School-Based Medicaid Billing Software for Washington State

Key facts about school-based Medicaid that Washington State 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.

Washington
School-Based Medicaid Billing Software for Washington State
School-Based Medicaid Billing Software for Washington State

Washington School Medicaid Coverage

  • Audiology Services
  • Counseling Services
  • Psychological Assessments and Services
  • Mental Health Services
  • Nursing/Health Services
  • Occupational Therapy
  • Physical Therapy
  • Speech Therapy

Eligibility & Billing in Washington

Eligibility defined as Medicaid-eligible children from birth to age 20 for covered medically necessary services provided pursuant to an IEP or IFSP. The billing providers are the Local Education Agencies (LEAs), educational service districts, charter schools, and tribal schools. School districts must enroll licensed, rendering providers (employees and contracted) as servicing providers under the school district’s Medicaid account.

What's Needed in Washington

Supervision Signoff
Yes
Modifiers on Procedure Codes
Yes
Prescriptions Needed
Yes
Telehealth
No
Free Care Expansion
Note
Other opportunities for Medicaid reimbursement in school-based settings (e.g., managed contracts, community-based providers).
*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.

Bring Relay to Your State

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