Experts in Idaho School Medicaid Billing

Go Solutions is the preferred partner for Idaho school districts, delivering expert support in Medicaid billing, IEP management, and Section 504 compliance. We bridge the gap between services and the Idaho MMIS portal, transforming a complex process into a streamlined path to reimbursement.

Each district benefits from a dedicated account manager who provides personalized guidance through state regulations, helps maximize reimbursements, and alleviates 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. management challenges. Our Idaho-specific training sessions, held monthly, ensure that staff stay informed and adept at navigating state-specific processes.

Experts in Idaho IEP and School Medicaid Billing

Go Solutions is the preferred partner for Idaho 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 Idaho-specific training sessions, held monthly, ensure that staff stay informed and adept at navigating state-specific processes.

Hear from one of our Idaho clients

"As soon as we started using Go Solutions, I was put in contact with one of their staff members. She was very responsive and set up a time for both speech pathologists to meet with her. She tailored the training to our field of speech therapy by demonstrating accurate billing codes and applicable treatment note templates. It was so nice to be instructed by a REAL and helpful person, instead of clicking through redundant modules. She provided us with additional training materials, but I’ve only referred to them a few times because our initial training was so effective and GoClaim is user-friendly.”

Jamie NiedrichSpeech Language Pathologist, Camas County School District

Idaho School-Based Medicaid Billing Made Simple

Idaho school districts provide vital services every day. Recovering the federal funding for those services shouldn’t be the hardest part of your job. From IEP alignment to Certified Public Expenditure (CPE) tracking, we ensure your district stays compliant and fully funded.

IEP & 504 Integration: We ensure service documentation—type, frequency, and duration—perfectly mirrors student plans to meet Idaho’s strict “Medical Necessity” standards.
Streamlined Provider Logs: We make it easy for clinicians to document location and qualified provider credentials, reducing the risk of “insufficient documentation” denials.
CPE & Match Fund Management: Avoid reimbursement delays. Our tool helps you plan, track, and reconcile the non-federal share (Certified Match) with precision.
Audit-Ready Confidence: We don’t just process claims; we build a digital paper trail that stands up to Idaho Department of Health and Welfare (DHW) reviews.

Meet Your Dedicated Idaho Customer Success Manager

Karissa Messer is a valued member of the Go Solutions team, dedicated to helping with all your Idaho Medicaid billing needs. Her passion for education is complemented by her enthusiasm for Go Solutions, where she finds immense satisfaction in helping customers streamline processes and achieve their Medicaid reimbursement goals!

Karissa Messer

ID Customer Success Manager

karissa.messer@gosolutions.com

Have Questions About Idaho School-Based Medicaid Billing? We Have Answers!

Navigating school-based Medicaid billing can be complex, but we’re here to help. Here are some commonly asked questions and answers specific to Idaho’s unique reimbursement requirements.
Let us simplify the process for you and ensure you maximize your reimbursements.

Who runs the state Medicaid program?

The state agency is Idaho Department of Health and Welfare. The program is administered by Gainwell Technologies.

What can I bill?

Transportation
Behavioral Intervention Specialist
Behavioral Intervention Paraprofessional
Behavioral Intervention Technician
Habilitative Skills Paraprofessional
Speech Paraprofessional
Speech-Language Pathology Aide
Speech-Language Pathologist
Physical Therapist Assistant
Physical Therapist
Certified Occupational Therapy Assistant
Occupational Therapist
Personal Care Provider
Licensed Practical Nurse
Registered Nurse
Community Based Rehabilitation Service Provider
And more

What is the Medicaid billing schedule in the state of Idaho?

We typically submit claims based on a set schedule, the third full week of the month. However, we work with each district to customize this schedule to meet their specific needs.

What is the billing deadline?

The billing deadline is one year from the initial submission date. Subsequent rebills are due two years from the original submission date.

Are there any unique billing opportunities in Idaho?

Section 504 presents a unique billing opportunity for schools in Idaho. Qualifying school districts now have the flexibility to bill Medicaid for health services provided to Medicaid-enrolled students with a 504 plan504 Plan A plan developed under Section 504 of the Rehabilitation Act to ensure a student with a disability receives accommodations that ensure their academic success and access to the learning environment , not just those with an IEP.

How often is a new referral needed?

A new referral is required every 365 days. Additionally, each signed referral must be reviewed and re-signed every 90 days to ensure the plan of action remains on track.

How We Help ID School Districts

In-House Physician

Go Solutions provides a dedicated physician who signs referrals on behalf of the district. This eliminates the need for districts to seek external doctors for signatures.

