Start here if you are interested in understanding how to navigate School Based Health Services (SBHS) Medicaid. This guide will walk you through the process and provide the essential steps and resources to support efficient and sustainable billing. It is important to take your time and start with one step at a time when implementing a SBHS Medicaid program. To make implementation more manageable, the documents are organized into two distinct phases: Planning and Implementation. The documents listed below are organized in a logical sequence, starting with the Planning phase. Begin with the first two bullet points and work your way down.
Planning
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Education Agency Eligibility Criteria - Coming Soon
This document is designed to assist schools in determining if they meet the eligibility criteria to participate in SBHS Medicaid billing. -
School Medicaid Billing Checklist
This checklist is designed to assist Oregon Education Agencies in completing the steps necessary to begin billing.
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School Medicaid Cost-Benefit Analysis Tool
This tool is designed to assist Oregon Education Agencies in conducting a cost-benefit analysis for a School Medicaid program.
Implementation
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School Medicaid Readiness Assessment Tool
This tool is designed to assist Oregon Education Agencies to assess readiness for implementing a School Medicaid program.
- Medicaid Sustainability Framework
This document is designed to help Oregon Education Agencies establish, strengthen, and sustain their participation in Oregon's SBHS Medicaid program. It provides a structured, phased approach to developing aligned policies, procedures, and practices that support compliant, efficient, and long-term Medicaid billing.
Contact:
Shelby Parks, School Medicaid Program Analyst