School-Based Medicaid Program (SBMP) DESE Information Page

This information is provided to assist local school districts, schools and communities in understanding the School-Based Medicaid Program (SBMP). The SBMP allows Local Education Agencies (LEAs) to receive federal dollars that offset costs for providing Medicaid-covered services delivered in school settings by LEA-employed health providers. The LEA's that participate contract with MassHealth (the Massachusetts Medicaid and Children's Health Insurance Programs).

For more detailed SBMP information, including program guidance, covered services & qualified providers, and announcements are posted on the MassHealth SBMP website .

DESE Advisories & Regulations

• Administrative Advisory SPED 2013-1: Parental Consent to Access MassHealth - Special Education

• Administrative Advisory SPED 2010-2: School-Based Medicaid and Nursing Services - Special Education

• Administrative Advisory SPED 2019-3: Updated State Mandated Form for Documentation of Medicaid Service Delivery in Out-of-District Programs (28M/12) - Special Education — A link to the Mandated Form is provided at the bottom of this page.

Additional SBMP Related Resources

• Questions on Parental Consent for MassHealth — Updated March 2019
  This DESE Q & A document addresses information about the Parental Consent Form and the 2019 SBMP expansion.

• SBMP Help Desk
  The SBMP Help Desk is administered by SBMP's contracted vendor UMass.

• SBMP Resource Center
  The Resource Center is where most guidance, forms, and other resources for successful participation in the SBMP lives. Chances are, if you have a question about the SBMP, you can find the answer here.

• SBMP 101 Training Modules
  This is a series of training modules about and developed by the School-Based Medicaid Program (SBMP).

• Top 5 Things Providers Should Know
  This SBMP tip sheet is for providers to understand the direct service claiming part of the School-Based Medicaid Program.

Contact Information

For direct questions about the SBMP program, email SchoolBasedClaiming@umassmed.edu .

For questions related to special education, contact the Office of Special Education Planning & Policy at specialeducation@doe.mass.edu .

For questions related to the Federal Education Rights and Privacy Act (FERPA) and parental consent questions, contact the Office of Student and Family Support at email: achievement@mass.gov .

Last Updated: August 15, 2025