MedicaidAdministrativeMedium impact
School District Administrative Claiming (SDAC) and the Individualized Education Plan (IEP) Direct Services Cost Settlement Programs
Missouri Medicaid (MO HealthNet)·MO · Physical Therapy, Occupational Therapy, Pediatrics·Provider Bulletin
Effective date
May 15, 2026
We identified it
Jun 20, 2026
Summary
Missouri has updated its School District Administrative Claiming (SDAC) and IEP Direct Services Cost Settlement Programs, which affect billing procedures for school-based healthcare services provided to students with disabilities. This policy change impacts how healthcare providers bill for services delivered in school settings under Medicaid programs.
Action Required
By May 15, 2026: Billing teams working with Missouri school districts must review and update billing procedures for school-based healthcare services under SDAC and IEP programs. Contact Missouri Department of Social Services for specific billing requirements and ensure compliance with updated cost settlement procedures. Verify current provider agreements with school districts align with new policy requirements.