Medicaid Reimbursement
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WEST VIRGINIA
SCHOOL-BASED SERVICES
MEDICAID REIMBURSEMENT PROGRAM
 

WV Code 18-2-5b authorizes the RESA 8 school districts to participate and submit claims for Medicaid Reimbursement via the following services:

  • Audiological Services
  • Targeted Case Management
  • Occupational Therapy
  • Personal Care
  • Physical Therapy
  • Psychological Evaluations and Counseling
  • Specialized Nursing Services
  • Specialized Transportation/Aide
  • Speech Language Therapy

 

Participation in the program requires meeting specific criteria and following express guidelines as provided by the West Virginia Department of Education, Office of Special Education in coordination with the Bureau for Medical Services, Health Care Financing Agency (HCFA), and the West Virginia Department of Human Services.  The state and federal Medicaid program has instituted a cost settlement system that results in a county's accrued reimbursements and the cost of providing services being compared and reconciled through several elements on an annual basis.