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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

  • Occupational Therapy

  • Physical Therapy

  • Nursing

  • Transportation

  • Accessing Medical Services

  • Mental Health Services (Counseling, Social Work, Psychology)

  • Medical Equipment and Supplies

  • Medicaid Administrative Activities

  • Complete Definition (click on here)

File Downloads



Enroll as a Provider (STEP-BY-STEP)

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

5.11.16 MSP Cost Reporting Guide

ODE's Cost Reporting Guide


Medicaid Schools Program (MSP) Requirements (Ordering, Referring and Prescribing)

ODE MSP Memorandum #2

MSP Eligible Services

ODE Memo for ORP requirements

Ordering, Referring, and Prescribing (ORP) for MSP therapy services

Change in Medicaid Eligibility Rate (MER) Process

Change in Medicaid Eligibility Rate (MER) Process from March 13, 2017


Quick Links

Ohio MSP Law

Ohio's current MSP law; includes definitions, reimbursements, and authorized services

ODE Medicaid Schools Program

ODE's website with Medicaid resources/questions

Ohio Medicaid School Program Webcast

ODE presentation on Ohio's MSP. Recorded on 1.27.16


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