Resources

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

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

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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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Download: State Medicaid & Education Standards for School Health Personnel

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

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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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Download: Advancing Student and Staff Health with COVID-19 Relief Funding

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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

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Schools Are Key to Improving Children’s Health: How Illinois Can Leverage Medicaid Funds to Expand School Health Services

September 25, 2020

Key opportunities exist for education, healthcare and public health sectors to improve both health and education outcomes by focusing on school-based health services. This brief addresses the opportunity in Illinois to expand on Medicaid-funded health services delivered within a school by school nurses and other district-employed providers.

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PDF: Schools Are Key to Improving Children’s Health: How Illinois Can Leverage Medicaid Funds to Expand School Health Services

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Building Cross-Sector Collaboration to Support School Behavioral Health Services: Washington’s Children’s Regional Behavioral Health Pilot Program

September 15, 2020

This case study provides an overview of the Children’s Regional Behavioral Health pilot project and highlights key lessons learned from this work. As states consider innovative methods for improving cross-sector collaboration, coordination of care and financing for school health services (especially behavioral health services), Washington’s model and experience provide valuable insights that can inform future efforts.

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PDF: Building Cross-Sector Collaboration to Support School Behavioral Health Services

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Understanding the Financial Impact of Expanding Medicaid Funded School Health Services in Colorado

Colorado conducted a pilot study in 2019 to better understand the financial impact of expanding its school Medicaid program and make data-informed decisions about how best to move forward with a state plan amendment. This case study details Colorado’s path toward expanding its school Medicaid program and highlights key lessons learned from this work. The Centers for Medicare & Medicaid Services approved the amendment in 2020.

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PDF: Understanding the Financial Impact of Expanding Medicaid Funded School Health Services in Colorado

Expansion of School-Based Health Services in California: An Opportunity for More Trauma-Informed Care for Children

September 1, 2020

In April 2020, the Centers for Medicare & Medicaid Services approved California’s Medicaid state plan amendment, allowing school districts to access more federal funding for school-based health services. This report describes using this opportunity to increase access to services that help students heal from trauma — including the trauma caused by exposure to domestic violence and pervasive bias and crises such as COVID-19.

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PDF: Expansion of School-Based Health Services in California: An Opportunity for More Trauma-Informed Care for Children

Medicaid Reimbursed Rehabilitative Behavioral Health Services in Schools: A South Carolina Case Study

May 13, 2020

This case study examines the implementation of Medicaid managed care school-based behavioral health services in South Carolina and highlights key lessons learned that can inform the efforts of other states choosing to coordinate school-based health care with Medicaid managed care programs.

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PDF: Medicaid Reimbursed Rehabilitative Behavioral Health Services in Schools: A South Carolina Case Study