The Ohio Medicaid Schools Program

Reimbursement practices concerning the Medicaid School Program (MSP) Webcast

The Departments of Medicaid and Education recently hosted a webcast | PDF version of the Webcast for school districts concerning changes to the Medicaid in Schools Program (MSP). The Centers for Medicare and Medicaid Services have mandated that a child receiving services through an individualized education program (IEP) must have an order, referral or prescription from an actively enrolled Medicaid medical practitioner in order for a participating school districts to receive reimbursement from MSP. To continue to receive reimbursements from MSP, districts must come into compliance by Aug. 1, 2016. The Departments of Medicaid and Education are committed to working with districts to develop strategies to address this requirement.

The Centers for Medicare and Medicaid Services developed this guidance document

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The Medicaid School Program (MSP) has been developed to include federal Medicaid matching funding for medically necessary therapy services, certain administrative activities, and specialized transportation associated with accessing therapy services. Direct MSP providers include traditional school districts and community schools. However, other entities may be involved in the program through contracting, such as Educational Service Centers (ESCs) or private therapy clinics. MSP is coordinated jointly between the Ohio Department of Medicaid (ODM) and the Ohio Department of Education (ODE).

Recent Updates



Medicaid School Program: MER Data  04/28/2017
Medicaid School Program: Related Services MER Memo  03/13/2017
Medicaid School Program: MER Calculation  03/13/2017
SFY 2015 Agreed Upon Procedures Engagement (AUPE): 07/01/2014- 06/30/2015 (procedure 2 amended)  03/13/2017
Medicaid School Program: Development of New MSP Cost Report Submission Process  09/15/2016 
Medicaid School Program: 2015 MER Data  09/15/2016
Medicaid School Program: 2016 MER Data  09/15/2016
Medicaid School Program: Update Related to Ordering, Referring and Prescribing (ORP)  09/15/2016
Medicaid School Program: MSP Provider SSN Clarification  06/10/2016
Medicaid School Program Cost Report Guide  05/11/2016
Medicaid School Program Cost Report  05/11/2016
Medicaid School Program Eligible Services  02/03/2016
Medicaid School Program (MSP) Requirements (ORP)  01/21/2016
MSP Approved Time Study Guide 07/01/2014

Rules and Requirements

List of Participants (schools, auditors, vendors)

Last Modified: 5/17/2017 10:27:27 AM