Experts in Illinois IEP and School Medicaid ClaimsSchool Medicaid Claims The process of submitting documentation to Medicaid for reimbursement of services provided to eligible students within a school setting.
Go Solutions is the preferred partner for Illinois school districts, delivering expert support in Medicaid billing, Individualized Education Plan (IEP) management, and Section 504 compliance. Each district benefits from a dedicated account manager who provides personalized guidance through state regulations, helps maximize reimbursements, and alleviates IEP-related challenges. Additionally, our Illinois-specific training sessions, held monthly, ensure that staff stay informed and adept at navigating state-specific processes.
Experts in Illinois IEP and School Medicaid Claims
Go Solutions is the preferred partner for Illinois school districts, delivering expert support in Medicaid billing, Individualized Education Plan (IEP) management, and Section 504 compliance. Each district benefits from a dedicated account manager who provides personalized guidance through state regulations, helps maximize reimbursements, and alleviates IEP-related challenges. Additionally, our Illinois-specific training sessions, held monthly, ensure that staff stay informed and adept at navigating state-specific processes.
Illinois IEP and Medicaid Billing Overview
Individualized Education Programs (IEP) in Illinois
In Illinois, an Individualized Education Program (IEP) is designed for students with disabilities, outlining their educational goals and necessary support services. The IEP team, consisting of educators, parents, and specialists, meets regularly to assess the student’s academic performance and set goals. Under the Individuals with Disabilities Education Act (IDEA), school districts must provide appropriate services in the least restrictive environment.
Medicaid Programs and School-Based Services
Medicaid programs in Illinois support students with disabilities by offering health services such as speech, occupational, and physical therapy. These services help students achieve their academic and functional goals.
Medicaid Billing in Illinois
Illinois school districts can receive reimbursement for Medicaid-eligible services by documenting and submitting claims. Go Solutions’ GoClaim tool streamlines this process, ensuring timely and accurate submissions, maximizing reimbursements, and reducing administrative burdens.
Section 504 Plans
Section 504 plans provide accommodations for students with varying needs, ensuring equal access to education. These plans address the individual needs for each student.
Go Solutions’ Role
Go Solutions assists Illinois school districts by providing them with an IEP and Medicaid billing software, helping them navigate state regulations, optimize reimbursements, and provide continuous support through training and consultation. Partnering with Go Solutions allows schools to focus more on educational outcomes and less on administrative tasks.
Meet Your Dedicated Illinois Customer Relationship Manager
Jamie Gonzales is a valued member of the Go Solutions team, dedicated to helping with all your Illinois Medicaid billing needs. With her background as a special education teacher for several years, Jamie understands the field and knows how to save your staff time and maximize reimbursements. She responds promptly to calls and emails, hosts trainings for her school districts, and is committed to making the lives of special education teachers easier.
Jamie Gonzales
Have Questions About Illinois School-Based Medicaid Billing? We Have Answers!
Navigating school-based Medicaid billing can be complex, but we’re here to help. Here are some commonly asked questions and answers specific to Illinois’s Medicaid billing process. Let us simplify the process for you and ensure you maximize your reimbursements.
While changes may occur annually, as of 2024, they are no longer guaranteed. Any updates to your reimbursement rates will be posted in your district’s PCG account, reflecting adjustments based on the Staff Pool List (SPL) participation and cost reporting.
The school district must qualify for the service in order for the evaluation to be billable.
We typically submit claims based on a set schedule, with submissions on the second full week of the month. However, we work with each district to customize this schedule to meet their specific needs.
Yes, a new referral is required annually.
Referrals can be documented in GoClaim either through data import/integration or by manual entry, providing flexibility to suit district needs.
Currently it is 6 months.
Yes, as of 7/1/21 school districts in Illinois can take advantage of Open Care by billing for students receiving mental health services or services listed in their Individualized Family Service Plan (IFSP) by licensed providers.
- Health Aides
- Nurses
- Speech Language Pathologists
- Occupational Therapists
- Physical Therapists
- School Psychologists
- School Counselors
- Social Workers
- Audiologists
- Transportation
- Licensed Clinical Professional Counselors (LCPCs)
- Licensed Marriage and Family Therapists
- Orientation and Mobility Specialists
- Licenses Clinical Psychologists (LCPs)
- Registered Behavior Technicians (RBTs)
How We Help IL School Districts
Electronic Consent
Transportation Services
Our staff can manually enter transportation services for your school district.
Health AideHealth Aide A trained individual who assists students with health-related needs, including medication administration, monitoring, and other healthcare tasks.
Our staff can manually enter health aide services for your district.
IMPACT
We send out reminders to district administrators to make sure there are no lapses in enrollment with IMPACT for your providers or your district.
In Illinois, Open Care is revolutionizing school-based Medicaid programs by expanding healthcare services to all students, not just those with disabilities. This shift aims to improve health outcomes and academic performance by providing essential medical, and behavioral health services directly within schools, making it easier for students, especially those in underserved communities, to access the care they need. Open Care’s focus on early intervention and prevention helps identify and address health issues before they escalate, promoting better long-term outcomes for students.
However, the implementation of Open Care in Illinois brings challenges, including the need for adequate funding, maintaining data privacy, and securing parental consent. Go Solutions is here to help schools overcome these hurdles. We understand the ins and outs of the program, and your dedicated account manager will work with you to optimize this opportunity, helping your school increase Medicaid reimbursements while ensuring compliance and effective implementation. By partnering with Go Solutions, Illinois schools can maximize the benefits of Open Care and set a new standard for student services.