IEP & School Medicaid (SBS) Billing Software for Wisconsin

Key facts about SBS that Wisconsin districts need to know, from covered services to billing rules. Relay's IEP and Medicaid billing software helps you manage your special education and Medicaid programs in one place.

Wisconsin
IEP & School Medicaid (SBS) Billing Software for Wisconsin

Key Features in Wisconsin

  • Reduce Data Entry: Provides data transfer options with SIS and IEP platforms
  • Automated Eligibility: Automated eligibility checks reduce tedious admin work
  • Flexible Platform: Provides self-management of provider caseload and simple tracking of attendant care
  • Reporting: Best-in-class Medicaid data analytics help you gain visibility into your Medicaid program
IEP & School Medicaid (SBS) Billing Software for Wisconsin

Wisconsin School Medicaid Coverage

  • Attendant Care Services
  • Audiology
  • Speech Language and Health Services
  • School Health / Nursing Services
  • Occupational Therapy
  • Physical Therapy
  • Psychology / Counseling / Behavioral Health Services
  • Specialized Transportation

Eligibility & Billing in Wisconsin

Wisconsin defines eligibility as Medicaid-eligible children under age 21 for reimbursement of covered medically necessary services documented in a treatment plan. The billing providers are the Local Education Agencies (LEAs), Cooperative Educational Service Agencies, County Children with Disabilities Education Boards, or charter schools. Rendering providers must enroll in Medicaid.

What's Needed in Wisconsin

Supervision Signoff
Yes
Modifiers on Procedure Codes
Yes
Prescriptions Needed
Yes
Telehealth
No
Free Care Expansion
Note
SBS expansion went into place on August 11, 2025 for the '25-'26 school year.
*This should not be taken as state guidance and please refer to your state manual for the most updated guidance and regulations.

Confidence at Every Step of the IEP Process.

Help IEP teams stay compliant and spend less time on documentation so they can focus on supporting students.

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.