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West Virginia School-Based Medicaid Services

State Reports to the WV Board of Education
FY 15 State Report

School-Based Operations Manual - Updated 8/1/2015
Chapter 538 - School Based Health Service Manual

Link to the Forms page

Form Training Modules:

Module 1 Occupational Therapy Billing Form (Updated December 2015)
Module 2 Physical Therapy Billing Form (Updated December 2015)
Module 3 Speech Therapy Billing Form
Module 4 Transportation Billing Form (Updated January 29, 2016)
Module 5 Personal Care Services Log Sheet Form
Module 6 Targeted Case Management Billing Form
Module 7 Service Care Plan Form (Updated April 12, 2016)
Module 8 Nursing Billing Form

Sample Billing Forms:

  1. Occupational Therapy Sample Billing Form
  2. Physical Therapy Sample Billing Form
  3. Speech Therapy Sample Billing Form
  4. Transportation Sample Billing Form
  5. Personal Care Services Sample Log Sheet
  6. Targeted Case Management Sample Billing Form
  7. Service Care Plan Sample
  8. Nursing Sample Billing Form
  9. Psychological Sample Billing Form
  10. Audiological Sample Billing Form
Clarification Documents:

Fingerprinting Update (March 2016)
Transportation Billing (Updated January 29, 2016)
Psychological Testing
Targeted Case Management
Speech Language Pathology
TCM Activities
Nursing Services (March 22, 2016)

Bureau for Medical Services Modules:

Module 1 Administrative Services
Module 2 Nursing Services
Module 3 Speech Language and Audiological Services
Module 4 Psychological Services
Module 5 Personal Care Services
Module 6 Occupational Therapy and Physical Therapy Services
Module 7 Targeted Case Management (TCM) Services
Module 8 Transportation Services

pptKidStrong Conference School Nursing Medicaid Presentation June 22, 2016 - Powerpoint

pptAugust 3, 2015 Special Education Director WebinarPowerpoint

Medicaid Updates August 2015 Recording from August 3, 2015



Contact Information:

Terry Riley
West Virginia Department of Education
Phone: 304-957-9833 ext. 53223