School-based Medicaid

School-Based Medicaid Services

Many schools across Louisiana offer health services that are eligible for reimbursement under Medicaid, a state-federal program that provides health insurance to low income families. Health services eligible for Medicaid reimbursement include: nursing services, therapy services (speech therapy, OT and PT), behavioral health services (including ABA therapy), special transportation and personal care services.

The Louisiana Department of Education has developed the Louisiana School Based Medicaid Program (SBMP) Resource Library to help LEAs implement a health services program that is eligible for funding through Medicaid.

 
General Program Information

FileDownload
LDH - Primary Source Documents Download
Random Moment Time Study Guide Download
Reimbursement Calculator Download
SBMP Cost Report Guide Download
SBMP Medicaid 101 Download
SBMP Provider Hiring Guide Download
SBMP Quick Check List Download
SBMP Roles and Responsibilities Download

 
Provider Resources

FileDownload
Mental Health Treatment Plan Template - Blank Download
OT Plan of Care Template Download
PT plan of care Download
SBMP Covered Services and Qualified Providers Download
SBMP Provider Licensure Board Guide Download

 
PROVIDER TRAINING

FileDownload
Cost Report Spring Training 2024 Download
Documentation of School Based Services Spring Training 2024 Download
Medicaid Provider Enrollment Spring Training 2024 Download
Parental Consent for School Based Services Spring Training 2024 Download
Personal Care Medicaid Reimbursement Spring Training 2024 Download
RMTS Training Spring 2024 Download
Transportation Medicaid Reimbursement Training Spring 2024 Download

 
Special Transportation

FileDownload
Special Transportation Guide Download
Special Transportation Internal Audit Download

 
Technical Medicaid Guidance

FileDownload
Medicaid Eligibility Matching Download
Medicaid School Based Service OPR Enrollment FAQ (Updated December 2023) Download
SBMP LEA Registration as a Medicaid Provider Download

 
Parental Consent

FileDownload
SBMP Annual Parental Notification Letter Download
SBMP Annual Parental Notification Letter (Arabic) Download
SBMP Annual Parental Notification Letter (Spanish) Download
SBMP Annual Parental Notification Letter (Vietnamese) Download
SBMP One Time Parental Consent Download
SBMP Parental Consent FAQ Download
SBMP Parental Consent FAQ (Arabic) Download
SBMP Parental Consent FAQ (Spanish) Download
SBMP Parental Consent FAQ (Vietnamese) Download

Personal Care Services

Personal Care Services are medically necessary services provided to students in the school setting. This page provides information on documenting the services and the training for those services. Please reach out to sbmp@la.gov with any questions.

General Personal Care Service Information

FileDownload
PCS Plan Template Download
PCS Service Documentation Plan Download

Personal Care Service Training Center

FileDownload
PCS Provider Assessment Documentation Download
PCS Provider Initial 14 day Assessment Download
PCS Student Specific Training Checklist Download
PCS Training Requirement Summary Sheet Download