WV Code 18-2-5b authorizes the EPIC school districts to participate and submit claims for Medicaid Reimbursement via the following services:
Targeted Case Management
Psychological Evaluations and Counseling
Specialized Nursing Services
Speech Language Therapy
Participation in the program requires meeting specific criteria and following guidelines as provided by the West Virginia Department of Education, Office of Special Education, in coordination with the Bureau for Medical Services, Health Care Financing Agency (HCFA) and the West Virginia Department of Health and Human Resources.
The state and federal Medicaid program has instituted a cost settlement system that results in a county's accrued reimbursements and the cost of providing services being compared and reconciled through several elements on an annual basis.