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.
MSP reimburses schools and districts for the federal match for school-based Medicaid services that are part of a student’s Individualized Educational Plan (IEP) or a School Services Plan of Care, 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.
Schools and districts must use state or local funds to provide the state match for the program. It is the school or district’s decision on what state or local funds to use for the match but note that Student Wellness and Success Funds may be used to meet this requirement. Districts and schools must spend at least 50% of their Student Wellness and Success Funds on physical or mental health services.
Districts may review the MSP Administrative Rules 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.
Schools and districts may visit the Ohio Medicaid School Program webpage or contact MedicaidSchoolProgram@medicaid.ohio.gov to learn more about how to become provider.
The Ohio Department of Medicaid offers a list of available third-party billing agents to administer the MSP.
Additional Resources
Last Modified: 12/30/2025 10:04:49 AM