Resources

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.

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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.

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Download: Preliminary Discussion: School Medicaid Guidance Coverage Provisions

School Medicaid Survey

June 6, 2023

The School Medicaid Survey was developed to provide visibility into how each state sets up its school Medicaid program and to enable states to find programs that might be similar to theirs. The Survey includes information about school Medicaid expansion, billing and reimbursement, administrative claiming, state audits, random moment time studies, and more.

All 50 states plus the District of Columbia (D.C.) were invited to participate; a total of 38 states and D.C. responded. Information was provided by state Medicaid and state education agency staff between April and December of 2022.

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Download: School Medicaid Survey

Webinar: New Medicaid Rules for Schools

June 6, 2023

Presentation slides from a June 6 webinar on the newly published school Medicaid guidance are now available online.

Featuring CMS Administrator Dan Tsai and OSERS Director Katy Neas, the webinar was co-sponsored by Healthy Schools Campaign, AASA and the National Alliance for Medicaid in Education (NAME).

The webinar covered:
● Policy shifts in the new school-based services Medicaid guidance
● Complementary policy changes at the U.S. Department of Education to expand school-based Medicaid reimbursement
● How the new guidance will reduce the administrative burden on districts and states
● Steps and supports available to states to expand and strengthen their school-based Medicaid programs
● How AASA, NAME and HSC can support state and district implementation efforts

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View: The New Medicaid Rules for Schools

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Tapping into Federal COVID-19 Relief Funding & Medicaid to Support Schools and the Wellbeing of Students

April 6, 2023

Healthy Schools Campaign partnered with Council of Chief State School Officers, National Center for School Mental Health, and other organizations from the Collaborative for Student Success to promote leveraging Elementary and Secondary School Emergency Relief (ESSER) funds as an important way to build the capacity of state and local education agencies to support wellbeing in schools.

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Download Tapping into Federal COVID-19 Relief Funding & Medicaid to Support Schools and the Wellbeing of Students

School Medicaid Database

February 17, 2023

The Healthy Schools Campaign School Medicaid Database is a text-searchable collection of publicly available documents pertaining to school Medicaid programs (as of 2022) in all 50 states and the District of Columbia.

Developed to assist state education agencies (SEAs) and state Medicaid administrators in creating resources to support school districts with expanding Medicaid reimbursement for school health services, the database features links to state Medicaid and education agency websites and to specific documents related to school Medicaid billing.

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School Medicaid Database