School-Based Medicaid
The Individuals with Disabilities Education Act (IDEA) requires school districts to provide both special education and related services to eligible students to ensure they receive access to a Free Appropriate Public Education (FAPE). The IDEA defines FAPE as special education and related services that are provided at public expense in the least restrictive environment. This means health-related services can be provided in the school setting which can be the most cost-effective alternative.
TennCare is the state of Tennessee’s Medicaid program that operates within the guidelines set by the federal government. This program allows school districts to seek payment for providing medically necessary services (related services) to Medicaid eligible children. For more information on how your district can participate and receive Medicaid reimbursement for health related services, review the Department of Education/TennCare Provider Registration Webinar and the presentation PowerPoint .
The department, in collaboration with the Division of Tenncare, is pleased to provide school districts with a Tenncare Billing Manual to address the coverage by TennCare of medical services provided in a school setting. TennCare is the state of Tennessee’s Medicaid program that operates within the guidelines set by the federal government. This program allows school districts to seek payment for providing medically necessary services (related services) to Medicaid eligible children.
The Tennessee Department of Education does not endorse, recommend, or approve the vendors on this list. It is provided for informational purposes only. Contact Jamie.Seek@tn.gov if you are a vendor that provides these services and would like to be added to this list.
Accelify
Natalie Roth, Director of Marketing
p: (347) 532-3209
c: (312) 330-5758
Access Medical Billing, Inc.
Brian Leach, President
p: (423) 566-8283
Relay
Pam Katz, Vice President of Business Development
p: 401-623-8468
c: 203-856-6124
Go Solutions
Matthew M. Flaminio, Esq., President and Chief Legal Officer
p: (800) 260-2544
Matthew.Flaminio@gosolutions.net
Public Consulting Group, Inc.
Alicia Stewart
p: (615) 983-5333
Public Consulting Group Website
Sidekick Therapy Partners
Justin Graham
p: (615) 795-0024
p: (865) 693-5622
e: jgraham@mysidekicktherapy.com
https://www.mysidekicktherapy.com/
Sivic Solutions Group, LLC
Siva Kakuturi, President
p: (315) 868-9777
skakuturi@sivicsolutionsgroup.com
Sivic Solutions Group, LLC Website
Stellar Therapy Services
Melissa Christopher
p: (423) 622-1551
Speech Pathology Services of East Tennessee, LLC
Carlos Stanojevich, CFO
Physical Address: 2030 Chilhowee Medical Park, Maryville, TN 37804
Mailing Address: PO Box 5209 Maryville TN 37802-5209
p: (865) 982-3400
f: (865) 238-2034
email info@spset.com
TennCare Provider Screening Requirements for Physical Therapists
TennCare Consent to Access Information – English (Updated July 2022)
TennCare Consent to Access Information – Spanish (Updated July 2022)
TennCare Consent to Access Information – Arabic (Updated 2022)
TennCare Notice of Access to Information – English (Updated July 2022)
TennCare Notice of Access to Information – Spanish (Updated 2022)
TennCare Notice of Access to Information – Arabic (Updated 2022)
School-Based Services Memo – July 2022
TennCare School Nursing Guidelines (Effective July 1, 2023)
Department of Education/TennCare Provider Registration Presentation
Medicaid School-Based Administrative Claiming Guide
School District Provider Registration Memo
School District Provider Registration FAQs
TennCare Online Services Eligibility Verification Instructions