School-Based Health Services are evaluative, diagnostic, preventive and treatment services provided for the maximum reduction of physical or mental disability, to allow for functioning of the recipient to his best possible level, to prevent loss of current functional level, or to correct any defects or conditions. Services must be listed in the child's Individual Education Plan (IEP).
- Children from age three to 21 who are eligible under the Individuals with Disabilities Education Act (IDEA) and who have an IEP are eligible for School-Based Health Services.
- Parents must be advised annually that the school intends to bill Medicaid for a child's services. A parent may refuse to allow the school to bill.
- Speech therapy, occupational therapy, physical therapy and mental health services may be provided in an individual or group setting.
- Children who receive School-Based Health Services are not prohibited from receiving services through the EPSDT program. When medically necessary, services may be covered through both programs.
If you are a member and have questions, please contact Member Services at (800) 635-2570.
Provider Contact Information
- For billing questions, contact DXC at (800) 807-1232 or visit the website.
- For provider questions, contact the Provider Services Call Center at (855) 824 5615.
- For provider enrollment or revalidation questions, contact Provider Enrollment at (877) 838-5085.
- For KyHealth-net assistance, email DXC.
- To report fraud and abuse, contact Fraud Hotline at (502) 564-2348.