MedicaidAdministrativeLow impact
Cost Calculation for Medicaid School-Based Health Services
Illinois Medicaid - HFS·IL · Pediatrics, Speech Therapy, Occupational Therapy +1 more·Provider Notice
Effective date
Feb 20, 2009
We identified it
Jun 21, 2026
Summary
Illinois Local Education Agencies (LEAs) providing Medicaid school-based health services to children with IEPs must submit electronic cost calculation forms through the Department's MEDI system between February 2-March 20, 2009 for fiscal year 2008 services. LEAs that fail to complete this cost reporting process will be unable to receive claim adjustments for 2007-2008 school year services or process future claims for that period.
Action Required
This policy is from 2009 and primarily affects Local Education Agencies in Illinois, not typical healthcare billing practices. Healthcare practices providing services in school settings should be aware that LEAs must report actual costs for Medicaid matchable services, but this does not require direct action from medical billing teams unless they are contracted to provide billing services for LEAs.