Case Study: Saddle Mountain Unified School District #90

Supporting Student Success Through Efficient Medicaid Management

Student Success

Overview

Located in the rural desert communities of Tonopah and Buckeye, Arizona, the Saddle Mountain Unified School District (SMUSD) serves over 3,100 students across five schools. One high school, one middle school, and three elementary campuses.

With roughly 10% of its student population Medicaid-eligible, SMUSD’s small but dedicated team relies on effective 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. to capture every possible reimbursement that supports 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. and student health services.

When Medicaid Coordinator Carol Wells joined the district, she brought nearly three decades of experience from a larger district — and firsthand knowledge of what makes Medicaid programs successful. “I’ve worked in Medicaid billing for more than 28 years, and I actually brought Go Solutions on board at my last district,” Carol said.

About Saddle Mountain

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Within the district

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Medicaid Eligible with a Billable ServiceBillable Service A health-related service provided to a Medicaid-eligible student that qualifies for reimbursement under Medicaid guidelines. Examples include therapy, nursing services, and certain assessments.

Challenges Before Go Solutions

High Staff Turnover and Constant Training Needs

As a small district, SMUSD experiences consistent turnover among paraprofessionals and health aids. Many staff members are in the process of earning certifications while providing student services, creating the need for continuous Medicaid billing and documentation training.
This turnover made it difficult to maintain compliance consistency and timely submission of Medicaid claims.

Complex Medicaid Documentation and Compliance

Before adopting Go Solutions, SMUSD used another system for over two decades. The older platform lacked automation and required manual tracking of Medicaid claims, staff assignments, and student service logs — making Medicaid documentation management cumbersome.
With their old system, Carol had to do a lot of manual work that Go Solutions now automates. Once they made the switch, Carol noticed right away how smoother and faster everything became.

Maintaining and Maximizing Reimbursements

With a need to capture all potential reimbursements and track overlapping services, the district looked for better reporting capabilities to support their Medicaid reimbursementMedicaid Reimbursement The process of receiving payment from Medicaid for services provided to eligible students as part of a school-based program. and compliance efforts.

The Go Solutions Advantage

A Seamless Transition

"It was a seamless transition from SEAS to Go Solutions."

 SMUSD transitioned from its previous Medicaid billing software to Go Solutions in just two weeks, including full data migration and configuration. The process was completed prior to the start of the academic year, allowing uninterrupted Medicaid claimMedicaid Claim A formal request submitted to Medicaid for reimbursement of health-related services provided to eligible individuals. submission.

“It happened over the summer,” said Wells, ‘It was a seamless transition to Go Solutions.” She mentioned that they had everything transferred over efficiently and were ready to bill by the start of the school year.

This smooth onboarding underscores Go Solutions’ capacity for efficient system deployment and minimal administrative disruption.

User-Friendly Interface and Efficient Training

"Very user-friendly... we do have to do ongoing training... I promote the online training Go Solutions offers."

Go Solutions’ user-friendly Medicaid billing system has made it easy to train new staff, even with frequent turnover.

“It’s very user-friendly,” Carol Wells said. While ongoing monthly training sessions are necessary due to staff turnover, she notes that the system’s intuitiveness supports new users and promotes confidence in using the software effectively.

Accessible Hands-on Support 

"The reporting capabilities of Go Solutions have helped us pay more attention to overlapping services and parental consent tracking."

Go Solutions’ customer service stands out for its accessibility and fast response. Carol emphasized that support is available “at the drop of a hat,” whether through phone, email, or live training sessions.

“It’s the easiness of getting in touch with customer service with the convenience of calling or emailing … your company is always there to answer phone calls and help out. The willingness to help and get our problems worked out—like we come first.”

This hands-on, real-time support enables Saddle Mountain staff to resolve billing issues quickly, complete Medicaid documentation accurately, and maintain compliance without delay.

Smarter Reporting and Medicaid ComplianceMedicaid Compliance The adherence to federal and state regulations governing the proper documentation, billing, and use of Medicaid funds for reimbursable services. Tools

With automated overlap alerts and real-time Medicaid compliance reports, SMUSD has reduced claim rejections and improved billing accuracy.

“The reporting capabilities of Go Solutions have helped us pay more attention to overlapping services and parental consent tracking.” Carol Wells said.

These tools ensure consistent Medicaid documentation accuracy and peace of mind for administrators overseeing audits and reimbursements.

Student Success:
Results Achieved with Go Solutions

  • Higher Medicaid Reimbursements, More Funding for the Students

8.9% Increase in annual reimbursements.

Since implementing Go Solutions, SMUSD has observed a measurable increase in Medicaid reimbursements due to improved data capture, billing efficiency, and claim validation. The district now consistently captures and submits a greater percentage of eligible services, directly contributing to higher Medicaid funding.

Since working with Go Solutions in 2023, SMUSD has increased its annual Medicaid billing by 8.9%. From $780,427.01 in 2023 to $849,500.33.

In 2025, they are already on track to beat their 2024 numbers again. This is all thanks to the streamlined, comprehensive GoClaim system that helps them keep track of every dollar that could be billed.

  • Faster Claim Processing, Fewer Rejections

Automated duplicate detection and claim validation features have reduced processing errors and shortened reimbursement cycles. SMUSD reports faster turnaround times for Medicaid claim payments and significantly fewer rejections compared to previous years.

