Special Education

Medicaid Billing Consortium

Resource Links

Medicaid is a health care program under the Oregon Health Plan (OHP), which provides medical assistance to low-income children. Clackamas ESD provides training and technical assistance to participating districts in the development and maintenance of the Medicaid Administrative Claiming (MAC) and School-based Health Services (SBHS) programs.

MAC

The MAC program reimburses school districts and ESDs for the cost of performing certain Medicaid administrative activities such as:

Medicaid Outreach
Referral, Coordinating, and Monitoring of Medicaid/OHP services
Transportation and Translation to/for OHP covered services
Program Planning, Policy Development and Coordination related to medical services

SBHS

The SBHS program reimburses school districts and ESDs for health services provided to Medicaid eligible children/students with disabilities. The services are indicated on a student's Individual Education Program or a child’s Individualized Family Service Plan. These services may include:

Physical Therapy Evaluations and Treatments
Occupational Therapy Evaluations and Treatments
Speech Therapy Evaluations and Treatments
Nurse Evaluation and Treatment Services
Mental Health Evaluation and Treatment Services

For more information contact Vicki Coe, Clackamas ESD Medicaid Billing Facilitator.