From Paperwork to Profit: How School Districts Get Paid with Medicaid Billing
In an environment of shrinking budgets and diminishing grant funding, school districts are constantly searching for new ways to support their students and staff. For districts, a significant (and often overlooked) revenue stream has just become more accessible. Thanks to the recent school Medicaid expansion, districts can now easily tap into new funding for school-based nursing services by using Findhelp’s SchoolCare platform and its integrated Medicaid billing solution.
Read on to learn:
Why the new Medicaid expansion is an important opportunity for school districts.
How SchoolCare’s integrated software streamlines the Medicaid billing process for school nurses.
The unique, no-risk pricing model that helps districts maximize reimbursement without any upfront costs.
The opportunity: Expanded Medicaid eligibility
Traditionally, Medicaid billing for school health services was limited to a small subset of students, typically those with Individualized Education Programs (IEPs) or 504 plans. This meant that districts were missing out on potential reimbursement for a large portion of the nursing services they were already providing. This limited scope meant that many districts didn’t bother pursuing this funding.
However, 25+ states are updating their programs to cover services outside of an IEP, drastically expanding the eligible population and providing an exciting opportunity for districts. These expansions vary state-to-state, encompassing students with IEPs, 504s, Individualized Healthcare Plans (IHPs), and, in some states, all Medicaid-enrolled students. Districts can now bill for a significantly larger number of students and finally receive reimbursement for the charting their nurses are already doing.
Findhelp’s free student health management platform reduces administrative burdens through intuitive tools and integrations that help school districts maximize efficiency, improve student care, and secure funding.
Our unique approach: Maximum revenue, minimal risk
SchoolCare’s new functionality simplifies the billing process for schools. Our software allows nurses to efficiently track encounters within their existing student health record. From there, the system summarizes qualifying visits, generates eligibility and claim files, and manages remittance responses to ensure accurate reimbursements and minimize rejections.
Fully integrated Medicaid billing in SchoolCare’s free platform
No add-ons. No new systems. Just more value from the platform your team already uses.
- Track student health encounters: Log health services directly in SchoolCare using your current workflows.
- Generate Medicaid claims: Automatically identify qualifying visits, check eligibility, and create claims.
- Manage reimbursements: Monitor payments from the state, fix rejections, and prevent duplicates
The SchoolCare advantage
What truly sets SchoolCare apart is our unique, low-risk approach. Unlike other solutions that require substantial upfront implementation and training fees, we have eliminated these financial barriers. We operate on a simple, transparent, and low-risk model:
- No upfront costs: There are no implementation or training fees. We want to get you up and running without any initial financial burden.
- Simple, low-cost pricing: We charge a low per-transaction fee—significantly lower than other vendors.
- Only pay once you’ve been paid: Payments go directly from the state to your district; SchoolCare never handles your money. We only bill for our services after you’ve successfully received reimbursement, so there’s no risk of your district having to pay us before you’ve been paid.
- Same workflow, new income: There is nothing new to learn, no training required—nurses continue documenting care as they always have.
Get started with SchoolCare and start getting paid
SchoolCare helps your district secure vital Medicaid funding for eligible services. It’s a no-risk, no-burden solution to ensure you’re not leaving money behind.
By leveraging the charting your nurses are already doing in our platform, SchoolCare helps districts tap into this much-needed funding, maximizing the amount of reimbursement received and providing a vital resource.
