Medicaid Billing
Integration

How Vasl supports school-based and community health Medicaid billing ? what documentation we provide, how to access it, and what recovery to expect.

School Finance Directors Billing Coordinators Org Administrators

How Vasl supports Medicaid billing

Vasl does not submit Medicaid claims on your behalf. What Vasl does is generate and export the billing documentation your finance team needs to submit claims through your existing Medicaid billing system ? CPT codes, service records, provider credentials, service dates, and claim documentation formatted to meet Medicaid billing requirements.

The billing burden is yours to submit; the documentation burden is ours to generate. Your finance team reviews and submits. Vasl handles the record creation.

What Vasl Provides

Monthly billing documentation exports formatted for your district's or organization's Medicaid billing system. Includes: service dates, member Medicaid eligibility indicators, CPT codes, qualified provider credentials, service type documentation, and claim-ready record formatting. Available for download from the Client Org Portal at the start of each billing cycle.

What services qualify for Medicaid billing

Not all Vasl platform activity qualifies for Medicaid reimbursement. Qualifying services are those that meet your state Medicaid program's definition of a covered behavioral health service ? typically structured, documented interactions with a qualified provider.

Coaching sessions
Structured one-on-one coaching interactions with a certified coach ? documented with session type, duration, and provider credentials. Qualification depends on state Medicaid plan and whether the coach credential meets your state's "qualified provider" definition.
Clinical sessions
Sessions with a licensed clinician integrated into the Vasl workflow. These typically qualify at standard mental health service codes where available.
Group support sessions
Structured, moderated peer group sessions with documented participation and qualified facilitator involvement. Qualification varies significantly by state.
Peer group posts
Do not qualify. Unstructured peer community activity is not a billable service under any state Medicaid program.
Check-ins
Generally do not qualify as standalone billable services. May qualify when reviewed and responded to by a qualified provider within the same documented encounter.
State Variation Is Significant

What qualifies for Medicaid reimbursement varies substantially by state Medicaid plan, the specific provider credential requirements in your state, and whether your organization is an enrolled Medicaid provider. Vasl provides documentation guidance and your implementation lead will model your specific recovery potential during scoping ? but the final determination of what qualifies is made by your state Medicaid program and your billing team.

The math ? what to expect

Vasl pricing has two components: a platform fee and a per member per month (PMPM) fee. For schools and non-profits, the PMPM rate is $3?5 per member per month. At the Pro plan level with 500 students, the full annual cost is approximately $38,400 ? and approximately 50% is recoverable through school-based Medicaid billing, bringing the net district cost to around $19,200/year, or roughly $38 per student per year.

Title I District ? Pro Plan ? 500 Students ? Sample Calculation
Platform fee (Pro ? annual)$14,400
PMPM ? schools ($4 avg ? 500 ? 12)$24,000
Total annual cost$38,400
Medicaid recovery estimate (~50%)~$19,200
Net annual district cost~$19,200
Net cost per student per year~$38
This Is an Estimate, Not a Guarantee

The ~50% recovery figure reflects documented experience across Vasl's pilot district deployments. Your actual recovery depends on: your state's Medicaid reimbursement rates, your student population's Medicaid eligibility rate, which services your state Medicaid plan covers, and your organization's current Medicaid enrollment status. Your implementation lead will build a recovery model specific to your district during the scoping process.

Accessing billing documentation

01
Log in to the Client Org Portal

Billing documentation is available to org administrators in the Client Org Portal. Navigate to Outcomes & Reports in the sidebar, then select Billing Documentation.

02
Select the billing period

Documentation is generated monthly and available for download from the first business day of the following month. Select the month you're billing for from the period dropdown.

03
Download the billing export

The export is formatted as a CSV file and a companion PDF summary. The CSV is formatted for direct import into most Medicaid billing systems. The PDF summary includes a claim-count breakdown by service type and provider credential.

04
Review and submit through your billing system

Your finance team reviews the export, verifies against your student Medicaid eligibility list, and submits claims through your existing Medicaid billing system. Vasl's compliance team is available to answer questions during your first billing cycle.

First Billing Cycle Support

Your implementation lead walks alongside your finance team through the first complete billing cycle ? answering questions, reviewing the export format, and confirming claim structure meets your state's requirements. This is included in all Vasl deployment agreements. After the first cycle, most finance teams are able to manage the process independently.

CPT code reference

The following CPT codes are used in Vasl billing documentation. Applicability depends on your state Medicaid plan and provider credential requirements. Your implementation lead will confirm which codes apply in your specific deployment during scoping.

CPT 90832
Psychotherapy, 30 minutes ? individual. Used for structured coaching or clinical sessions of 16?37 minutes with a qualified provider.
CPT 90834
Psychotherapy, 45 minutes ? individual. Used for structured sessions of 38?52 minutes with a qualified provider.
CPT 90837
Psychotherapy, 60 minutes ? individual. Used for structured sessions of 53 minutes or more with a qualified provider.
CPT 90853
Group psychotherapy ? used for structured, moderated group sessions with a qualified provider facilitator. Requires documentation of group composition and provider involvement.
H-codes
State-specific behavioral health service codes may apply for community behavioral health services. Your implementation lead will identify applicable H-codes for your state during scoping.

State variation

School-based Medicaid billing operates under federal Medicaid guidelines but is administered by each state ? which means reimbursement rates, qualified provider definitions, and covered service types vary significantly. Some states have robust school-based behavioral health billing infrastructure. Others have more limited programs.

Key state-specific factors that affect your recovery potential: whether your state's Medicaid plan covers community behavioral health services delivered outside a clinical setting; the provider credential requirements for reimbursable services (some states require LCSW or higher; others permit certified coaches under supervision); your state's per-unit reimbursement rate for behavioral health services; and whether your organization is currently an enrolled Medicaid provider.

Vasl's compliance team has worked with districts and organizations across multiple states and can provide state-specific guidance during your implementation scoping. Contact billing@vaslhealth.com with your state to start that conversation.

Additional funding mechanisms

Beyond Medicaid, Vasl deployments may be fundable through several additional mechanisms depending on your organization type:

Title IV-A
Student Support and Academic Enrichment grants ? covers student mental health programs as part of a "well-rounded educational opportunity." Available to all Title I districts. Contact your district's federal programs coordinator.
ESSER Funds
Elementary and Secondary School Emergency Relief ? remaining ESSER III funds may be applicable where mental health support programs qualify under your state's guidance. Check current availability with your state education agency.
State BH Block Grants
State behavioral health block grants ? available in most states for community-based behavioral health programs. Varies significantly by state. Your implementation lead can identify applicable grants in your state.
Foundation & Philanthropy
Vasl provides grant documentation ? IRB study data, pilot outcome reports, and the VLAP technical specification ? in formats designed for grant applications. Contact your implementation lead for the grant documentation package.
Grant Documentation Package

Vasl provides a grant documentation package for partner organizations applying for additional funding ? including IRB study protocol, pilot outcome data, VLAP technical overview, and compliance documentation. Contact billing@vaslhealth.com to request the package.

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Last updated: May 2026