---
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
---

[Embrace® Blog](https://embraceblog.embraceeducation.com/blog)

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

 Written by [Embrace® Education Team](https://embraceblog.embraceeducation.com/blog/author/embrace-education-team) | Oct 13, 2020, 3:17:00 PM

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.

[View full post](https://embraceblog.embraceeducation.com/blog/major-shift-in-utah-medicaid-claiming-process-for-school-based-health-services)

```json
{
  "@context" : "http://schema.org",
  "@type" : "BlogPosting",
  "author" : {
    "@type" : "Person",
    "name" : "Embrace® Education Team"
  },
  "dateModified" : "2024-07-31T13:47:04.691Z",
  "datePublished" : "2020-10-13T15:17:00Z",
  "headline" : "Major Shift in Utah Medicaid Claiming Process",
  "image" : {
    "@type" : "ImageObject",
    "height" : 381,
    "url" : "https://f.hubspotusercontent20.net/hubfs/5325921/aide.jpg",
    "width" : 574
  },
  "mainEntityOfPage" : "https://embraceblog.embraceeducation.com/blog/major-shift-in-utah-medicaid-claiming-process-for-school-based-health-services",
  "publisher" : {
    "@type" : "Organization",
    "logo" : {
      "@type" : "ImageObject",
      "height" : 60,
      "url" : "/hs/hsstatic/content_shared_assets/static-1.4092/img/default-amp-logo.png",
      "width" : 60
    },
    "name" : "Embrace Blog"
  }
}
```