CESA 6 offers school districts an opportunity for school based services billing / reimbursement. School-based services (SBS) benefit is designed to increase federal funding to Wisconsin schools to help pay for medically related special education and related services. CESA 6 provides this service to Special Education Leadership Schools.
The SBS benefit defines the services that can be reimbursed by Wisconsin Medicaid for medically necessary services provided to Medicaid-eligible children in Wisconsin schools. An integral component of the SBS benefit is the Medicaid Administrative Claiming (MAC). Staff in participating districts are required to complete random time studies designating Medicaid edible activities. Districts also need to complete a certified public expenditure (CPE) report annually to document allowable expenditures.
To participate as a Wisconsin Medicaid SBS provider, a school district, Cooperative Educational Service Agency (CESA), County Children with Disabilities Education Board (CCDEB), or charter school are required to be certified as a provider under HFS 105 53. School districts must be Medicaid certified.
The Wisconsin Medicaid SBS benefit only covers services that are listed in the child’s Individual Education Program (IEP). Each public school child who receives school-based services must have an IEP. The IEP identifies the special education and related services for the child.