The Ohio Medicaid School Program

The Medicaid School Program (MSP), a collaboration between the Departments of Education and Workforce and Medicaid, reimburses districts for some school-based therapy services provided to students who receive Medicaid. 

Medicaid reimburses school-based services that are part of a student’s Individualized Educational Plan (IEP), and families sign a consent form to allow for Medicaid billing. School-based services should not lower the level of medically necessary services that a student receives outside of school.

Services are covered under the Individual with Disabilities Education Act (IDEA). Administrators, therapists, and billing agents can use the resources below to adhere to Ohio rules and law for the MSP. 

Districts may review the MSP Administrative Rules and MSP State Plan Amendment Approval  for more information about rules and requirements. Administrators and therapists can refer to the MSP Approved Time Study Guide for guidance in using Medicaid rules and requirements.  
 

Fiscal Resources

District finance staff and MSP billing agents can find documents below to process Medicaid reimbursement.

• SFY24: Medical Eligibility Rates.xlsx
• FY23: Ohio MSP Agreed Upon Procedures
• FY23: Ohio MSP Cost Report Instructions
• FY23: Ohio MSP Cost Report Template
• SFY23: Medical Eligibility Rates.xlsx
• SFY22: MSP Agreed Upon Procedures Engagement (AUPE) 
• SFY22: MSP Cost Report
• SFY22: FINAL MSP Medicaid Eligibility Rates  

Additional Resources

• Medicaid School-Based Services Frequently Asked Questions​​
• Delivering Services in School-Based Settings: A Comprehensive Guide to Medicaid Services and Administrative Claiming.pdf

Last Modified: 7/22/2024 7:51:27 AM

---