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Massachusetts

Massachusetts’s School-Based Medicaid Program, through both Direct Service Claiming and Administrative Activity Claiming, reimburse school systems for eligible health services provided to students enrolled in MassHealth. School systems that maximize reimbursement receive significant recurring funding that offsets the growing cost of special education.

Eligible services

Applied Behavior Analysis ServicesPsychology and Counseling ServicesMental and Behavioral Health Screenings Audiological ServicesOccupational Therapy ServicesPhysical Therapy Services Speech-Language Pathology ServicesNursing Treatment and ServicesPersonal Care Services Medical Nutritional ServicesDental Assessments and ScreeningsEye Examinations EPSDT Physical Health Screenings

Massachusetts schools are leaving $48 million on the table each year

Our Massachusetts K-12 school-based Medicaid services

Mile 2 Consulting is currently building our initial cohort of local education agencies in Massachusetts. We will provide implementation and analysis support for the School-Based Medicaid Program (SBMP), the Direct Service Claiming (DSC), and the Administrative Activity Claiming (AAC).

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