Maximizing School Medicaid for Substance Use Services: 10 Actions States Can Take Now

April 19, 2024

This policy brief looks at how Medicaid can support health services provided and paid for by school districts, and how states can shape their school Medicaid program to increase school reimbursement for substance use prevention, early intervention and treatment services. This additional and sustainable funding can create opportunities for more equitable access to healthcare and improved health and educational outcomes for all students.

Read More

Download: Maximizing School Medicaid for Substance Use Services: 10 Actions States Can Take Now

HSPF Meeting Registration: May 2024

Please join us for the semi-annual Healthy Students, Promising Futures Learning Collaborative (HSPF) virtual meeting on May 21-22, 2024. (Full agenda will be announced.) We’re excited about offering opportunities to: Learn about promising state practices and strategies to improve the sustainability of school health services. Hear from federal officials and… Read More

Read More

HSPF Meeting Registration: May 2024

April 18, 2024: An email was sent in error today with an invitation to register for an event open only to Healthy Students, Promising Futures Learning Collaborative members. We sincerely apologize for the confusion. If you are an HSPF member, stay tuned for a new invitation to register for our… Read More

Read More

Map: School Medicaid Programs

Related Report: A 50-State Review: Medicaid & State Standards for School Health Professionals. State Fact Sheets: For a school Medicaid summary of your state, view School Medicaid Fact Sheets. As of October 2023, 25 states have taken steps to expand their school Medicaid program to cover services… Read More

Read More

School Medicaid Guidance: What Advocates and State Policymakers Need to Know

October 17, 2023

In May 2023, the Centers for Medicare and Medicaid Services released new school Medicaid guidance affirming that states have flexibility in their school-based Medicaid program to allow school districts to bill Medicaid for health services delivered to all Medicaid-enrolled children.

This brief answers key questions about the guidance and highlights what policymakers and advocates need to know — and how to get involved — to ensure states are best positioned to leverage federal opportunities increasing children's access to the services they need.

Read More

Download: School Medicaid Guidance: What Advocates and State Policymakers Need to Know

Preliminary Discussion: School Medicaid Guidance Coverage Provisions

June 6, 2023

This memo summarizes new school Medicaid guidance released in May 2023 by the Centers for Medicare and Medicaid Services (CMS) and also draws from CMS’ August 2022 Informational Bulletin. It provides an initial assessment of how states could move forward to expand and enhance their school Medicaid programs.

This guidance makes clear that:
● All Medicaid-enrolled students can be covered for school-based health services.
● All medically necessary services, including preventive, physical, mental health and substance use disorder services can be covered in a school setting.
● States are able to support a wide range of providers in a school setting.
● Students covered by CHIP can be included in school Medicaid.

Read More

Download: Preliminary Discussion: School Medicaid Guidance Coverage Provisions