Medicaid Reimbursement in Schools

National Provider Identification Numbers (NPI) and Medicaid Billing 

It is important for you, as a school based clinician, to know and understand what is being required in your state. School-based SLPs and audiologists will be required to have an NPI number or an alternative measure of identification—commonly called a "unique identifier number"—in order to complete a Medicaid claim. The decision of whether you must have an NPI number or "unique identifier number" will be made by your individual state's health care authority. Read more about what you need to know.

Medicaid School Based Services

• Medicaid Guidance for Speech-Language Pathology Services: Addressing the "Under the Direction of" Rule
• Guidelines 2005
• Knowledge and Skills 2005
• Technical Report 2004
• Position Statement 2004

Resources

• Medicaid and Third Party Billing Payments in the Schools
• Medicaid Toolkit: A Guide for Audiologists and Speech-Language Pathologists
• Medicaid Payment for School Based Services
• Medicaid FAQs
• Medical Necessity – information and links to individual state definitions of medical necessity for children enrolled in Medicaid.