Attention Wisconsin school districts: Major updates are coming to Medicaid School-Based Services (SBS). Learn how they affect your district. Read the blog: Wisconsin’s Special Education Medicaid Services →
Experts in Wisconsin
School Medicaid Billing
Go Solutions has been a trusted Medicaid billing partner for Wisconsin school districts for over 10 years, delivering expert support in Medicaid billing and compliance.
Each district benefits from a dedicated account manager who provides personalized guidance through state regulations, helps maximize reimbursements, and simplifies the Medicaid claiming process. Additionally, our Wisconsin-specific training sessions ensure that staff stay informed and adept at navigating state-specific requirements.
Download the Free Wisconsin Medicaid Checklist
Get the latest checklist designed to save your team time and increase Medicaid reimbursementMedicaid Reimbursement The process of receiving payment from Medicaid for services provided to eligible students as part of a school-based program..
Experts in Wisconsin IEP and School Medicaid Billing
Go Solutions is the preferred partner for 97 Wisconsin 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 Wisconsin-specific training sessions, held monthly, ensure that staff stay informed and adept at navigating state-specific processes.
Your Wisconsin Medicaid Billing Experts
In Wisconsin, school districts and local education agencies play a critical role in ensuring that students receiving 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. services have access to the healthcare they need to thrive. Medicaid reimbursement is a vital funding source for these services, but navigating the state’s requirements can be complex.
That’s where GoClaim™ stands out. Our school-based 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. is designed specifically to help Wisconsin districts maximize reimbursement while staying fully compliant with state and federal regulations. By streamlining documentation, billing, and reporting, GoClaim ensures that no eligible service is left unclaimed.
- Maximized Medicaid reimbursement
- Built for Wisconsin requirements
- Advanced dashboards & reporting
- Customization options
- Audit support & documentation tools
- Data entry services for transportation and attendant careAttendant Care Personal care services provided to students with disabilities, assisting them with daily living tasks, mobility, and accessing educational activities.
- Full integration with IEP software
GoClaim is READY for WI State Specific Changes
Monitor
Our customer success team stays on top of every WI Medicaid update. From CSM announcements to handbook revisions in ForwardHealth, we monitor official sources, so you don’t have to.
Implement
GoClaim is built for flexibility. We activate new functions quickly, and you can turn on new features with a simple toggle, so you’re always operating with the latest requirements.
Communicate
Every update is explained in release notes, newsletters, and covered in free trainings and 1-on-1 sessions. You’ll always know what’s changing and stay compliant with ease.
Meet Your Dedicated Wisconsin Customer Relationship Manager
Jennifer Grimes
jennifer.grimes@gosolutions.com
How We Help WI School Districts
Electronic Medicaid Consent
Data Entry Services
Our staff can manually enter transportation services as well as attendant care services for your school district.
Meetings and Trainings
Our WI customer success manager will conduct regular free online trainings to let you use GoClaim with ease. If your district prefers a customized training for your team only, we offer district-specific sessions for an additional fee.
Data Integration
GoClaim integrates seamlessly with your Student Information System and IEP software, ensuring secure daily data transfer and efficient record management.
Have Questions About Wisconsin 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 Wisconsin’s Medicaid billing process. Let us simplify the process for you and ensure you maximize your reimbursements.
The state agency is WI Medicaid. The program is administered under FowardHealth.
Attendant care services (ACS) must be performed by a Special Education Aide licensed through the Wisconsin Department of Public Instruction, or a Special Education Teacher who has been delegated as an Attendant Care Provider. The services need to be listed in the IEP.
We typically submit claims based on a set schedule, with submissions on the 1st of each month. However, we work with each district to customize this schedule to meet their specific needs.
365 days from the date of service.
Each LEA must submit monthly claims for all billable services to be eligible for cost settlement. These claim payments are known as reimbursements. The reimbursements are considered interim payments and are paid out throughout the year. Cost Settlements are based on the actual costs of the districts minus interim payments and are paid after the school year has come to a close.
365 days from the date of the service.
- Attendant Care Providers
- Clinically Trained Mental Health Professionals
- Physicians
- Nurse Practitioners
- Dentists and Dental Hygienists
- Nurses
- Occupational Therapists
- Speech Language Pathologists
- Physical Therapists
- School Psychologists
- School Counselors
- Social Workers
- Audiologists
- Delegated Nursing Staff
- Transportation
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.
The Smarter Choice for Special Education Management in Wisconsin
GoClaim goes beyond Medicaid claims management. With GoIDEA—our fully integrated IEP processing software—everything stays under one platform, one account, one login. All your special education records are organized in one place, saving you time and hassle.
If your current software can’t deliver this level of seamless, all-in-one efficiency, it’s time to see the difference. Request a demo and discover what you’ve been missing!