Skip to main content

Can a classroom-based intervention delivered by a qualified provider be covered by Medicaid?

The 2023 Comprehensive Guide to Medicaid Services and Administrative Claiming defines IDEA/IEP services where direct services may be delivered to an individual and/or group to ameliorate a specific condition and are performed in the presence of the student(s). All direct medical services should be outlined in the Medicaid State Plan and questions about specific classroom-based interventions should be directed to the State Medicaid Agency.

Date
Topic
School-Based Services
Sub Topic
Services and Documentation
Early and Periodic Screening, Diagnosis, and Treatment (EPSDT)
Billing/Funding
FAQ ID
181131
FAQ Page
Medicaid School-Based Services Frequently Asked Questions (FAQs)
FAQ Question
Can a classroom-based intervention delivered by a qualified provider be covered by Medicaid?