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.

Experts in Idaho IEP and School Medicaid Billing

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 IEP and School Medicaid Billing

In Idaho, school-based services for students requiring special education are closely tied to Medicaid programs, which offer a crucial source of federal Medicaid funds for special education and related services. The IEP team plays a vital role in developing each student’s IEP, ensuring that the plan meets the requirements of the Individuals with Disabilities Education Act (IDEA) and outlines the supplementary aids necessary for the student’s success. Local Education Agencies (LEAs) must navigate Medicaid reimbursable services to maximize reimbursements for eligible children with disabilities. By aligning their special education programs with Medicaid guidelines, Idaho schools can effectively manage and secure funding for services that support students eligible for special education, thus enhancing their educational experiences and addressing their unique needs.

Meet Your Dedicated Idaho Customer Success Manager

Erminia Errante is a valued member of the Go Solutions team, dedicated to helping with all your Idaho Medicaid billing needs. With a master’s degree in English Education and Special Education, she has had the opportunity to work as a teacher across four different states, gaining diverse experience in various educational settings. 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!

Erminia Errante

ID Customer Success Manager

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 Medicaid billing process. 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 plan, 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 & Audits

We assist Idaho schools with credentialing and audits for overlapping services, ensuring compliance and accuracy in service documentation.

Efficient Processing

Once the referrals are signed by our in-house physician, we promptly enter the signed referrals into the district’s system. This ensures all necessary documentation is processed quickly and efficiently, streamlining the referral process for districts and ensuring timely access to essential services for students.

Proven Success with ID Schools

A Switch in Medicaid Billing Software Boosts Wendell Schools' Reimbursements

Wendell School District, dedicated to fostering a supportive learning environment through its core values of Persistence, Respect, Integrity, Dedication, and Excellence, 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. The district has benefited from improved efficiency, accurate tracking, and exceptional customer service, resulting in a steady rise in total reimbursements and overall satisfaction with Go Solutions.

Read the full case study here

Enhancing Special Education Through Medicaid Billing Software for Schools

Kimberly School District in Idaho, committed to delivering an excellent educational experience, improved its management of Special Education services by transitioning from iTrack logs 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, and benefited from improved documentation, support, and efficiency in service delivery, leading to long-term success.

Read the full case study here

504 billing in Idaho:

Maximizing Medicaid Reimbursements for School-Based Health Services

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 flexibility 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.

How Go Solutions Can Assist

Go Solutions is well-positioned to help Idaho school districts maximize both Medicaid reimbursements and their Section 504 processes. Our platform 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.

A Better Way to Manage IEPs in ID

While Idaho offers EdPlan, a free 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 EDPlan 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.

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.

Dr. Kelsey WilliamsHorseshoe Bend School District

Experts in Idaho IEP and School Medicaid Billing