School-Based Medicaid Billing Software for Vermont

Key facts about school-based Medicaid that Vermont 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.

Vermont

Vermont School Medicaid Coverage

Assessment and Evaluation
Medical Consultation
Case management
Developmental & Assistive Therapy
Mental Health Counseling
Rehabilitative Nursing Services
Occupational Therapy
Physical Therapy
Speech Therapy
Personal Care
Durable Medical Equipment
Vision Care Services
Nutrition Services
Medical Transportation

Eligibility & Billing in Vermont

Eligibility defined as Medicaid-eligible children for medically necessary services provided pursuant to an IEP. The billing providers are the Local Education Agencies (LEAs). Rendering providers do not need to enroll in Medicaid.

What's Needed in Vermont

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.

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.

Resource Hub