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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

Theresa Nicholls, assistant commissioner

Theresa.Nicholls@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 .

Resources

Department of Education/TennCare Provider Registration Webinar

Department of Education/TennCare Provider Registration Presentation

Medicaid and School Health: A Technical Assistance Guide

Medicaid School-Based Administrative Claiming Guide

School-based Medicaid Billing Companies

School District Provider Registration Memo

School District Provider Registration FAQs

TennCare Online Services Eligibility Verification Instructions