Medicaid Reimbursement

Medicaid is a health insurance program jointly funded by the State government and Federal Government. Medicaid is specifically for persons with low income and/or disabilities. Districts can receive reimbursement for services provided to students with special needs under the Individuals with Disabilities Education Act (IDEA). 


The program's purpose is to assure that Medicaid eligible children and teenager, who are special-education certified, receive needed health care. Eaton RESA is the Medicaid provider under which all claims are made. 

The School Based Services program allows districts to receive reimbursement for services provided to students with special needs under the Individuals with Disabilities Education Act (IDEA). The School Based Services program is divided into two segments: the Fee for Service program and the Administrative Outreach program.

The Fee for Service program receives partial reimbursement for medical services provided to special education students through the age of 21.

The Administrative Outreach program receives partial reimbursement for the administrative costs to identify and help students who are considered "at risk" for a number of health problems.

Health services in the school systems eligible for Medicaid Reimbursement include physical health, mental health and emotional health.