Ohio's MSP (Medicaid School Program)
The Medicaid School Program (MSP) has been developed to include federal Medicaid matching funding for medically necessary therapy services, certain administrative activities, and specialized transportation associated with accessing therapy services. Direct MSP providers include traditional school districts and community schools. However, other entities may be involved in the program through contracting, such as Educational Service Centers (ESCs) or private therapy clinics. MSP is coordinated jointly between the Ohio Department of Medicaid (ODM) and the Ohio Department of Education (ODE).
For questions to see if your district is eligible, can be found here
What is MSP (Medicaid School Program)?
What is the Ohio Medicaid School Program (MSP)?
The Ohio Medicaid School Program is a federal program that allows school districts to receive Medicaid reimbursement for costs associated with providing ETR (Evaluation Team Report) and IEP (Individualized Education Program) services to students with Medicaid insurance. Almost every state has a school Medicaid program, and Ohio currently has approximately 650 school districts participating in the program. This program brings in valuable dollars for Ohio schools to help offset the cost of providing therapy services to students on an IEP. As with all insurance billing, therapy services are billed to Medicaid in a very specific format. Before claims can be submitted to Medicaid, the school district must obtain “MSP Signed Parental Consent” from the student’s parent or guardian.
Ohio Medicaid Consumer Hotline 1-800-324-8680
What Services Are Covered?
IEP (all student MSP Services must appear on the student's IEP)
Speech and Language Pathology
Accessing Medical Services
Mental Health Services (Counseling, Social Work, Psychology)
Medical Equipment and Supplies
Medicaid Administrative Activities
How to enroll as a provider in the Ohio Medicaid program Guidance for Physical Therapists (PT), Occupational Therapists (OT), Speech Language Pathologists (SLP), and Audiologists working under a Medicaid School Program (MSP) May 2017
ODE's Cost Reporting Guide
Medicaid Schools Program (MSP) Requirements (Ordering, Referring and Prescribing)
MSP Eligible Services
Ordering, Referring, and Prescribing (ORP) for MSP therapy services
Change in Medicaid Eligibility Rate (MER) Process from March 13, 2017
Ohio's current MSP law; includes definitions, reimbursements, and authorized services
ODE's website with Medicaid resources/questions
ODE presentation on Ohio's MSP. Recorded on 1.27.16
Takes you to our Membership Page