School-Based Health Programs and Billing

Woman talking to small child like a counselor

A student’s health and well-being are closely connected to their ability to learn, grow, and succeed both inside and outside the classroom. That’s why Shasta County Office of Education (SCOE) partners with local educational agencies to strengthen school-based health programs through administration of the Children and Youth Behavioral Health Initiative (CYBHI) Fee Schedule program, LEA Billing Option Program (LEA BOP), and School-Based Medi-Cal Administrative Activities (SMAA).

These programs were designed to make it easier for children and youth to receive behavioral health and other eligible health services where they already spend much of their time, in schools and other familiar settings. By helping schools receive reimbursement for eligible services they already provide, more funding can be reinvested into student health programs, expanding access to care and strengthening support for students.

As both a participating local educational agency and the lead administrator of the School-Based Health Billing Consortium, SCOE understands the unique opportunities and challenges of implementing these programs. We provide billing administration, compliance guidance, technical assistance, training, and ongoing program support for our own programs as well as for participating LEAs throughout the county.

Our goal is to reduce administrative burden so schools can focus on supporting students and families. Together, we are building a sustainable system of care that helps every student thrive emotionally, socially, and academically.

Programs

CYBHI Fee Schedule

The CYBHI Fee Schedule Program helps schools provide behavioral health services to students by allowing schools to receive reimbursement for eligible services. If your child received eligible behavioral services at school or through a school-linked program, the school may bill your health insurance to help cover the cost of those services. There is no cost to you or your family. Your child can continue to receive services regardless of your ability to pay.

To be eligible, students must:

Be under 26 years of age;
Be enrolled in a public TK-12 school or participating public college; and
Have Medi-Cal or another participating health insurance plan.

Billing through the CYBHI Fee Schedule Program does not increase your out-of-pocket costs, affect your insurance benefits, or change your deductibles. Its purpose is to help schools sustain and expand access to behavioral health services so more students can receive the care they need.

LEA BOP

The LEA BOP program allows schools to receive reimbursement for eligible health services already provided to students enrolled in Medi-Cal.

These services may include nursing, speech-language services, occupational therapy, physical therapy, mental health services, and other eligible health services identified in a student’s Individualized Education Program (IEP) or Individualized Family Service Plan (IFSP).

If your child is eligible for Medi-Cal and receives covered services at school, the school may receive reimbursement through the LEA BOP program. There is no cost to families, and participation in the program does not reduce your child’s available Medi-Cal benefits.

SMAA

The SMAA program helps schools receive federal reimbursement for administrative activities that support students’ access to Medi-Cal covered services. Examples of these activities include:

Sharing information about the Medi-Cal program.
Assisting families with the Medi-Cal application process.
Coordinating with Medi-Cal service providers.
Planning and administering programs that support access to Medi-Cal services.
Training staff on program requirements.

Frequently asked questions

LEA resources and forms

In This Section

School-Based Health Programs and Billing

Programs

CYBHI Fee Schedule

LEA BOP

SMAA

Links & Resources