Q. How do children qualify for Medicaid?
1. Low income families: These students tend to cycle on and off the eligibility list due to a parent's current employment status.
2. Foster Care Students: These children are taken care of by the state.
Note: If the student doesn't become eligible we may have the wrong information such as DOB or name. We will ask the district to request a copy of the Medicaid card so that we can confirm the proper spelling of names and dates.
3. Students that could be a financial burden to the parent due to their long-term severe diagnosis.


Q. Why does one sibling from a family qualify for Medicaid but another sibling does not?
A. One sibling may qualify while another does not because the state in which the child lives makes the decision regarding qualifications. Sometimes the parent only applies for one child because only one child has severe health or medical conditions. In all cases, as a billing agent, we are never informed as to the reason(s) why a student does or does not qualify.


Q. Does the SBS program jeopardize a student's regular Medicaid eligibility or benefits?
A. The School Based Services program has no impact on the ability to access other outside therapy services. This program simply allows a school district to bill Medicaid without any cost to the family.


Q. Does the school district need parent permission?
A. Depending on the state, the district may or may not need to receive written parent permission. Most districts receive parent signature at an IEP meeting.