Credentialing & Auditing

If you’d like extra support, we offer Idaho schools free audit assistance for overlapping services to ensure compliant, accurate service documentation—plus credentialing support (available as an add-on).

Efficient Processing

Once the referrals are signed by our in-house physician, we promptly enter them into GoClaim and upload the signed referral through our secure vault, returning the signed original to the district. This ensures all documentation is processed quickly and securely, streamlining the referral workflow for districts and supporting timely access to essential services for students.

Proven Success with Idaho School districts

A Switch in Medicaid Billing Software Boosts Wendell Schools' Reimbursements

Wendell School District, dedicated to fostering a supportive learning environment, has enhanced its Medicaid billing process by transitioning to GoClaim. Programs Director Becca Wills highlights how GoClaim has streamlined billing, increased reimbursements by 35%, and provided crucial support in navigating Medicaid regulations.

Read the full case study here

Enhancing Special Education Through Medicaid Billing Software for Schools

Kimberly School District in Idaho was glad they switched to GoClaim by Go Solutions. Occupational Therapist Samantha Hill praised the seamless switch and the user-friendly features of GoClaim, which have saved time and enhanced productivity. The district saw a notable increase in Medicaid reimbursements, totaling over $100k for the 2021-22 school year.

Read the full case study here

Data flow from GoIDEA and Go504 to GoClaim seamlessly

Mix-and-Match to Meet Your Needs

Medicaid Billing SoftwareMedicaid Billing Software A software solution designed to streamline the submission and management of Medicaid claims for schools, ensuring accurate documentation and compliance with regulations.

Easy to use technology designed to help your district optimize school-based Medicaid reimbursements while maintaining compliance with State and Federal regulations.

GoIDEA™ Online IEP Services Software

Improve the quality and effectiveness of education with an integrated suite of solutions for IEP, 504, RTI and more, giving you the power of information at your fingertips.

Online Section 504 Plan Software

Crafted to address schools’ Section 504 challenges while supporting students with disabilities, simplifying compliance and enhancing support for all learners.

504 billing in Idaho:

Maximizing Medicaid Reimbursements for School-Based Health Services

Are you missing out services that can be turned into billable claims?

Section 504 presents a significant opportunity for school districts in Idaho to enhance their Medicaid billing capabilities. Unlike traditional billing practices that are limited to students with Individualized Education Programs (IEPs), this opportunity allows qualifying districts to bill Medicaid for Medicaid-enrolled students with a 504 plan, not just those with an IEP. This enables districts to access additional reimbursements for a broader range of services.

Eligibility

To qualify, the following criteria must be met:

Students: Must be enrolled in Medicaid, have a 504 plan, and receive medically necessary services.
Care Plans: Must be prescribed and signed/dated by a Qualified Medical Provider (QMP) enrolled with Medicaid, and include details on the scope, duration, and frequency of services.

Go504 Helps You Streamline Billing

Go Solutions is well-positioned to help Idaho school districts maximize both Medicaid reimbursements and their Section 504 processes. Go504 allows districts to develop and monitor 504 plans, ensuring compliance with state and federal guidelines. Additionally, by utilizing GoClaim, districts can seamlessly track and manage Medicaid billing for eligible services under those plans.

With our expert support, your district can confidently navigate the state’s Medicaid program while maintaining full control over Section 504.

It is with pleasure that I write a letter of support for Go Solutions. Two years ago, we started the transition over, and not only did find the process smooth, but also was impressed with the overall program itself. The support staff is readily available and proactive in ensuring our needs are met. I am very happy with our decision to go with Go Solutions.

Transitioning to GoClaim brought significant improvements to our Medicaid billing process. In the years spent with our previous billing software, we faced challenges. However, since switching to GoClaim, we've not only seen enhancements in reimbursements but also a more streamlined and efficient overall process.

GoClaim is a very easy system to adjust to; I highly recommend it. It helps me stay timely with my notes, which is such an important part of my job. If I had to do it all over again, I would definitely make the switch from iTrack to GoClaim!

Using Go Solutions has been such a game changer in efficiency. I’m not involved in the entire billing process, but I know this software has cut out so many steps which has resulted in greater accuracy and productivity. My favorite part is that it keeps everything organized!

See you at the IASA Blue Jeans Conference!

Idaho Association of School Administrators

Go Solutions attends the IASA Blue Jeans Conference in Idaho annually to stay connected with our current Idaho 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 Idaho partners and continue improving our services. See you there!