This page serves as a one-stop resource for all the SEEC School-Based Medicaid Consortium service providers. Here you'll find an overview of eligible services within ND schools as well as quick links to information, forms, etc.
If there is something missing that you think could be helpful for all service providers, please reach out to Brooke Tayer at firstname.lastname@example.org.
Medicaid Eligible Services within a School Setting
Services must be medically necessary and outlined within an IEP that has been developed by the school’s IEP team. Nursing services require a written order that documents medical necessity. Other health-related services must be authorized by a licensed practitioner of the healing arts operating within their scope of practice:
- Therapies (physical therapy, occupational therapy and speech-language pathology)
- Behavioral Health;
- Nursing Services that support the child’s needs to access free appropriate public education provided by Registered Nurses to children with complex medical needs.
- Transportation from school to IEP services provided at an offsite location, and transportation back to school. Inclusion of the service in the child's IEP is mandatory; and
- Applied behavior analysis for children with an Autism Spectrum Disorder
Services that are not covered include:
- Services provided that are not documented in the Medicaid-eligible student’s IEP.
- Services not authorized by the appropriate authorization or written order.
- Services that are not provided directly to the child such as attendance at staff meetings, IEP meetings, staff supervision, member screening, development and use of instructional text and treatment materials.
- Communications between the provider and child that is not face-to-face.
- Transportation to and from home to school.
- Population screenings such as lice checks.
- Services considered experimental or investigational.
- Services considered educational or instructional in nature.
- Medication administration.