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MARYLAND MEDICAID
SCHOOLED HEALTH CENTER
PROVIDER MANUAL
A Comprehensive Guide on CMS1500 Billing Procedures
for Schooled Health CentersRevised March 13, 20191Table of Contents
POLICY CHANGE HIGHLIGHTS
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What is school-based medicaid billing?
School-based medicaid billing is a program that allows schools to seek reimbursement from Medicaid for certain health-related services provided to eligible students.
Who is required to file school-based medicaid billing?
School districts or other educational agencies that provide covered services to Medicaid-eligible students are required to file school-based medicaid billing.
How to fill out school-based medicaid billing?
To fill out school-based medicaid billing, schools need to maintain accurate records of the services provided to eligible students, submit claims to the state Medicaid agency, and follow the guidelines set by the agency.
What is the purpose of school-based medicaid billing?
The purpose of school-based medicaid billing is to help schools offset the costs of providing health services to Medicaid-eligible students and ensure access to necessary care.
What information must be reported on school-based medicaid billing?
The information reported on school-based medicaid billing typically includes student identifiers, services provided, dates of service, and any other relevant information required by the state Medicaid agency.
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