BILLING
Sustainability through reimbursement for the services you provide
School-based Medicaid is one of the few steady, district-controlled funding streams there is. bhworks checks eligibility, organizes the documentation, and turns delivered services into claim-ready data.
Districts leave real Medicaid dollars unclaimed every year
Districts provide the services students need. Medicaid pays back a real share, but only when the work is documented correctly and submitted on time.
Providers, documentation, and service capture, all in one view
Medicaid compliance comes down to three questions. bhworks answers each one at a glance.
Providers
Keep provider credentials and supervision records in one place, tied to the services they are allowed to bill.
Documentation
See what each student has on file, the consents and plans of care, and what is still missing, without opening five screens.
Service capture
Track delivered services against what each plan of care laid out, so billable work does not quietly fall through.
Know who is covered before the billing cycle, not after a claim bounces
Every month, bhworks checks Medicaid eligibility for the students in your programs and shows current coverage right on the student record. Filter by program, month, status, and state to see where your population stands, with role-based visibility.
Runs monthly
Eligibility refreshes on schedule, ahead of the billing cycle.
On the student record
Coverage shown where staff already work, not in a separate portal.
Filter any way
By program, month, status, and state, with role-based visibility.
Turn billable services into clean claims, and track what comes back
When a service is documented and meets its plan-of-care requirements, bhworks treats it as billing-ready and packages it into the standard Medicaid formats your payer expects. Submit, then follow what was sent and what the payer returned.
Built for how Medicaid works in every state
Eligible services, billing codes, and program rules vary by state, and a system that ignores those differences creates audit risk. bhworks currently supports Michigan (including gen-ed under 31n) and Nevada but is configurable and adaptable to any state’s rules. HIPAA-aligned and role-based throughout, on any web-based device.
Find out what bhworks could recover for your schools
A short walkthrough, tailored to your state, your roles, and your program mix. No prep required.
