Information of Parents About Medicaid in Schools

How Do Medicaid and Illinois Schools Work Together?

The State of Illinois participates in a federal program called Medicaid School-Based Services. This program helps school districts by allowing them to receive reimbursement for medical services provided to students. School districts frequently utilize this Medicaid reimbursement to help meet the costs of providing services.

Who Can the District Submit Reimbursement For?

While medical services will be provided to all students, school districts may only receive reimbursement for services provided to students who are Medicaid eligible.

What Services Does Medicaid Cover?

  • Occupational Therapy

  • Physical Therapy

  • Nursing Services

  • Speech/Language Services

  • Psychological Services

  • Social Work Services

  • Audiology Services

  • Special Transportation

  • School Health Aides

  • Screenings/Evaluations

Why Does the District Need Parental Consent?

Federal law requires school districts to seek parental consent prior to submitting bills for reimbursement from public insurers such as Medicaid. The school district is required to obtain your written permission to release information to Medicaid before the district can submit any information for billing purposes.

Is There Any Cost To Me?

No. Services provided to a student within a school setting are provided at no cost to the parent/guardian.

Will This Impact My Child's Medicaid Benefits?

Granting permission for the school district to bill Medicaid will not reduce your ability to seek other Medicaid covered health-related services outside the school setting. This permission will not decrease lifetime coverage, increase premiums, or lead to the discontinuation of benefits, as Medicaid does not have a maximum number of eligible visits or a lifetime maximum for services.

Who Will See This Information?

Your student's demographic and service information will be shared with our billing agent and HFS (Healthcare and Family Services) for the purpose of verifying Medicaid eligibility and submitting claims.

What If I Do Not Grant Consent? -or- What If I Change My Mind?

You have the right to withdraw consent at any time. Your child's free appropriate public education and related services will continue regardless of consent, refusal of consent, or withdrawal.

Who Do I Contact If I Have Questions?

Please contact your school district with any questions or concerns.