School-Based Medicaid Billing Software for Utah

Key facts about school-based Medicaid that Utah 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.

Utah
School-Based Medicaid Billing Software for Utah

What our clients in Utah say

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
Utah

Key Features for Utah

  • Reduce Data Entry: Provides data transfer options with Utah’s SIS and IEP platforms, including PowerSchool
  • Reporting: Best-in-class Medicaid data analytics help you gain visibility into your Medicaid program
  • UT Liaison: Utah experts on staff help you navigate program and SPA changes easily
  • IEP compliance: Offers visibility into ongoing IEP compliance
School-Based Medicaid Billing Software for Utah

Utah School Medicaid Coverage

  • Speech Language
  • Pathology/Communication
  • Audiology/Hearing Adaptation
  • Aural/Auditory Rehabilitation
  • Physical Therapy/Motor Skills Development
  • Nursing/Itinerant Nursing
  • Personal Care
  • Mental Health Therapy/Behavioral Services
  • Behavior Analytic Support/Behavioral Modification Services
  • Vision Services/Orientation and Mobility

Eligibility & Billing in Utah

Medicaid-eligible children ages 3 to 21 are covered for medically necessary services provided pursuant to an IEP. The billing providers are the Local Education Agencies (LEAs) and charter schools. Providers with a current DOPL license AND an active NPI must enroll. Individuals without an active NPI do not need to enroll at this time. Individuals who only have certification do not need to enroll at this time.

What's Needed in Utah

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.

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.

Give your team their time back

See how Relay makes special services simpler from the first log to the last claim.