South East Education Cooperative’s (SEEC) School-Based Medicaid Consortium works with special education units across North Dakota to access available federal reimbursement dollars for medically necessary services provided to students as specified in their Individualized Education Plan or IEP.
• Physical Therapy
• Occupational Therapy
• Speech Therapy
• Behavioral Health
• Nursing Services
Medicaid-eligible children under age 21 for covered medically necessary services provided pursuant to an IEP. It also appears that non-IEP-related services are covered in schools when provided to Medicaid-eligible children on date of service and all other requirements for the service and provider qualifications have been met. The billing providers are the Local Education Agencies (LEAs), education cooperatives and joint boards of trustees. Rendering providers must enroll in Medicaid only if they are contracted to provide services in a school.
Supervision Sign Off Needed
Modifiers on Procedure Codes Needed
Free Care Expansion
Not yet taken action on Medicaid expansion in schools.
SEEC advocates for school-based Medicaid at the state level, and provides training, technical assistance, resources, and tools to create an effective program within the unit.
It includes Relay’s Medicaid claiming software to effectively and efficiently record, submit, and review claims for reimbursement.
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 Futures “Free Care” Rulehttps://healthystudentspromisingfutures.org/free-care-rule/
Healthy Students, Promising Futures Map: School Medicaid Programs:https://healthystudentspromisingfutures.org/map-school-medicaid-programs/#0
SEEC: South East Education Cooperativehttps://www.ndseec.com/programs-and-services/business-services/school-based-medicaid/