School Based Health Care Program

Overview

The federal Individuals with Disabilities Education Act (IDEA) ensures that all children with disabilities between the ages of 3 and 21 have available to them a free appropriate public education (FAPE) that emphasizes special education and related services designed to meet their unique needs and prepare them for further education. Under Part B of IDEA, school districts must prepare an individualized education plan (IEP) which specifies all special education and related services to be provided to a child with a disability. Medicaid, a joint state-federal program, offers school districts reimbursement for many of the covered medical services included in an IEP and provided to Medicaid eligible children.

In Connecticut, the Medicaid School Based Child Health (SBCH) Program is the mechanism by which a school district may seek federal Medicaid reimbursement for many of the Medicaid covered services that are provided to an eligible student pursuant to the student's IEP. These services include assessment, audiology, clinical diagnostic laboratory, medical, mental health, nursing, occupational therapy, physical therapy, respiratory care, speech/language, and optometric services. Federal reimbursement may also be pursued by the school district for administrative activities which support the provided Medicaid health services. The Connecticut Department of Social Services (DSS) is the state agency responsible for administering the SBCH Program.

School Based Child Health Random Moment Time Study

Effective October 1, 2014, a statewide Random Moment Time Study (RMTS) will be used in the School Based Child Health (SBCH) Program. RMTS participants will be asked to answer the following questions at a random moment (one minute):

  • What type of activity were you doing?
  • What are you doing?
  • Who are you doing it with?
  • Why are you performing this activity?

The selection of moments and participants is random. Some participants will receive no moments, some will receive one and some will receive multiple moments during each quarter. 

Please follow this link for a special announcement regarding RMTS.

RMTS Coordinators, please follow this link for Frequently Asked Questions regarding School Based Claiming.

RMTS Coordinator Designee Information Form - This form should be completed when there is a change in the RMTS Coordinator or change in vendor for the district.

RMTS Change: Reminder emails will be sent for unanswered moments at 24 hours after the moment has been issued, and again when there are 12 hours remaining to complete the moment request.