Kentucky Department of Education

Under the Medicaid School Based Health Services (SBHS) program, local education agencies in Kentucky, including KSB and KSD, are eligible to enroll as a Medicaid health services provider for children who eligible under the Medicaid program and under the Individuals with Disabilities Education Act (IDEA). This information is for districts participating, or wishing to participate, in the Medicaid SBHS.

The Medicaid SBHS program is designed specifically to allow school districts to act as heath care providers and be reimbursed under Medicaid. School districts may be reimbursed approximately 70 percent of the state and local funds they spend on some related services in the individualized education programs (IEP) of children with disabilities who are eligible under both IDEA and Medicaid.

Application for Certification/Recertification for Medicaid School-Based Health Services Application Instructions SBHS Medicaid Qualifications/Modifier List
Quality Assurance Outline SBHS Technical Assistance Guide Sept. 2010 SBHS Amendment Form
Release of Information Form CFR 440.110 Federal Medicaid Regulation KDE Regulation regarding SBHS Medicaid Program
Department of Medicaid Regulations regarding SBHS
Medicaid Provider Agreement Forms   Procedure Codes 7-2011
Certification of Expenditure Form.  To be sent to the Department for Medicaid Services each Quarter.
School-Based Medicaid Monitoring Procedures, 05-2011 School-Based Medicaid Monitoring Review Form 2011
2011 KYCEC School-Based Medicaid Update Presentation 2011 KYCEC School-Based Medicaid Update Handouts