Welcome to the School-Based Medicaid webpage. We acknowledge that School-Based Medicaid services and billing can be complicated and confusing to understand and implement.  The purpose of this webpage is to provide information, resources, clarification, and training to better help you serve your students with disabilities and support your staff.  This webpage has seven sections:

What’s New – This section includes new information as it becomes available. Check this section frequently to learn about any exciting news or upcoming events.  Information in this section will move into other relevant sections as it ages.

Clarification Form – Use this form to ask questions, seek clarification, or share thoughts and suggestions regarding School-Based Medicaid and/or associated IDAPA rules. Specific details regarding how to use the Clarification Form are described in that section.

Clarifications – Here is where you can learn from each other’s questions. This section contains responses to the questions and issues submitted on Clarification Forms. Clarifications appear in chronological order, with the most recent at the top. You can sort clarifications by topic or use the search window to find something specific. Consider browsing the Clarifications section before submitting your own Clarification Form because one of your peers may have already asked your question. However, do not hesitate to submit your own Clarification Form if you cannot find an answer to your question or issue in this section.

Links – This section includes links to School-Based Medicaid resources.

Resources - This is where you will find the Idaho Medicaid School-Based Services Reference Guide, meeting minutes and handouts associated with the Medicaid Advisory Committee and the Interagency Student Services Support Committee, sample forms, trainings, and other documents related to Medicaid School-Based Services.

The Department of Health and Welfare, Division of Medicaid, and the State Department of Education come together quarterly in the School-Based Medicaid Advisory Committee. These meetings are necessary to facilitate better communication between school districts (School-Based Medicaid providers), Medicaid policy makers, and the the Office of Medicaid Program Integrity Unit (MPIU). This committee meets to address changes in School-Based Medicaid IDAPA rules, discuss audit findings and ways to make practice corrections, and provide clarification to districts on School-Based Medicaid policies and procedures. Quarterly meeting agendas, meeting minutes, and other supporting documents are located in the Documents section of this webpage.

You may address any questions or concerns related to School-Based Medicaid to Angie Williams. We look forward to working with you.

Angie Williams
Medicaid Program Policy Analyst for School-Based Services
Bureau of Developmental Disability Services
Idaho Division of Medicaid


What's New

      (March 12, 2019) *REGISTRATION IS OPEN* Medicaid School-Based Services and Children's Habilitation Intervention Services Statewide Training. Choose a location below to learn more and register. Download the Save the Date flyer.


Caldwell - April 16

Boise - April 18

Idaho Falls - April 22

Pocatello - April 23

Twin Falls - April 24

Lewiston - April 25

Coeur d'Alene - April 26


      (December 6, 2018) Medicaid School-Based Services Reference Guide 2018 now available.  We are pleased to announce that the long-awaited Medicaid School-Based Services Reference Guide 2018 (Medicaid SBS Ref Guide 2018 for short) is ready for consumption. The Medicaid SBS Ref Guide 2018 replaces the 2017 Medicaid Guidance Handbook and is posted in the Reference Guide &  Support Documents Resource.  We appreciate your patience as we worked to make the new Reference Guide more user-friendly and fully accessible.


Clarification Form


Use this form to ask questions, seek clarification, or share thoughts and suggestions regarding School-Based Medicaid implementation and/or associated IDAPA rules. Follow the steps below to submit and get a response to your Clarification Form.
1. Download the form.
2. Open the form using Adobe PDF Reader.
3. Complete all fields comprehensively and to the best of your ability.
4. Please “Save As” with your district number and date in the file name. For example: D91 Aug 14 Medicaid Clarification Form.
5. Save the document for your future reference.
6. Send as an e-mail attachment to and Karren Streagle
7. A written response will be returned to you using your form. You may need to click the View Response at the bottom of page one for the response to be visible.
8. The response to your question/issue/suggestion will be posted to the Clarifications section.
9. If additional action is required, the School-Based Medicaid Advisory Committee will provide additional guidance.


Breathe...You need to install the latest version of Adobe PDF Reader to open and complete the form. Opening the document in your browser will not work.



This Clarifications section includes questions and issues submitted on Clarification Forms and the joint State Department of Education and Department of Health and Welfare responses to those questions and issues.  They are organized by service categories and are searchable.  You will notice that Clarifications may be accessed under more than one category.

School Based Medicaid Resources

Contact Us

karren streagle, ph.d

Alternate Assessment/Low Incidence Disabilities/Medicaid Coordinator
Idaho State Department of Education
P.O. Box 83720 Boise, Idaho 83720

sde Idaho State Department of Education
650 W. State Street
PO Box 83720
Boise, ID 83720-0027