Maximize Your District's Medicaid Reimbursements with Total Compliance

We empower school districts, administrators, and financial officers to navigate the complexities of school-based Medicaid programs. We provide expert advisory, training, and compliance oversight to ensure your district receives every dollar it is entitled to—without the risk.

We are a strategic advisory and compliance consulting firm. We are not a Medicaid billing company or claims vendor. We partner with your existing staff and systems to optimize compliance, strategy, and financial reporting.

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About Us

Working alongside you to strengthen processing, audit-proof reporting, and provide clear data to school boards.

Navigating state and federal Medicaid requirements in a school setting requires specialized knowledge. School Medicaid Consulting LLC was built to bridge the gap between complex financial compliance and practical district administration.

While traditional billing companies focus solely on submitting claims, our focus is on financial strategy, audit protection, and staff education. We work alongside school leadership to strengthen internal processes, audit-proof reporting, and present clear financial data to school boards and stakeholders.

39%

Average Medicaid Revenue Growth

15+

Years Experience

39%

Average Medicaid Revenue Growth

15+

Years Experience

occupational therapist working with students

39%

Average Medicaid Revenue Growth

15+

Years Experience

Average Client Growth

On average, clients have experienced 39%+ Medicaid revenue growth.

Average Client Growth

On average, clients have experienced 39%+ Medicaid revenue growth.

Districts Worked With

We've worked with hundreds of districts over our 15+ years of experience.

Districts Worked With

We've worked with hundreds of districts over our 15+ years of experience.

0+ Years

Direct Experience

From Special Education Administration, to billing company, to strategic consulting.

0+ Years

Direct Experience

From Special Education Administration, to billing company, to strategic consulting.

Expertise

Built on 15+ Years of experience from school district administration to state board leadership.

Kimberly Silvey is a dedicated special education leader and school Medicaid strategist with extensive experience in educational leadership, financial compliance, and state-level policy support.

Special Education Leadership

Over a decade of hands-on experience as a special education administrator, giving her deep insight into IEP compliance, related services, and district-level operational needs.

School Medicaid Vendor Expertise

Spent over six years working directly for a school Medicaid billing company, developing thorough, end-to-end knowledge of state claiming rules, provider documentation, and audit requirements.

IAASE Board Leadership

Served on the Governing Board of the Illinois Administrators of Academy Special Education (IAASE) since 2018, advocating for special education programs and administrative compliance statewide.

State Agency Alignment

Serves as a part-time consultant for the Illinois State Board of Education (ISBE), assisting state leadership and school districts with complex school-based Medicaid needs and strategic updates.

Services

Practical solutions to provide transparency and confidence to your school Medicaid claiming process.

From training to quarterly monitoring, our services help you understand where your district's school Medicaid billing is currently at and how you can maximize your reimbursement.

Virtual Training

One-hour virtual training sessions tailored for administrators, related service personnel, and business managers.

Quarterly Monitoring

Comprehensive quarterly payment updates, ongoing support with Annual Cost Reports, Desk Reviews, and Audits. Includes all direct communications (emails and calls) for four quarters.

Initial Financial Review

A comprehensive report detailing historical Medicaid revenue, identifying key areas for strategic training, and outlining clear steps to build a fully compliant Medicaid program.

Annual Financial Summary

A clear, executive one-page Medicaid financial report designed specifically for presentation to school boards.

Q&A Session

Q&A Sessions to provide personalized answers to any school Medicaid questions you or your staff and related service providers may have.

Administrator Academy

An intensive training for Administrators who are new to Medicaid or want to deep-dive in order to truly maximize reimbursements.

How We Work

A clear and proven process that guides you from discovery to measurable results.

At School Medicaid Consulting LLC, we work alongside school districts to help you get the most out of your Medicaid reimbursements, stay fully compliant, and help minimize the stress out of billing. Our simple four-step process helps make sure your district receives every dollar it's owed while building smart, reliable habits that last.

consultant walking district through financial review

Extensive Financial Review

We start by taking a close look at your district's past Medicaid billing and revenue history to see where things stand.

Historical Analysis: We review past claims, cost reports, and reimbursement revenue streams to spot missed opportunities or recurring issues.
Opportunity Identification: We find exact areas for improvement and create clear strategies to fix any gaps.
Compliance Assessment: We check your current documentation standards to make sure they align with Medicaid guidelines and keep audit risks low.

Extensive Financial Review

We start by taking a close look at your district's past Medicaid billing and revenue history to see where things stand.

Historical Analysis: We review past claims, cost reports, and reimbursement revenue streams to spot missed opportunities or recurring issues.
Opportunity Identification: We find exact areas for improvement and create clear strategies to fix any gaps.
Compliance Assessment: We check your current documentation standards to make sure they align with Medicaid guidelines and keep audit risks low.

Extensive Financial Review

We start by taking a close look at your district's past Medicaid billing and revenue history to see where things stand.

Historical Analysis: We review past claims, cost reports, and reimbursement revenue streams to spot missed opportunities or recurring issues.
Opportunity Identification: We find exact areas for improvement and create clear strategies to fix any gaps.
Compliance Assessment: We check your current documentation standards to make sure they align with Medicaid guidelines and keep audit risks low.

