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.

Current Oregon Administrative Rules

Please refer to the Oregon Secretary of State website. OHA no longer maintains the administrative rulebooks.

Click the program name, then click the rule you want to view.
The current rule will display. To view previous revisions of the rule, click the revision date(s) at the bottom of the rule page. Revisions are available back to 2017.
If you need older revisions, please email Adminrules.Archives@oregon.gov.
If you have problems accessing older revisions not available on the SOS website, please email HSD.Rules@oha.oregon.gov.

Recent Rule Filings

Supplemental Information and Guidelines

Forms

Announcements

Policy Quick Links

Rules and Guidelines by Program

Temporary Rule Filings

Permanent Rule Filings

Notices of Proposed Rulemaking

SBHS Quick Links

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

ODE's COVID-19 Frequently Asked Questions page

OHA's guide to SBHS telehealth/ telemedicine coverage during the COVID-19 emergency

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@oha.oregon.gov

Lasa Baxter
Contracted Operations Analyst
InterMountain Education Service District
lbaxter@imesd.k12.or.us