Experts in Minnesota School Medicaid Billing
Go Solutions helps Minnesota school districts streamline and optimize Medicaid billing. With our award-winning 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. GoClaim, districts can optimize claims, reduce denials, and stay fully compliant with Minnesota Medicaid requirements.
From hands-on billing support to comprehensive training sessions, we guide district staff through the complexities of Medicaid documentation, claiming, and reporting.
Each district also benefits from a dedicated customer success manager who provides personalized guidance through state regulations.
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.
Simplify Medicaid Billing with Easy-to-Use Software
GoClaim offers a superior user experience to Minnesota school districts.
Features include:
Streamlined provider logs: We make it easy for clinicians to document location and qualified provider credentials, reducing the risk of “insufficient documentation” denials.
Audit-ready confidence: We don’t just process claims; we build a digital paper trail that stands up to Minnesota Department of Human Services (DHS) reviews.
Simple tool with better experience: GoClaim was designed with default settings that actually makes sense, electronic consent, and intuitive time-savers. We preconfigure district-preferred defaults and provide easy customizations, so staff only need to double-check, not re-type.
We also offer a broad set of add-ons, including fast document upload with custom service interface and manual data-entry services — so you can remove error-prone tasks from your staff’s plate.
Ongoing training: keep your team current and confident.
Meet Your Dedicated Minnesota Customer Success Manager
Heather Royer
heather.royer@gosolutions.com
Minnesota Medicaid (Medical Assistance) is administered by the Minnesota Department of Human Services (DHS).
No. Minnesota Open Care allows billing for eligible students without an IEP if medical necessity, consent, and documentation requirements are met.
Medically necessary nursing and health-related servicesRelated Services Support services (such as speech therapy, occupational therapy, or transportation) that are required to assist a child with a disability in benefiting from their educational program. provided to 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, when DHS requirements are met.
Services must meet medical necessity standards, be supported by a plan of care (IEP, IFSP, or health plan), and—when required—include appropriate referrals (such as for hearing or vision services).
Claims must generally be submitted within 6 months (180 days) of the service date, in accordance with DHS billing rules.
Provider qualifications, medical necessity, parent consent, accurate service logs, and alignment between documentation and submitted claims.
How We Help MN School Districts
Digital Signatures
This means quick uploads, organized digital records, and clear audit trails for easy tracking and transparency.
Auditing Support
If you’d like extra support, we offer Minnesota schools free audit assistance for overlapping services to ensure compliant, accurate service documentation—plus credentialing support and many other add-on services.
Data Integration
GoClaim integrates seamlessly with your Student Information System and IEP software, including SpEd Forms. We ensure secure daily data transfer and efficient record management.
Meetings and Trainings
(We also offer district-specific sessions for an additional fee.)
The Open Care Expansion in Minnesota
Minnesota’s Open Care expansion allows school districts and local education agencies (LEAs) to receive Medicaid reimbursement for medically necessary nursing and health-related services delivered to eligible students.
This program expands access to funding for school-based health services provided to Medicaid-eligible students, with or without an IEP, when all state and federal requirements are met. Through Minnesota Open Care, districts can strengthen school nursing programs.
Who Is Covered:
Medicaid-eligible students, with or without an IEP, who meet all other Medicaid requirements.
Who Can Bill?
Licensed Registered Nurses (RNs) and Licensed Practical Nurses (LPNs) providing covered services within their scope of practice.
Districts must ensure nursing staff are properly credentialed and enrolled with Minnesota Medicaid.
Billable Examples:
- Medication administration
- Diabetes care
- Anaphylaxis/Food allergy care
- Breathing treatments
- Other medically necessary nursing services provided during the school day
Requirements:
- MN Medicaid (MA) eligibility
- Medical necessity documented
- Parent/guardian consent
- Plan of care on file (IEP/IFSP/health plan)
- Qualified nursing provider
- Documentation + compliant billing/enrollment
Mix-and-Match to Meet Your Needs
Medicaid Billing Software
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 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 Software
Crafted to address schools’ Section 504 challenges while supporting students with disabilities, simplifying compliance and enhancing support for all learners.
