Healthy Schools Campaign Publications Resources

41 posts found in Category: Healthy Schools Campaign Publications

Medicaid Managed Care and School Health Services: Early Lessons & Opportunities

April 22, 2024

To better understand the role of Medicaid managed care in school health programs, Healthy Schools Campaign launched a project with Aurrera Health Group to explore how four states – California, South Carolina, Tennessee and Washington – have or are actively working to carve school health services into Medicaid managed care.

The project sought to answer two key questions:

● What is the experience of states that have carved school health services into their Medicaid managed care delivery system or are currently working on doing so?
● How have school districts and MCOs partnered to support student health and connect school health services to Medicaid managed care?

This issue brief summarizes the project methodology, general findings across the four states, the status of managed care and local education agency (LEA) partnerships in each of the states, and recommendations for developing and enhancing the connection between school health and Medicaid managed care.

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Download: Medicaid Managed Care and School Health Services: Early Lessons & Opportunities

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

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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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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

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

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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Download: Medicaid Coverage of Crisis Intervention Services in a School Setting