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School-Based Health Services Program



Oregon Administrative Rules and supplemental information administered by the Health Systems Division.

 Receive program updates by text or email - Please specify which program(s) you are interested in; otherwise, you will receive updates for all programs.
 
The SBHS rules define Oregon’s fee-for-service program to reimburse publicly funded education agencies for health services provided under the IDEA to Oregon’s Medicaid-eligible children. The SBHS rules are also a user’s manual designed to assist the Education Agency (EA) in matching state and federal funds for Oregon’s Medicaid-eligible students with disabilities.

Recent rule filings

You can also view all School-Based Health Services Program rules as filed with the Secretary of State.

Administrative rulebooks

Each rulebook is an interactive PDF that contains all program rules effective on the "Effective Date" listed for the rulebook. If you need an older rulebook not listed here, visit the OHP Rulebooks page.

Supplemental information and guidelines

Forms

Announcements

Policy Quick Links

Rule and guidelines by program

Temporary rules

Notices of Proposed Rulemaking

OHP Rulebooks

SBHS Quick Links

Medicaid in Education page - List of resources from the Oregon Department of Education

Guides

School Medicaid Checklist - How to get started

Occupational Therapy

Physical Therapy

Medicaid Leveraging

Nurse Staffing in Oregon Schools

State rules

The SBHS rules are to be used in conjunction with:

General Rules (OAR 410 Division 120);

Oregon Health Plan Rules (OAR 410 Division 141); and

Oregon Department of Education Special Education rules - Outline Oregon’s program to meet the federal provisions of the Individuals with Disabilities Education Act (IDEA). Includes consent requirement under the Family Education Rights and Privacy Act (FERPA) to share information.

Federal regulations

Code of Federal Regulations – Title 34 contains Education regulations; Title 42 (Public Health) lists Medicaid-eligible services.

Medicaid and School Health: A Technical Assistance Guide - Contains specific technical information on the Medicaid requirements associated with seeking payment for coverable services rendered in a school-based setting.

Other resources

Local Match Rates page for current match rates and related information.

Provider enrollment forms for School Medical providers

Who to call for help

Provider Services

 800-336-6016 or  email us

 Address and telephone contacts

Linda Williams
SBHS Coordinator
Health Systems Division
 linda.j.williams@dhsoha.state.or.us

Lasa Baxter
Contracted Operations Analyst
Department of Education
lbaxter@imesd.k12.or.us

Jennifer Smith
Operations, Policy and Billing Analyst
Health Systems Division
jennifer.r.smith@dhsoha.state.or.us

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