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Understanding the Financial Impact of Expanding Medicaid Funded School Health Services in Colorado

Colorado conducted a pilot study in 2019 to better understand the financial impact of expanding its school Medicaid program and make data-informed decisions about how best to move forward with a state plan amendment. This case study details Colorado’s path toward expanding its school Medicaid program and highlights key lessons learned from this work. The Centers for Medicare & Medicaid Services approved the amendment in 2020.

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PDF: Understanding the Financial Impact of Expanding Medicaid Funded School Health Services in Colorado

10 Steps to Maximize School Medicaid

The following policy actions are recommended for all states to comprehensively expand their school Medicaid program and maximize Medicaid reimbursement for school districts. These actions align with federal school Medicaid guidance published in 2023 by the Centers for Medicare and Medicaid Services (CMS). The Bipartisan Safer Communities Act required CMS to expand access to Medicaid-covered … Continue reading "10 Steps to Maximize School Medicaid" Read More

State Policy Actions: 10 Steps to Maximize Medicaid for School Health Services

The following policy actions are recommended for all states to comprehensively expand their school Medicaid program and maximize Medicaid reimbursement for school districts. These actions align with federal school Medicaid guidance published in 2023 by the Centers for Medicare and Medicaid Services (CMS). The Bipartisan Safer Communities Act required CMS to expand access to Medicaid-covered … Continue reading "State Policy Actions: 10 Steps to Maximize Medicaid for School Health Services" Read More

START: State Tools And Resources To Advance School Medicaid

Informed by interviews with state education agencies and school districts, Healthy Schools Campaign has developed multiple tools and resources to help states and school districts implement, improve and sustain effective school Medicaid programs. START resources are developed with support from the American Academy of Pediatrics and Centers for Disease Control and Prevention. START Resources New … Continue reading "START: State Tools And Resources To Advance School Medicaid" Read More

Colorado

Colorado School Medicaid Snapshot Expansion of School Medicaid Program Colorado expanded its school Medicaid program to include all medically necessary services delivered to all Medicaid-enrolled students. Coverage & Billing Colorado covers the following school-based health services when medical necessity has been established: Physician Services Nursing Services Personal Care Services Psychology Counseling Social Work Services Orientation, … Continue reading "Colorado" Read More

Examples: How States Are Leveraging Federal Policy

Here’s a look at how seven states are using federal policy to improve access to and funding for school health services.  Though each state took a slightly different approach, they all leveraged the opportunity to expand access to covered services and providers. An up-to-date state activity tracking sheet is available here. Massachusetts In 2017, Massachusetts became … Continue reading "Examples: How States Are Leveraging Federal Policy" Read More

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Four Years After Bipartisan Safer Communities Act, More States Boost Student Access to and Medicaid Funding for School-Based Health Services New HSC Tools Help States and School Districts Measure Progress and Bolster Support for Comprehensive School Medicaid Resources to Protect School Medicaid & Student Health