1. GoClaim (Go Solutions)
GoClaim is a school-based Medicaid reimbursement platform purpose-built for K–12 districts to document Medicaid-eligible services and support compliant claiming workflows. The software tightly integrates Medicaid documentation with special education processes, helping districts maximize reimbursement while remaining audit-ready and aligned with state and federal Medicaid requirements.
2. Accelify Medicaid Management (Accelify / Frontline Education)
Accelify provided dedicated school Medicaid reimbursement software prior to its acquisition by Frontline Education. Its Medicaid functionality now lives within Frontline’s Medicaid and service management offerings, though the Accelify brand continues to appear in the market.
💡 Recommended reading: Data Security in Special Ed: How Schools Can Safeguard Sensitive Student Info
3. ClaimAid School Medicaid Platform (ClaimAid)
ClaimAid’s school Medicaid platform is designed to help districts document, submit, and track Medicaid claims efficiently. The software focuses on improving compliance, reducing errors, and increasing reimbursement outcomes for school-based Medicaid programs.
4. DSCtop (SEAS – Special EducationSpecial Education Instruction designed to meet the unique needs of a student with a disability, provided at no cost to parents, including specially designed instruction and related services. Administrative Services)
DSCtop is SEAS’s Medicaid documentation and reimbursement tracking platform for school districts. The system captures service delivery data in a compliant structure to support Medicaid claiming for eligible special education and related services.
5. EasyTrac (Public Consulting Group – PCG)
EasyTrac is PCG’s Medicaid-specific documentation and claiming platform embedded within the EdPlan ecosystem. It enables districts to capture IEP-driven service delivery in a Medicaid-compliant format and supports downstream claiming and reimbursement processes.Shape
6. EmbraceDS (Embrace Education)
EmbraceDS is a Medicaid reimbursement software platform built specifically for school districts and their service providers. The system emphasizes compliant documentation, audit readiness, and maximizing Medicaid revenue for school-based services rather than healthcare provider billing.
💡 Recommended reading: Selecting the Best Special Education Software Help Services
7. HBS MSP Documentation System (Healthcare Billing Services – HBS)
The HBS MSP Documentation System is used by school districts, particularly in Ohio, to document Medicaid-eligible services under the Medicaid School Program. Although HBS also delivers training and administrative support, the software serves as the core documentation and billing tool for districts.
8. HPC School Medicaid System (Healthcare Process Consulting – HPC)
HPC provides a Medicaid documentation and billing system used by school districts to support Medicaid reimbursement programs. While HPC markets itself as a consulting organization, its Medicaid workflows are delivered through software platforms that districts use daily.
9. Kompas Care SBS Platform (Kompas Care)
Kompas Care offers Medicaid software tailored to School-Based Services (SBS) programs, with strong alignment to state-specific Medicaid models. The platform supports compliant documentation, reporting, and reimbursement workflows in school environments.
10. MJ Care Medicaid Billing System (MJ Care)
MJ Care offers a Medicaid billing system used by school districts to document and manage Medicaid-eligible services. While MJ Care also provides staffing and operational support, districts interact directly with its Medicaid software as part of the reimbursement workflow.
11. PaddyNET (Special Education Services – SES)
PaddyNET is a web-based Medicaid data entry and claiming workflow system used by school districts to document services and determine Medicaid eligibility. District staff enter service data into the platform, which supports Medicaid claims processing and reimbursement.
12. Relay Medicaid Platform (Relay Hub, formerly CompuClaim)
Relay is a cloud-based Medicaid workflow platform designed specifically for school districts. The system automates documentation, compliance checks, and claiming processes to help districts scale Medicaid reimbursement efficiently.
12. SpEd Forms Medicaid Billing Module (SpEd Forms)
The SpEd Forms Medicaid Billing Module is embedded within the company’s special education platform and supports end-to-end Medicaid claiming. Features include eligibility tracking, claim submission, denial management, and compliance monitoring for school-based Medicaid programs.
13. ED Data Solutions (EDMS)
EDMS provides administrative services and consulting to help school districts with Medicaid claiming, documentation systems, compliance support, and audit assistance.
Featured Product
Looking for a simpler way to manage IEPs?
GoIDEA helps your staff save time with user-friendly tools, built-in compliance checks, and seamless integration with Medicaid billing — so you can write accurate IEPs faster and avoid duplicate data entry.
Latest Posts
6 Things Wisconsin Medicaid Billing Teams Should Do Right Now to Prepare for SBS Changes
Read More »
