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District outlines school-based behavioral-health billing plan; staff warn revenue won't fully cover costs
Summary
Staff said they have onboarded Paradigm and the state biller Carillon to enable insurance reimbursement for school-based mental-health services, described privacy and consent issues, targeted a 90% insurance-consent goal for revenue estimates and cautioned billing alone likely won't fund full wellness-center staffing.
A district presenter explained the state's children and youth behavioral-health initiative allows schools to bill public and private insurance for mostly mental-health services and that the district has onboarded long-standing vendor Paradigm and state biller Carillon. Staff emphasized HIPAA and FERPA considerations and said they are preparing messaging, consent forms and plans to collect insurance information via Aeries when possible.
The presenter said the district hopes to submit its first bill by mid-March and showed a back-of-envelope estimate that a certificated wellness coach could generate up to about $30,000 in revenue under a 90% consent scenario, but trustees and staff cautioned that billing is unlikely to fully cover employee costs and that grants and general-fund support will remain necessary.
