School-Based Medicaid

The Individuals with Disabilities Education Act (IDEA) requires school districts to provide both special education and related services to eligible students to ensure they receive access to a Free Appropriate Public Education (FAPE). The IDEA defines FAPE as special education and related services that are provided at public expense in the least restrictive environment. This means health-related services can be provided in the school setting which can be the most cost-effective alternative.

Contact Information

Susan Usery, Speech-Language & Related Services Coordinator

Susan.Usery@tn.gov

TennCare is the state of Tennessee’s Medicaid program that operates within the guidelines set by the federal government. This program allows school districts to seek payment for providing medically necessary services (related services) to Medicaid eligible children. For more information on how your district can participate and receive Medicaid reimbursement for health related services, review the Department of Education/TennCare Provider Registration Webinar and the presentation PowerPoint .

The department, in collaboration with the Division of Tenncare, is pleased to provide school districts with a Tenncare Billing Manual to address the coverage by TennCare of medical services provided in a school setting. TennCare is the state of Tennessee’s Medicaid program that operates within the guidelines set by the federal government. This program allows school districts to seek payment for providing medically necessary services (related services) to Medicaid eligible children.

Medicaid Billing Vendors

The Tennessee Department of Education does not endorse, recommend, or approve the vendors on this list. It is provided for informational purposes only. Contact Susan.Usery@tn.gov if you are a vendor that provides these services and would like to be added to this list.