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School Based Services (SBS)


These services assist students with disabilities who benefit  from special education and related services.  Medicaid reimbursement, through the Michigan Department of Health and Human Services (MDHHS), provides funding for the medical service needs of students receiving special education and related services.  The Social Security Act, as amended in 1988 by the Medicare Catastrophic Coverage Act, specifically provides for medical assistance (Medicaid) to cover "related services" which are specified in Federal Medicaid statute as medically necessary and included in the child's IEP (Individualized Education Plan) established pursuant to Part B of the IDEA or furnished to an infant or toddler with disabilities because such services are included in the child's IFSP (Individualized Family Service Plan) adopted pursuant to Part C (formerly called Part H) of such Act.

- Informational Brochure

- Parent Consent for Medicaid School Based Services Program

- Medicaid Notification of Rights and Protections

This document is comprised of only one section of the entire Medicaid Manual, specifically "School Based Services." (Information taken directly from Michigan Department of Community Health Medicaid Provider Manual dated 04-01-2018)

SBS Medicaid Provider Manual

Below are excerpts from the above manual, specific to individual providers:

SBS providers must have a written quality assurance plan on file.  SBS costs will be reviewed/audited by MDHHS for determination of medical necessity and to verify that all services were billed and paid appropriately.  The purpose of the quality assurance plan is to establish and maintain a process for monitoring and evaluating the quality and documentation of covered services, and the impact of Medicaid enrollment on the school environment.

An acceptable quality assurance plan must address each of the following quality assurance standards: 

  • Covered services are medically necessary, as determined and documented through appropriate and objective testing, evaluation and diagnosis.
  • The IEP/IFSP treatment plan identifies which covered services are to be provided and the service frequency, duration, goals and objectives.
  • A monitoring program exists to ensure that services are appropriate, effective and delivered in a cost effective manner consistent with the reduction of physical or mental disabilities and assisting the beneficiary to benefit from special education.
  • Billings are reviewed for accuracy.
  • Staff qualifications meet current license, certification and program requirements.
  • Established coordination and collaboration exists to develop plans of care with all other providers,(i.e., Public Health, MDHHS, Community Mental Health Services Programs (CMHSPs), Medicaid Health Plans (MHPs), Hearing Centers, Outpatient Hospitals, etc.).
  • Parent/guardian and beneficiary participation exists outside of the IEP/IFSP team process in evaluating the impact of the SBS program on the educational setting, service quality and outcomes.

Macomb ISD School Based Health Services Program Quality Assurance Plan

Macomb ISD annually provides training for eligible Macomb County public school service providers to acquaint them with functions of the service logging feature in the PowerSchool Special Education system.  If training sessions are available for registration, an announcement will be posted in PowerSchool Special Education on the providers Home Page once they have logged into the system.

CLICK this link to be routed to UPCOMING Trainings    OR   if there are any listed below, you may click on one of the dates listed.

PARAPROFESSIONALS: September 27, 2018 9:00am to 11:00am

SPECIAL EDUCATION TEACHERS: September 27, 2018 1:00pm to 3:00pm OR October 2, 2018 1:00pm to 3:00pm OR October 5, 2018 9:00am to 11:00am

THERAPISTS: October 2, 2018 9:00am to 11:00am OR October 5, 2018 1:00pm to 3:00pm

If you are a Macomb County public school provider interested in PowerSchool Special Education training and none are currently available, you can contact Katy Irwin at 586-228-3343 in the MISD Medicaid School-Based Services Office to find out about future training dates.

Two different expenditure reports are utilized to capture the expenditure/cost data for the School Based Services Program by the Michigan Department of Health & Human Services (MDHHS); the FS cost report and the financial worksheets from Public Consulting Group (PCG).  The FS cost report will be completed annually by the Local Education Agencies (LEAs) and Intermediate School Districts (ISDs) through the Community Health Automated Medicaid Processing System (CHAMPS.)  The financial worksheets will be completed quarterly by PCG.  Click the links below to view the various training presentation.

Below are links for specific providers and what documentation is required for Medicaid reimbursement.

Help With PowerSchool Special Education Service Capture

  • Password
  • User Name
  • Logging Problems - first, contact your district's service service capture representative.  If they cannot help you, they will call the ISD School Based Services office with your question and then get back with you.
  • Caseloads (teachers, you must contact your school district secretary for assistance)
  • Missing Monthly Summary logs

      OR

      Call 586-228-3343 and leave a complete message with your name, district, phone number with extension, and detailed narrative of your need.

Need Help With...

  • PowerSchool Special Education Service Capture Operating System Errors
  • PowerSchool Special Education Service Capture System is moving very slowly

                     Send Message in PowerSchool Spec Ed to: ADMIN

Need Help with...

  • Random Moment Time Studies
  • Medicaid Administrative Outreach Staff Pool Updates

                    Contact Mary Germain, Project Technician, at 586-228-3345

OR

  • Medicaid School Based Services Policy Questions
  • Medicaid School Based Services Licensure Questions
  • Personal Care Service Log Sheets
  • Medicaid Training
  • MAER or AOP Financials

                    Contact Katy Irwin, Special Education Accountant, at 586-228-3343