In response to increased interest and activity with respect to services available to children with
autism spectrum disorder (ASD), CMS is providing information on approaches available under
the federal Medicaid program for providing services to eligible individuals with ASD.
Early Periodic Screening Detection and Treatment (EPSDT) Benefit Requirements
Section 1905(r) of the Act defines the EPSDT benefit to include a comprehensive array of
preventive, diagnostic, and treatment services for low-income infants, children and adolescents
under age 21.
School districts can receive Medicaid reimbursement for health-related services provided to special education students, but they don't often have the internal resources needed to claim those reimbursements. They have developed an online application that allows Medicaid providers to complete time studies, document the delivery of health-related services, and submit claims electronically. The web-enabled school-based claiming application currently supports over 2,500 school districts in 9 states, as well as various state and local agencies. For more information, CLICK HERE