Medicaid School Services Program
Since 1993, Michigan Intermediate School Districts (ISDs) have participated in a federal and state-funded Medicaid reimbursement program that provides a unique opportunity to deliver healthcare services to children and adolescents in the school setting.
The School Services Program's (SSP) sole purpose is to assure students receive needed health care (medical, emotional, behavioral, and transportation-related) services at school. The School Services Program accomplishes this goal by participating in three service and reimbursement programs.
Administrative Outreach Program (AOP)
The AOP segment of the program assists school districts by providing partial reimbursement for the administrative costs used to identify and help students who are considered "at risk" for various health problems. The program accomplishes the goal by tracking the time school personnel spend on outreach activities and by factoring the district's expense for staff providing these services.
Direct Service Claiming (DSC)
The DSC segment of the program assists school districts with the cost of providing health-related (medical and transportation-related) services to Medicaid-eligible students through age 21 with special needs under the Individuals with Disabilities Education Act (IDEA).
The DSC medical staff portion of the program generates revenue by tracking the services and time Medicaid-qualified school personnel spends on Individualized Education Plan (IEP) or Individualized Family Service Plan (IFSP) prescribed health-related services, and by factoring the district's expense for staff providing those services.
Caring 4 Students (C4S)
In 2019, a new program was added to expand the School Services Program. The Caring 4 Students (C4S) segment of the program assists school districts by providing partial reimbursement for the cost of expanding and enhancing emotional/behavioral and medical services to Medicaid-eligible general education students through the age of 21. C4S includes general education students who have a Plan of Care which includes, but is not limited to, an Individualized Health Care Plan, Behavioral Plan, Medical Management Plan, and Safety Plan; or the need for crisis intervention. Although this partial reimbursement is only available for students who are Medicaid eligible, these services are provided to all students regardless of their Medicaid eligibility status.