Welcome to the Medicaid School-Based Services topic page.We acknowledge that navigating Medicaid School-Based Services can be complicated and confusing. The purpose of this webpage is to provide information, resources, clarification, and training to support LEAs implementing and billing for Medicaid School-Based Services. This webpage has six sections, as described below.

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.

Medicaid Advisory Committee – This section describes the purpose of the Medicaid Advisory Committee and lists the meeting dates and membership for the 2020-21 school year.

Clarification Form – This section explains how to submit questions, concerns, or issues related to implementing and billing for Medicaid School-Based Services. A link to the online Clarifications Form is provided.

Clarifications – This section includes the web link to a dedicated webpage that houses questions and responses from previously submitted Clarification forms.

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

School-Based Medicaid Resources - This section houses the Idaho Medicaid School-Based Services Reference Guide, agendas and minutes from advisory committee meetings, webinar recordings, training materials, and other documents related to implementing and billing for Medicaid School-Based Services.


The Department of Health and Welfare (DHW) and the State Department of Education (SDE) collaborate to support the Medicaid Advisory Committee (MAC). The purpose of the MAC is to facilitate collaboration among Local Educational Agencies (LEAs), the SDE, and the DHW related to Medicaid School-Based Services (SBS) and providers. The MAC’s role is to serve as a consulting body for matters of Medicaid SBS policy and practice and to recommend changes to Medicaid SBS policy, within the scope of applicable state and federal rules.

Meeting agendas and approved minutes from the past three years are available in the School-Based Medicaid Resources section of this topic page and are organized by school year.  Agendas and approved minutes for this year will be posted as they become available.

During the 2022-23 school year, the MAC will meet on the second Wednesday of September, December, March, and June. All meetings below are from 1:00 – 4:00 PM (Mountain) /12:00-3:00 Pacific. MAC meetings are open to the public for in-person (Idaho State Department of Education, 650 W State Street in Boise, and virtual attendance (preregistration required).

Wednesday, September 14, 2022: preregister for September 14 Zoom meeting link
Wednesday, December 14, 2022: preregister for December 14 Zoom meeting link
Wednesday, March 8, 2023: preregister for March 8 Zoom meeting link
Wednesday, June 14, 2023: preregister for June 14 Zoom meeting link

Medicaid Advisory Committee Membership

MAC membership includes representatives from the SDE, the DHW, LEA Special Education (SPED) Directors (or designees) from each of the six Idaho Educational Regions and charter schools, and Idaho Parents Unlimited. LEA representatives serve a three-year term. MAC Committee members for 2022-23 are listed below.

  • Julie Mead: Idaho State Department of Education
  • Karren Streagle: Idaho State Department of Education
  • David Bell: Division of Medicaid
  • Almira Mackaben: of Medicaid
  • Lori Stiles: Medicaid Program Integrity Unit
  • Kim Shaner: SPED Director, Boundary School District, Region 1
  • Shannon Richards: SPED Director, Moscow School District, Region 2
  • Chynna Hirasaki: SPED Director, Caldwell School District, Region 3
  • Lorena Ryan: SPED Director, Glenns Ferry School District, Region 4
  • Holly Tanner: SPED Director, Bear Lake School District, Region 5
  • Yvonne Thurber: SPED Director, Bonneville School District, Region 6
  • Tara Handy: SPED Director, Rolling Hills Public Charter School
  • Jared Bissen: SPED Director, Gem Prep Charter Schools
  • Angela Lindig: Idaho Parents Unlimited

Medicaid SBS Clarification Form


The Medicaid SBS Clarification Form is designed for you (billers, teachers, therapists, administrators, psychologists, etc.) to submit questions, concerns, or issues related to implementing and/or billing for Medicaid School-Based Services. Once you complete the online Clarification Form, we will respond to your question, concern, or issue via emails. Then, we post your question, concern, or issue with our response to the Clarifications webpage. Please allow up to two weeks to receive a response. If you have an urgent question, concern, or issue, please email Karren Streagle to let us know of your urgency. We ask that you do two things before submitting a new Clarification form:

1. Please browse the Clarifications webpage to see if your question, concern, or issue has already been addressed by an existing Clarification.
2. Please submit only one question, concern, or issue per Medicaid SBS Clarification Form.


The Clarifications webpage includes the questions, concerns, and issues submitted using the Medicaid SBS Clarification Form, with responses developed collaboratively by DHW and SDE staff.  Questions and their accompanying responses are organized by categories and are searchable. Please browse these clarifications for answers to your questions, concerns, and issues before submitting a new Medicaid SBS Clarification Form. If you notice conflicting responses or need additional information, please let us know by submitting a new Medicaid SBS Clarification Form.

School-Based Medicaid Resources

Contact Us

Karren Streagle, Ph.D.

Alternate Assessment/Low Incidence Disabilities/Medicaid Coordinator
Idaho State Department of Education, Special Education Department


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

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