Florida Department of Education Medicaid Systems
Medicaid Tracking System (MTS) 3.0 – MTS 3.0 is a web-based application provided by the Florida Department of Education (FDOE) to districts at no cost (does not support enrolled charter or private schools), allowing service providers to document and request reimbursement for services provided to students with disabilities through the Medicaid Certified School Match Program.
MTS 3.0 Key Features – The MTS 3.0 application has migrated to the Department’s new SSO and includes the following features:
- Service Documentation: Providers can document and bill for various services, including speech therapy, physical therapy, occupational therapy, nursing, and now behavioral services.
- Report Generation: Both providers and administrators can generate detailed reports of documented services.
- Medicaid Eligibility: MTS 3.0 can produce and process Medicaid eligibility requests (270) and response (271) files.
- Billing Batches: Administrators can generate billing batches (837) for eligible services for reimbursement.
Rolling Out MTS 3.0
- Data File Creation: Coordinate with your IT department to create two data files containing student and parent demographic data and student exceptionality data.
- User Authentication: Work with your IT department to authenticate users via the FLDOE Single Sign-On (SSO). Users can be granted access either by bulk provisioning or manually via the SSO Admin Portal.
- Training: Train your service providers on using MTS 3.0, typically through a half-hour-long session via Teams, with participation from the state Medicaid consultant. District administrator training is provided one-on-one over multiple sessions.
Considerations for Transitioning from a Medicaid Vendor System to the FDOE’s Medicaid Tracking System (MTS):
- Determine which district staff members will be responsible for fee-for-service billing activities currently handled by your vendors. These activities include:
- Uploading student data files to the MTS
- Downloading files from the MTS for upload to the Florida Medicaid Web Portal
- Managing service provider access to the MTS
- Developing a process to match transportation logs with documented services for billing transportation through the MTS 2.0
- Reviewing billable services before seeking reimbursement to ensure all plans of care include the documented services in the MTS
Contact MTSSupport@fldoe.org for more information.
Medicaid Tracking System (MTS) 2.0 – MTS 2.0 is a desktop-based (versus web-based) school district Medicaid billing software application (does not support enrolled charter or private schools). It is designed to facilitate a school district’s student Medicaid eligibility checks and student Medicaid billing, as performed under the Medicaid Certified School Match Program. MTS 2.0 is provided at no cost to school districts by the FDOE.
MTS 2.0 Features
- Can bill all service types which are billable under the Medicaid Certified School Match Program.
- Draws its core data from your School Information System (SIS) via a “Student File” and an optional “Exceptionality File” which are produced by your IT department on monthly basis for importation into MTS 2.0.
- Enables automated mass student Medicaid eligibility checks to be performed monthly. With the received eligibility data, you can generate paper-based or PDF-based monthly student Medicaid eligibility reports.
- Streamlined Medicaid billing record entry. To bill a service, you only need to enter Student ID, Service Provider ID, Date of Service, Procedure Code, Diagnosis Code, and Units.
- You can enter your billable service data from paper service documents, or from electronic service documents (such as Microsoft Word or Excel documents, or PDF documents, etc.).
- Optionally, you can import service records into MTS 2.0 in bulk from other software applications using a specifically formatted Microsoft Excel file, to avoid having to hand enter that service data into MTS 2.0.
MTS 2.0 Architecture – MTS 2.0 is a Microsoft Windows desktop database application. It is designed for installation in your school district central office’s Medicaid department, either as a single-user installation on one computer, or as a multi-user installation on multiple client computers in conjunction with a shared data folder on an IT department file server. Multi-user installations typically contain up to five users, but more users can be supported.
Technical support on installation and operation of MTS 2.0 is provided by Nanci English, Medicaid in Schools Consultant, Student Support Services Project, Nanci.English@fldoe.org.
EMACS – Electronic Medicaid Activities Claiming System – The EMACS is a random moment sample (RMS) web application which supports Florida public school districts in meeting the requirements of the Florida Medicaid School District Administrative Claiming (SDAC) program. The EMACS is utilized by the EMACS Group, which is composed of very-large, large, medium, and small Florida public school districts. The Group’s member districts work cooperatively to complete the quarterly SDAC RMS. By working together on the random moment sample, the EMACS Group spreads the RMS workload proportionately among its member districts. The EMACS Group and the EMACS web application are managed and supported by the EMACS Data Manager. FDOE provides the EMACS web application, and the services of the EMACS Data Manager, at no cost to member districts in the EMACS Group. No contract is necessary for a district to become a member of the EMACS Group.
EMACS Features
- No contract and no cost for a school district to participate.
- The EMACS web application can be accessed using popular desktop/laptop/tablet web browsers.
- The EMACS web application and the EMACS Data Manager support the EMACS Group’s member school districts end-to-end in the SDAC random moment sample process.
- EMACS Timeline 2025-2026 (PDF)
- EMACS Map, 12/22/25 (PDF)
- EMACS SDAC Data Results, 2/25/26 (PNG)
Contact Nanci English, Medicaid in Schools Consultant, Student Support Services Project, Nanci.English@fldoe.org for more information.