Program Background and Description
In 1994, Prince George's County Public School (PGCPS) system began a system-wide effort to recover costs for health related services, and Individualized Education Plan (IEP)/Individualized Family Service Plan (IFSP)coordination services for Medicaid eligible students. Currently, there are approximately 4,600 Medicaid eligible special education students identified in the Prince George's County Public School system. These students constitute 35% of the special education population and 3.4% of all students attending Prince George's County Public Schools. Medicaid reimbursment funds supplement existing programs and enhance the learning experience of special education students by providing additional staff, supplies, and equipment.

Program Mission
The mission of the Medicaid Billing Office is to recover funds for health related and IEP coordination services provided
to Medicaid eligible special education students in order to expand and enhance the services offered to all PGCPS special education students.

Program Goals

• Our goal is for the Medicaid Billing Office to operate with integrity, excellence and professionalism, and to provide quality service that is effective, efficient, and accountable to all stakeholders;
• To increase and maximize efforts to recover Medicaid revenue in order to enhance services provides to PGCPS Special Education;
• To improve efforts in order to meet regulatory compliance in accessing Medicaid reimbursement funds;
• To increase children and youth's access to comprehensive health services through the PGCPS school-based Medicaid reimbursement program;
• To increase collaboration among schools, families, and state agencies, where each partner has a defined role and demonstrates committment and accountability to the Special Education students of PGCPS;
• To develop and implement a long-range plan for helping to ensure sustainability of a comprehensive Medicaid reimbursement program

Overview of Eligibility Requirements
In order for PGCPS system to receive Medicaid reimbursement, the services billed must:

• Be provided to a Medicaid eligible student under the age of 21
• Be provided to a student with an active IEP/IFSP
• Be provided by a qualified practitioner (posses proper licensure/certification)
• Address a student's physical, mental or emotional disability
• Be consistent with the intent of the IEP/IFSP identified services and planned goals
• Have documentation that supports that the services billed relate directly to the IEP/IFSP
  

Parent Education Information

Parent Education Information(Spanish)

Parent Consent Information

Parent Consent Information (Spanish)