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Medicaid School Based Claiming Program Now Serves Additional Medicaid-Enrolled Students

Arizona Medicaid - AHCCCS·AZ · Pediatrics, Psychiatry, Physical Therapy +1 more·Provider News
Effective date
Not stated
We identified it
Jun 17, 2026
Days to comply

Summary

Arizona's Medicaid School Based Claiming (MSBC) program has expanded to serve more Medicaid-enrolled students beyond just those with IEPs. The program now covers school-based physical and behavioral health services for students with Individualized Family Service Plans and other medically necessary care plans.

Action Required

Action needed
Healthcare practices serving school-aged Medicaid patients in Arizona should verify patient eligibility for school-based services and coordinate care with Local Education Agencies to avoid duplicate billing. Update intake processes to identify students who may be receiving services through MSBC programs.