Medicaid School-Based Services (SBS)
School-based services (SBS) is a program that allows public school districts to bill Wisconsin Medicaid for medically necessary services provided to Medicaid-enrolled children provided by qualified personnel in Wisconsin public schools. The majority of the funds go directly back to the school districts providing the service. In addition, Wisconsin’s general fund receives federal reimbursement for medical services performed as required by students' Individualized Education Programs (IEPs).
General information about Medicaid SBS is found on the DPI's Medicaid School-Based Services webpage.
Medicaid SBS Expansion
As of the 2025-2026 school year, an expansion of school-based services (SBS) for Medicaid enrolled students (between three and 21 years of age) is in effect.
The following documents are intended to outline key information about the expansion for pupil service professionals.
Where Could I Learn More?
- Wisconsin Department of Health Services (DHS) Forward Health School-Based Services Resources for School-Based Services Provider – This webpage is updated when new resources become available. It includes links to such resources as ForwardHealth updates on Medicaid school-based services, a school-based services expansion checklist, and a recorded training video and slide decks.
- For general SBS policy and coverage information and requirements, refer to the School-Based Services area of the ForwardHealth Online Handbook.