Resources

Medicaid Coverage of Crisis Intervention Services in a School Setting

July 28, 2022

As young people across the country experience unprecedented levels of mental and behavioral health needs, it is important for states and school districts to understand the types of funding available to pay for appropriate services. This brief considers the circumstances under which school districts can bill their state Medicaid program for sudden and acute mental health crises that students may experience.

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A Guide to Expanding Medicaid-Funded School Health Services

March 15, 2022

"A Guide to Expanding Medicaid-Funded School Health Services" provides background on school-based Medicaid and outlines various opportunities to advance state policy changes required to access federal funds.

The Guide covers best practices for bringing state Medicaid plans into alignment with federal policy; designing the administrative processes; and tackling other obstacles to improving student access to care. It also addresses building a sustainable funding structure and offers concrete lessons for collaboration among agencies.

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Office of the Inspector General School-Based Medicaid Reports: A Consolidated Review

March 11, 2022

This report reviews 33 audits of school-based Medicaid programs conducted by the Office of the Inspector General (OIG) and summarizes key findings. Prepared by Sarah Broome and Healthy Schools Campaign, the report highlights what OIG looks for during audits and can be used to help states and school districts prepare for future audits. Sample checklists are included to help guide states toward developing robust internal guidance and policies that meet OIG expectations.

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Expansion of School Medicaid Programs: An Opportunity to Ensure Qualified School Health Providers Are Medicaid-Eligible

March 1, 2022

In order to encourage school districts to maximize resources for school-based healthcare, state Medicaid programs must ensure that school healthcare providers are eligible for Medicaid reimbursement. That may sound simple, but there’s often a disconnect between the state education and state Medicaid agency’s licensing requirements and policies.

This policy brief explains how states can resolve identifying school health personnel as Medicaid-qualified providers and shows how six states improved alignment.

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State Medicaid & Education Standards for School Health Personnel

November 19, 2021

"State Medicaid & Education Standards for School Health Personnel: A 50-State Review of School Reimbursement Challenges" demonstrates how alignment between state Medicaid and education standards for school health personnel can reduce barriers to Medicaid reimbursement for school health services.

Prepared by Aurrera Health Group for Healthy Schools Campaign, the report analyzes data in all 50 states and the District of Columbia and outlines key recommendations for states to consider as they attempt to improve access to student health services covered by Medicaid.

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HSPF Learning Collaborative November 2021 Meeting

November 9, 2021

The 11th convening of the Healthy Students, Promising Futures Learning Collaborative took place virtually November 9-10, 2021. More than 150 individuals attended, including representatives from 20 states and over a dozen national partner organizations.

The meeting highlighted state and local efforts to support student health during the COVID-19 pandemic as well as state teams’ continued progress in expanding access to Medicaid-funded school health services.

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RESTART & RECOVERY: Leveraging Federal COVID Relief Funding & Medicaid to Support Student & Staff Wellbeing & Connection

August 15, 2021

Developed by the Council for Chief State School Officers, Healthy Schools Campaign and National Center for School Mental Health, this guidance highlights how state education agencies can use Elementary and Secondary School Emergency Relief (ESSER) funds to support student and staff wellbeing and connection. It also explains how to leverage these one-time-only funds to access additional funding streams, such as Medicaid, to ensure efforts are sustained.

This guidance provides an essential roadmap for strategic and sustainable investment that can help advance student and staff wellbeing and connection for years to come.

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Advancing Student and Staff Health with COVID-19 Relief Funding

August 2, 2021

Developed by AASA, FutureEd, Healthy Schools Campaign and Kaiser Permanente, this guidance offers concrete steps school districts can take to make data-informed decisions about investing COVID-relief funding to support student and staff health, including COVID-prevention, mental and physical health and well-being, social drivers of health, physical and health education, and family engagement and community involvement.

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Providing Health Services During School Closures: Lessons Learned & Recommendations for Action

March 1, 2021

This issue brief examines the challenges schools have encountered while providing physical, behavioral and mental health services during the Covid-19 pandemic. It considers the impact of state and federal policies, including how state Medicaid programs are responding to ensure reimbursement and funding, and it documents emerging best practices and guidance, especially around telemedicine and parental consent.

The extensive recommendations for state and federal agencies are designed to support the continuous delivery of school-based health services during this time of partial school reopenings and in the case of future health crises and natural disasters.

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Download: Providing Health Services During School Closures: Lessons Learned & Recommendations for Action