Targeted Training Plan Development

Once we have the full picture from our review, we don't just hand over a report—we build a customized plan tailored to your team.

Customized Training: We design targeted training focused specifically on resolving the issues and capitalizing on the opportunities found in step one.
Role-Specific Modules: We tailor content for everyone involved, including administrators, finance staff, and all related service staff members.
Policy Integration: We weave together your district's specific policies with federal and state Medicaid requirements for a seamless fit.

Targeted Training Plan Development

Once we have the full picture from our review, we don't just hand over a report—we build a customized plan tailored to your team.

Customized Training: We design targeted training focused specifically on resolving the issues and capitalizing on the opportunities found in step one.
Role-Specific Modules: We tailor content for everyone involved, including administrators, finance staff, and all related service staff members.
Policy Integration: We weave together your district's specific policies with federal and state Medicaid requirements for a seamless fit.

Targeted Training Plan Development

Once we have the full picture from our review, we don't just hand over a report—we build a customized plan tailored to your team.

Customized Training: We design targeted training focused specifically on resolving the issues and capitalizing on the opportunities found in step one.
Role-Specific Modules: We tailor content for everyone involved, including administrators, finance staff, and all related service staff members.
Policy Integration: We weave together your district's specific policies with federal and state Medicaid requirements for a seamless fit.

Implementation of Trainings & Strategies

Next, we jump in alongside your team to roll out the strategy smoothly.

Hands-on Training Delivery: We lead practical, engaging training sessions (online or in person) so clinical and office staff feel confident logging and submitting claims.
Strategic Workflow Deployment: We set up clear checklists and simpler workflows that easily fit into your staff's day-to-day routine.
Technology & Tool Optimization: We explore options to help fine-tune your existing billing software and tracking tools to cut down on extra paperwork and improve accuracy.

Implementation of Trainings & Strategies

Next, we jump in alongside your team to roll out the strategy smoothly.

Hands-on Training Delivery: We lead practical, engaging training sessions (online or in person) so clinical and office staff feel confident logging and submitting claims.
Strategic Workflow Deployment: We set up clear checklists and simpler workflows that easily fit into your staff's day-to-day routine.
Technology & Tool Optimization: We explore options to help fine-tune your existing billing software and tracking tools to cut down on extra paperwork and improve accuracy.

Implementation of Trainings & Strategies

Next, we jump in alongside your team to roll out the strategy smoothly.

Hands-on Training Delivery: We lead practical, engaging training sessions (online or in person) so clinical and office staff feel confident logging and submitting claims.
Strategic Workflow Deployment: We set up clear checklists and simpler workflows that easily fit into your staff's day-to-day routine.
Technology & Tool Optimization: We explore options to help fine-tune your existing billing software and tracking tools to cut down on extra paperwork and improve accuracy.

Continuous Quarterly Monitoring and Support

Medicaid compliance isn't a one-and-done project. We stick around all year long to offer ongoing support and guidance. Implementation is supported with continuous check-ins, performance tracking, and adjustments. We ensure strategies deliver real impact and adapt as your business evolves.

Quarterly Financial Reviews: We check in each quarter to track performance, review reimbursement trends, and tackle any new questions that come up.
Active Q&A and Billing Support: Throughout the school year, our team is always available to answer tricky billing questions and offer expert help whenever you need it.
Compliance Safeguards: We keep an eye on changing regulations and help update your approach so your district stays compliant and audit-ready.

Continuous Quarterly Monitoring and Support

Quarterly Financial Reviews: We check in each quarter to track performance, review reimbursement trends, and tackle any new questions that come up.
Active Q&A and Billing Support: Throughout the school year, our team is always available to answer tricky billing questions and offer expert help whenever you need it.
Compliance Safeguards: We keep an eye on changing regulations and help update your approach so your district stays compliant and audit-ready.

Continuous Quarterly Monitoring and Support

Quarterly Financial Reviews: We check in each quarter to track performance, review reimbursement trends, and tackle any new questions that come up.
Active Q&A and Billing Support: Throughout the school year, our team is always available to answer tricky billing questions and offer expert help whenever you need it.
Compliance Safeguards: We keep an eye on changing regulations and help update your approach so your district stays compliant and audit-ready.

FAQ

Frequently Asked Questions

If you have any other questions, please email us.

Are you a Medicaid billing company?

No. We are a strategic advisory and compliance consulting firm — not a billing company or claims vendor. We partner with your district's existing staff and systems to strengthen compliance, training, and financial reporting rather than submitting claims on your behalf.

What districts and staff do your services support?

What does the engagement process look like?

What will I receive after the initial review?

What ongoing support do you provide after training?

Are you a Medicaid billing company?

What districts and staff do your services support?

What does the engagement process look like?

What will I receive after the initial review?

What ongoing support do you provide after training?

Ready to Maximize Your District's Medicaid Reimbursements?

Let's start with a free consultation. Share where your district stands today, and we'll map out a clear path to full compliance and stronger reimbursements.