Medicaid Reimbursement

Medicaid is a jointly funded Federal-State health insurance program for persons with low income and/or disabilities. School Based Services allows districts to receive reimbursement for services provided to students with special needs under the Individuals with Disabilities Education Act (IDEA).

The program's purpose is to assure that Medicaid eligible children and teenagers, who are special-education certified, receive needed health care.  Wayne RESA is the Medicaid provider under which all claims are made.

The School Based Services program is divided into two very distinct segments:

• The Fee for Service program receives partial reimbursement for direct medical services provided to special education students through the age of 21. >More Information 
• The Administrative Outreach program receives partial reimbursement for the administrative costs to identify and help students who are considered "at risk" for various health problems. > More Information

Health services in the school systems include not only physical health, but mental and emotional health as well.