  • Improved Medicaid Documentation Accuracy

The district has drastically reduced billing errors thanks to built-in safety features that flag potential issues before submission. This saves hours of manual review.

  • Audit-Ready Medicaid Documentation

Go Solutions’ compliance-focused reporting provides administrators with real-time audit readiness, ensuring documentation meets both state and federal Medicaid standards.
“Our recent audit went really really well,” said Carol Wells. “Hundreds of Medicaid documentation records were reviewed, and only one small issue was found.”

  • Cross-Department Collaboration

Go Solutions’ integrated Medicaid billing and reporting platform helps special education, nursing, and finance teams stay aligned.

The collaboration between departments is much better now for SMUSD. Carol and other departments can all see the same data, and it makes Medicaid reimbursement tracking simple and transparent.

Key Takeaways

  • 2-Week Implementation: Full system setup and staff onboarding completed before the new school year.
  • >300 Medicaid-Eligible StudentsMedicaid-Eligible Students Students who meet specific income and eligibility criteria, making them qualified to receive health-related services reimbursed by Medicaid.: Accurately tracked through automated billing workflows.
  • Ease of Training: New health aides can be trained within hours, not days.
  • Audit Confidence: SMUSD passed a recent audit with only one small issue out of hundreds of claims reviewed.
  • Increased Revenue: Medicaid reimbursements continue to rise as documentation accuracy improves.
  • Time Savings: Staff spend less time managing paperwork and more time supporting students.
  • User Satisfaction: Will recommend Go Solutions and GoClaim to other districts.

"From my experience, I’d rate Go Solutions a 10. It’s been a smooth transition, and we’d absolutely recommend them to other districts."

Conclusion

Saddle Mountain Unified School District’s success story shows how even a small, rural district can maximize Medicaid billing efficiency and special education reimbursement accuracy with the right partner.

By leveraging Go Solutions’ Medicaid reimbursement management software, SMUSD has improved compliance, increased revenue, and empowered staff to focus on what matters most — supporting students every day.

The simplicity of the software is what the districts love most. GoClaim makes Medicaid billing easy, and it lets Arizona school districts, even the small ones, like Saddle Mountain Unified School District, be able to spend more time helping kids instead of chasing paperwork.

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How Go Solutions Can Help

Regardless of the size of your school district, Go Solutions is here to help you succeed. We offer a range of specialized services designed to streamline operations and support your educational objectives:

Maximize Medicaid Reimbursements: Our GoClaim system is designed to help you optimize Medicaid reimbursements for services provided to students. By automating the claims process, GoClaim ensures that you submit accurate and timely claims, which helps you secure the funding you need for your programs.

Reduce Administrative Burdens: GoClaim simplifies the Medicaid reimbursement process by streamlining claim submissions, tracking outstanding claims, and managing documentation. This reduces the time and effort required from your staff, allowing them to focus on providing quality educational services rather than navigating complex reimbursement processes.

Detailed Reports and Analytics: The system provides detailed reports and analytics that give you insights into your reimbursement activities. You can track claim statuses, analyze trends, and identify opportunities for improvement. These reports help you optimize your reimbursement strategies and manage your school’s financial resources more effectively.

Improve Financial Management: By offering tools for tracking expenses, managing claims, and generating financial reports, GoClaim helps you maintain a clear overview of your school’s finances. This supports better decision-making and ensures that your Medicaid funds are used efficiently.

Streamline The IEP Process: Our GoIDEA platform is specifically designed to simplify the management of Individualized Education Programs (IEPs). We understand that managing IEPs can be complex and time-consuming, so we have developed a user-friendly interface that allows you to create, update, and manage IEPs with ease.

Ensure Compliance: GoIDEA helps you stay compliant with federal and state regulations, ensuring that all aspects of the IEP process meet legal requirements. The platform provides templates and guidelines that adhere to current regulations, so you can be confident that your IEPs are both effective and compliant.

Track Progress and Goals: GoIDEA includes features for tracking student progress, setting and reviewing goals, and documenting accommodations. This helps you monitor each student’s development and ensure that their educational needs are being met throughout the school year. You can easily access historical data and review past evaluations to make informed decisions about future accommodations.

Automate Administrative Tasks: The platform automates many of the administrative tasks associated with IEP management, such as scheduling meetings, sending reminders, and generating reports. This reduces the administrative burden on your staff and allows them to focus more on direct student support.

Efficiently Manage Section 504 Plans: Our Section 504 software is designed to help you manage accommodations and evaluations for students under Section 504 of the Rehabilitation Act. The platform streamlines the creation and management of 504 plans, making it easier for you to provide the support students need.

Track Accommodations and Evaluations: The software includes features for tracking accommodations, managing evaluations, and documenting decisions. This helps you maintain comprehensive records of each student’s needs and ensures that you meet federal compliance requirements.

Customizable Forms and Reports: We offer customizable forms and reports tailored to your charter school’s specific needs. You can create forms that reflect your school’s processes, generate reports for meetings, and ensure that all necessary documentation is in place.

Stay Compliant with Federal Requirements: The platform helps you stay compliant with federal regulations by providing tools for monitoring deadlines, reviewing plans, and managing documentation. This ensures that you meet all legal requirements for Section 504 accommodations and support.

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