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Medicaid Reimbursement
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MEDICAID SCHOOL SERVICES PROGRAM
Since 1993, Michigan Intermediate School Districts (ISDs) have participated in the School Services Program (SSP), a federal and state-funded Medicaid reimbursement program. The School Services Program's sole purpose is to assure students receive needed healthcare (medical, emotional, behavioral, and transportation-related) services at school. The SSP accomplishes this goal by participating in three service and reimbursement programs.
Direct Service Claiming (DCS)
The Direct Service Claiming (DSC) segment of the program assists school districts with the cost of providing health-related (medical and transportation-related) services to Medicaid eligible students through age 21 with special needs under the Individuals with Disabilities Education Act (IDEA). The DSC medical staff portion of the program generates revenue by tracking the services and time Medicaid qualified school personnel spend on an Individualized Education plan (IEP) or Individualized Family Service Plan (IFSP) prescribed health related services, and by factoring the districts' expenses for the staff providing these services.
Caring 4 Students (C4S)
In 2019, a new program was added to expand the school services program. The Caring 4 Students (C4S) segment of the program assists school districts by providing partial reimbursements for the cost of expanding and enhancing emotional or behavioral and medical services to Medicaid eligible general education students through the age of 21. C4S includes general education students who have a Plan of Care (POC) which includes, but is not limited to, an individualized health care plan, behavioral plan, medical management plan and safety plan, or the need for crisis intervention. Although this partial reimbursement is only available for students who are Medicaid eligible, these services are provided to all students, regardless of their Medicaid eligibility status.
Administrative Outreach Program
The Administrative Outreach Program (AOP) segment of the program assists school districts by providing partial reimbursement for the administrative costs used to identify and help students who are considered "at risk" for various health problems. The program accomplishes the goal by tracking the time school personnel spend on outreach activities and by factoring the district's expenses for staff providing these services.
Medicaid Coordinator
Andrea VanSloten
andreav@eupschools.org
