School-Based Medicaid Billing Software for West Virginia

Key facts about school-based Medicaid that West Virginia 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.

West Virginia
School-Based Medicaid Billing Software for West Virginia
School-Based Medicaid Billing Software for West Virginia

West Virginia School Medicaid Coverage

  • Nursing Services
  • Audiology
  • Speech Therapy
  • Occupational Therapy
  • Physical Therapy
  • Personal Care
  • Targeted Case Management
  • Transportation
  • Psychological
  • Behavioral Health Services

Eligibility & Billing in West Virginia

Eligibility defined as Medicaid-eligible children ages 3 to 21 for covered medically necessary services provided pursuant to an IEP. The billing providers are the Local Education Agencies (LEAs), county boards of education or county school districts. Rendering providers are not required to enroll in Medicaid.

What's Needed in West Virginia

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.

Bring Relay to Your State

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