasing pressures related to compliance, staffing, and student needs.
Whitepaper
August 21, 2025
You’re the one logging services between student sessions, juggling IEP minutes, navigating confusing systems, and doing your best to stay compliant—all while showing up for kids every single day.
Whitepaper
March 13, 2025
Managing School-Based Medicaid billing in districts is no small task.
Give your team their time back
See how Relay makes special services simpler from the first log to the last claim.
