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. The SBMP Resource Library was launched in September of 2021, and new guidance documents will continue to be added through February of 2022 and then updated as needed thereafter.  Whenever a document is updated, a revision sheet will be added to the end of the document explaining any changes and the date they were made. Check back for future updates.

 
General Program Information

FileDownload
Reimbursement Calculator Download
SBMP Cost Report Guide Download
SBMP Medicaid 101 Download
SBMP Organizational Chart Download
SBMP Provider Hiring Guide Download
SBMP Quick Check List Download
SBMP Roles and Responsibilities Download

 
Louisiana Department of Health (LDH) Information and Memos

FileDownload
LDH Memo - CMS Approval Letter Download
LDH Memo 3.21 - PCS Program Requriments Download
LDH Memo 5.21 - NPI Information Download
LDH Memo 7.20 - Covered Services Download
LDH Memo 7.20 - Program Updates Download
LDH- Primary Source Documents Download

 
Provider Resources

FileDownload
Cost Report Spring Training 2024 Download
Documentation of School Based Services Spring Training 2024 Download
Medicaid Provider Enrollment Spring Training 2024 Download
Mental Health Treatment Plan Template - Blank Download
OT Plan of Care Template Download
Parental Consent for School Based Services Spring Training 2024 Download
Personal Care Medicaid Reimbursement Spring Training 2024 Download
PT plan of care Download
RMTS Training Spring 2024 Download
SBMP Covered Services and Qualifed Providers Download
SBMP Provider Licensure Board Guide Download
Transportation Medicaid Reimbursement Training Spring 2024 Download

 
Random Moment Time Study

 
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