California

California School Medicaid Snapshot Expansion of School Medicaid Program California expanded its school Medicaid program to include all medically necessary services delivered to all Medicaid-enrolled students. Coverage & Billing California covers the following school-based health services: Health and Mental Health Evaluation or Education Audiology Services Nursing Services… Read More

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Arizona

Arizona School Medicaid Snapshot Expansion of School Medicaid Program Arizona expanded its school Medicaid program to include all medically necessary services delivered to all Medicaid-enrolled students. The second state plan amendment describes the methods and standards for reimbursing school-based health and related services: Coverage & Billing… Read More

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Medicaid Coverage of School-Based Crisis Services: Analysis and Recommendations Based on a Review of Eleven States

February 1, 2023

To assist Healthy Schools Campaign in advising states and stakeholders on how to strengthen Medicaid coverage of crisis services in schools, Aurrera Health Group conducted research on Medicaid coverage of school-based behavioral health and physical health crisis services in 11 states: Arkansas, Alaska, California, Georgia, Idaho, Indiana, Maine, Massachusetts, Michigan, Missouri, and North Carolina.

This memorandum describes Aurrera's findings from this research and provides recommendations for states seeking to establish or strengthen their coverage of crisis services.

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Download: Medicaid Coverage of School-Based Crisis Services: Analysis and Recommendations Based on a Review of Eleven States

CMCS Informational Bulletin on School Medicaid

December 9, 2022

In August 2022, the Center for Medicaid and CHIP Services at the Centers for Medicare and Medicaid Services released an informational bulletin, "Information on School-Based Services in Medicaid: Funding, Documentation and Expanding Services."

This brief highlights key points and suggests how school Medicaid stakeholders — including school districts and state Medicaid and education agencies — can use the bulletin to assess where they can strengthen their programs. The brief also provides a high-level overview of the bulletin's School-Based Health Services Checklist, which feature strategies and guidance to implement or enhance school-based health services.

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Download: Review of the CMCS Informational Bulletin on School Medicaid

Staff & Consultants

Jessie Mandle Jessie Mandle, MPH, Healthy Schools Campaign National Program Director. Jessie oversees HSC’s work to expand comprehensive and coordinated school health services, with a primary focus on school Medicaid policies and programs. Read more.   Alison Paxson, Healthy Schools Campaign Policy &… Read More

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School Medicaid Resources

Illinois School Medicaid Resources These publicly available documents were retrieved from the state’s website in 2022. While they can serve as useful examples, they may not contain the most up-to-date information. HSC strongly recommends contacting the state for the most current version and/or verifying the accuracy.    Illinois School-Based… Read More

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Illinois

Illinois School Medicaid Snapshot Expansion of School Medicaid Program Illinois expanded its school Medicaid program in 2023 to include all medically necessary services allowed under the state’s comprehensive EPSDT benefit delivered to all Medicaid-enrolled students. Eligible services can be documented in a student’s 504 plan, Individualized Health Care… Read More

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School Medicaid Resources

These publicly available documents were retrieved from the state’s website in 2022. While they can serve as useful examples, they may not contain the most up-to-date information. HSC strongly recommends contacting the state for the most current version and/or verifying the accuracy.    Arkansas’ Medicaid In the Schools (MITS)… Read More

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Arkansas

Arkansas School Medicaid Snapshot Expansion of School Medicaid Program Arkansas expanded its school Medicaid program to include behavioral health services delivered to all M4edicaid-enrolled students, in addition to all services included in student IEPs and IFSPs. A state plan amendment was not needed. View: Arkansas Department… Read More

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School Medicaid Resources

These publicly available documents were retrieved from the state’s website in 2022. While they can serve as useful examples, they may not contain the most up-to-date information. HSC strongly recommends contacting the state for the most current version and/or verifying the accuracy.   Fee Schedule Fee Schedule (3.19) Provider Manual… Read More

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