1. Medicaid School-Based Transportation Services
Florida Association for Pupil Transportation
April 24, 2018

2. Medicaid Transportation in Schools
Schools receive Medicaid reimbursement for many services provided to students with disabilities
Therapy services
Nursing services
Behavioral services
Transportation services
Districts have received over 1 billion dollars in Medicaid reimbursement since the mid-90s

3. Types of Medicaid School- Based Transportation Service
Two types of service—
Type One:
Handicapped equipped or adapted vehicle
Type Two:
Attendant required to accompany student

4. Individual Educational Plan (IEP) or Family Support Plan (IFSP)
The need for transportation must be referenced on the student’s IEP or IFSP
Medical or vehicle adaptive equipment required
Medical condition that requires a special transportation environment
Attendant required because of physical or behavioral disability and specific needs of the student

5. What is reimbursable?
Any trip to and from school when a Medicaid-covered service is provided at school
Examples of Medicaid-covered services
Physical therapy
Speech therapy
Nursing service
Behavioral service
Occupational therapy

6. What Bus Trips are Reimbursable?
Bus trip from home to school and from school to home (when covered service is provided at school)
Bus trip from school to medical service and from medical service back to school (when covered service is provided away from school)

7. Service Limitations Only four one-way trips allowable per day
Generally two trips will be reimbursed (to and from school)
Additional two trips when a covered service is provided at school and another service off campus on the same day

8. Documentation of Transportation Service
Must keep trip log in some form
District may submit and get approval from Medicaid for alternate system of documentation
Multiple student names may be on the same log
Must initial each trip daily

9. Transportation Logs Transportation log must contain Student name
Date the student was transported
Daily initials of bus driver or “loading dock attendant” on the date of each trip verifying that the students on the trip log actually rode in the vehicle

10. Contact Anne Glass BEESS/USF Student Support Services Project
Florida Department of Education