New Mexico schools provide a variety of health-related services to students. IDEA and Section 504 require schools to accommodate students who have a disability and are in need of educational and other related services. The expense of these services is managed by the school districts through a combination of federal, state, and local funds. The Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) initiative gave states the authority to reimburse schools for the expenses incurred for health services (including screening activities) provided to Medicaid eligible children as part of their IEP or IFSP.
Southwest Regional Education Cooperative coordinates the use of Medicaid reimbursement funds to improve health related services for all students in our member districts by maximizing Medicaid reimbursement for school-based services provided to eligible students in compliance with IDEA. We work closely with individual school districts to support clinician training and billing for these services. We bill Medicaid for both service fees and administrative claims to maximize our schools’ reimbursement funds.
The Southwest REC provides data entry and processing of Medicaid billing for District 10 (Animas, Deming, Hatch Valley, Lordsburg, Reserve, and Truth or Consequences). This service encompasses Direct Service Logs and Administrative Time Studies.
Direct Service Logs
Administrative Time Studies
For more information about school-based healthcare and Medicaid reimbursements, see the appropriate link: