Experts in Georgia IEP and School Medicaid Billing
Go Solutions is the preferred partner for Georgia school districts, delivering expert support in Medicaid billing, Individualized Education Plan (IEP) management, and Section 504 compliance. Each district benefits from a dedicated account manager who provides personalized guidance through state regulations, helps maximize reimbursements, and alleviates IEP-related challenges. Additionally, our Georgia-specific training sessions, held monthly, ensure that staff stay informed and adept at navigating state-specific processes.
Experts in Georgia IEP and School Medicaid Billing
Go Solutions is the preferred partner for Georgia school districts, delivering expert support in Medicaid billing, Individualized Education Plan (IEP) management, and Section 504 compliance. Each district benefits from a dedicated account manager who provides personalized guidance through state regulations, helps maximize reimbursements, and alleviates IEP-related challenges. Additionally, our Georgia-specific training sessions, held monthly, ensure that staff stay informed and adept at navigating state-specific processes.
Hear from one of our Georgia clients
Georgia IEP and School Medicaid Billing
School-Based Health and Medicaid Covered Services
We work closely with the Department of Education to provide services in school that are essential for children with disabilities and those requiring behavioral health support. This includes ensuring that all eligible services are billed correctly and reimbursed through Medicaid funds. Our goal is to streamline the process for schools and maximize health coverage for students.
Maximizing Medicaid Funds and Reimbursement
Our services help Georgia schools navigate the complex landscape of Medicaid reimbursementMedicaid Reimbursement The process of receiving payment from Medicaid for services provided to eligible students as part of a school-based program.. By managing the billing process for Medicaid-covered and Medicaid reimbursable services, we ensure that your school receives appropriate compensation for the health services provided. This includes coordinating with the federal government to meet all requirements and optimizing the use of federal funds for children’s health.
Supporting Schools and States
Whether you are a district within Georgia or an educational institution navigating similar regulations, we are here to support you in maximizing your Medicaid billing capabilities. Our expertise helps schools manage and streamline their Medicaid processes, ensuring compliance with both state and federal guidelines, and ultimately enhancing the quality of health services available to students in the school setting.
Let us assist you in navigating the complexities of Medicaid billing and ensure that your school-based health services are effectively supported and reimbursed.
Meet Your Dedicated Georgia Customer Success Manager
Erminia Errante
Have Questions About Georgia School-Based Medicaid Billing? We Have Answers!
The state agency is Georgia Department of Community Health (DCH). The program is administered by Gainwell Technologies.
- Registered Nurse
- Occupational Therapist
- Physical Therapist
- Audiologist
- Speech-Language Pathologist
- Speech-Language Pathology Assistant
- Health AideHealth Aide A trained individual who assists students with health-related needs, including medication administration, monitoring, and other healthcare tasks.
- Transportation
- Occupational Therapy – Group
- Licensed Practical Nurse (can be used with Open Care)
We typically submit claims based on a set schedule, with submissions on the day before the last business day of each month. However, we work with each district to customize this schedule to meet their specific needs.
6 months or 180 days
Georgia offers a unique billing opportunity for schools, specifically for nursing services. This includes vision and hearing screenings, which require a referral. This does not include mass screenings.
How We Help GA School Districts
Referral Management Service
Go Solutions provides full referral management services for Georgia schools, handling everything from document preparation to sending referrals for doctor signatures. We follow up every two weeks and upload signed copies for easy access. For schools that prefer to manage referrals in-house, we offer training on how to enter, track, and upload documents. Our complete referral service is available for an additional fee.
Digital Signatures
Monthly Meetings
Our dedicated account manager for Georgia offers monthly training sessions to ensure all districts stay informed and proficient in navigating the state’s referral and Medicaid billing processes. These trainings keep staff up-to-date on the latest procedures and best practices.
Free Care Nursing Services Expansion in Georgia
Georgia’s Free Care Nursing Services program is now active and provides local education agencies and school districts the opportunity to be reimbursed for nursing services. This program covers services provided under Individualized Education Programs (IEPs) and Individualized Family Service Plans (IFSPs), as well as other medical plans of care when medical necessity is established.
Who Is Covered:
Medicaid-eligible studentsMedicaid-Eligible Students Students who meet specific income and eligibility criteria, making them qualified to receive health-related services reimbursed by Medicaid., with or without an IEP, who meet all other Medicaid requirements.
Who Can Bill?
Licensed Registered Nurses (RN) and Licensed Practical Nurses (LPN). Ensure your nurses are listed on your SPL to begin billing.
Billable Examples:
- Medication administration
- Diabetes care
- Anaphylaxis/Food allergy care
- Breathing treatments
- Enteral (tube) feedings
Requirements:
- Program enrollment
- Memorandum of Understanding
- Parent consent
- Active IEP or other plan of care
- Medical necessity or other plan of care
- Identification of state/local funds
- Valid licensure for providers
Compliance Model For All Plans of Care
- Establish medical necessity by PCP
- Document scope, frequency, and duration
- Provider logs services
A Better Way to Manage IEPs in GA
While Georgia offers the free Georgia Online IEP (GO-IEP) system, schools are not required to use it. Go Solutions’ special education platform, GoIDEA, is a tried-and-true IEP management software with enhanced features and flexibility, making it a better choice for many districts.
Here’s how GoIDEA can benefit your school:
- Customizable IEP Forms: Tailor forms to your district’s needs, ensuring compliance with both state and district regulations.
- Seamless Transition: Effortlessly switch from GO-IEP to GoIDEA, offering more robust tools for managing IEPs.
- User-Friendly Interface: Streamlines the IEP process, saving staff time with easy-to-navigate features.
- Integration Capabilities: Sync with your student information systems (SIS) for smooth data management.
- Ongoing Support: Receive continuous training and personalized support to keep staff up-to-date on IEP procedures.
- Comprehensive Reporting: Generate detailed, data-driven reports for compliance and better decision-making.
GCASE
Georgia Council of Administrators of Special Education
We attend the G-CASE conference in Georgia annually to stay connected with our current Georgia school districts, stay up-to-date on educational developments in the state, and learn about the evolving needs of districts. This helps us better serve our Georgia partners and continue improving our services.
