School-Based Medicaid Billing Software for South Carolina

Key facts about school-based Medicaid that South 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.

South Carolina
School-Based Medicaid Billing Software for South Carolina
School-Based Medicaid Billing Software for South Carolina

South Carolina School Medicaid Coverage

  • Nursing Services
  • Specialized Transportation
  • Rehabilitative Behavioral Health Services (RBHS)
  • Speech Therapy
  • Physical Therapy
  • Occupational Therapy
  • Audiology
  • Orientation & Mobility
  • Pregnancy Prevention

Eligibility & Billing in South Carolina

All Medicaid-eligible students are eligible for reimbursement for medically necessary services provided in the school setting, in addition to students eligible under IEP/IDEA. The billing providers are the Local Education Agencies (LEAs). Rendering providers do not need to enroll in Medicaid.

What's Needed in South Carolina

Supervision Signoff
Yes
Modifiers on Procedure Codes
Yes
Prescriptions Needed
Yes
Telehealth
Yes
Free Care Expansion
Note
Expanded school-based Medicaid to all Medicaid-enrolled students (no SPA needed).
*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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