Medicaid can be an important revenue source for schools providing high quality services to students with disabilities.
As public agencies, LEAs are entitled to seek Medicaid reimbursement for school-based health services provided to eligible students with Individualized Education Programs (IEPs). The Co-op has been assisting charter schools with Medicaid reimbursement since 2006 and has extensive experience working with the Department of Health Care Finance (DHCF) and other city agencies. The Co-op is the expert when it comes to DC charter schools and Medicaid. When LEAs opt-in to our Medicaid reimbursement program, they receive exceptional customer service and support as well as recommendations for improving overall special education compliance and service delivery.
- Special Education Infrastructure
Medicaid can be an important source of revenue for special education programming, but accessing Medicaid reimbursement for school-based health services has been a challenge for charter districts. Medicaid for school-based services is complex, and even our larger charter districts lack the internal capacity to navigate the regulations and technical aspects. As a cooperative, we’re able to pool our resources and share the costs of creating a “central office” for Medicaid reimbursement.
SCHOOL-BASED MEDICAID Program activities:
- DC Medicaid Provider application guidance and support
- Billing set-up and ongoing claim submission
- Ongoing training and troubleshooting
- Reporting and technical assistance
- Cost Reporting and annual audit preparation and support
We are constantly refining our program to better meet the needs of our LEA partners. Since launching our expanded School-Based Medicaid services in 2014, we have helped the charter sector recoup over $13M for special education programming.