---
title: Major Shift in Utah Medicaid Claiming Process
description: Utah schools will be transitioning from the Medicaid Bundled Billing Plan to a Fee-For-Service plan for the 21-22 SY
image: https://embraceblog.embraceeducation.com/hubfs/aide.jpg
---

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- [Major Shift in Utah Medicaid Claiming Process](https://embraceblog.embraceeducation.com/blog/major-shift-in-utah-medicaid-claiming-process-for-school-based-health-services)

[![](https://embraceblog.embraceeducation.com/hubfs/aide.jpg)](https://embraceblog.embraceeducation.com/blog/major-shift-in-utah-medicaid-claiming-process-for-school-based-health-services)

# Major Shift in Utah Medicaid Claiming Process

- October 13, 2020
- / [Medicaid](https://embraceblog.embraceeducation.com/blog/tag/medicaid)
- / By [Embrace® Education Team](https://embraceblog.embraceeducation.com/blog/author/embrace-education-team)

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The Utah Department of Health has announced that schools in the state will be transitioning from the Medicaid Bundled Billing Plan to a Fee-For-Service plan for the 2021-2022 school year.  Utah’s switch from a Bundled Billing model to a Fee-For-Service model will make it easier for all districts to participate in the Medicaid claiming process and to receive reimbursements for the important services they deliver to students.

**Primary data requirements of the Fee-for-Service model:**

- Student is Medicaid eligible on date of service
- Student is being evaluated or is eligible for Special Education services
- Medicaid claimable service is listed in the IEP
- Service type being provided to student is documented
- Date of service session
- Time length of each session
- Documentation of service activity, related to specific IEP goals

Typically, service data is gathered electronically on a monthly basis and organized by the district or by a Medicaid vendor who then submits it to the state Medicaid agency for claim processing.

**How Embrace® Can Help**

The Embrace® platform makes it easy for service providers to document the services they deliver.

- Service documentation is secure and protected on a HIPAA compliant site
- EmbraceIEP® and EmbraceDS® programs are integrated together. They share real-time information regarding IEP goals, service minutes, and can generate monthly accuracy reports
- Service delivery documentation can be accessed at anytime from almost anywhere
- Staff can document services from any web enabled device
- Consistent communication between Embrace® and district staff to assist in maximizing reimbursement opportunities
- Monthly accuracy reports compare the prescribed services listed on the IEP to the delivered services for the month to ensure accuracy of delivery

Embrace® has over 15 years experience with the Fee-for-Service billing model and is looking forward to supporting Utah's EmbraceIEP® clients with transitioning to the new Medicaid claiming model.

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