See below for information about Pennsylvania school based Medicaid, including coverage, eligibility, and billing.Schedule Research Meeting
• Assistive Technology Devices
• Hearing-impaired Services
• Nursing Services
• Nurse Practitioner Services
• Occupational Therapy
• Physical Therapy
• Speech Therapy
• Orientation, Mobility & Vision
• Personal Care Services
• Physician Services
• Psychiatric Services
• Psychological Services
• Social Work Services
• Special Transportation
Eligibility defined as Medicaid-enrolled children under age 21 when the services are documented in the child’s IEP. To be eligible, children must also meet one of the listed IDEA categories and be MA-eligible on the date of service. The billing providers are the Local Education Agencies (LEAs), charter schools, intermediate units, vocational-technical schools, and preschool early intervention programs. Rendering providers must enroll in Medicaid.
Modifiers on Procedure Codes
Free Care Expansion
Not yet taken action on Medicaid expansion in schools.
Contact us to enquire about bringing Relay to Pennsylvania 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/
Pennsylvania Department of Human Services:https://www.dhs.pa.gov/providers/Providers/Pages/School-Based-ACCESS-Program.aspx