Resources

Issued by Centers for Medicare & Medicaid Services (CMS) in 1997, this guide contains specific technical information on the Medicaid requirements associated with seeking payment for coverable services rendered in a school-based setting.

The U.S. Department of Education and the Office for Civil Rights at the U.S. Department of Health and Human Services released updated joint guidance addressing the application of the Family Educational Rights and Privacy Act (FERPA) and the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule to records maintained on students.

The guidance, which was first issued in November 2008 and last updated in December 2019, clarifies for school administrators, healthcare professionals, families and others how FERPA and HIPAA apply to education and health records maintained about students. The revised guidance includes additional frequently asked questions and answers addressing when a student’s health information can be shared without the written consent of the parent or eligible student under FERPA, or without written authorization under the HIPAA Privacy Rule.

To reduce paperwork and streamline business processes across the health care system, the Health Insurance Portability and Accountability Act (HIPAA) of 1996 and subsequent legislation set national standards for electronic transactions, code sets, unique identifiers and operating rules. This regulation text was published in 2013 by the U.S. Department of Health and Human Services Office for Civil Rights.

Code of Federal Regulations - Part 99 - Family Educational Rights and Privacy Act.

The Medicaid program’s benefit for children and adolescents, known as Early and Periodic Screening, Diagnostic and Treatment services, or EPSDT, provides a comprehensive array of prevention, diagnostic and treatment services for low-income infants, children and adolescents under age 21, as specified in Section 1905(r) of the Social Security Act (the Act).

EPSDT - A Guide for States: Coverage in the Medicaid Benefit for Children and Adolescents, issued by Centers for Medicare & Medicaid Services (CMS), provides guidance for the requirements for the EPSDT periodic and interperiodic screens, services, medical necessity, experimental treatments and other topics.

Provides an overview of an innovative intergovernmental agreement between Chicago Department of Public Health and Chicago Public Schools that allows them to share their
data on an ongoing basis with a common vision of improving students’ well-being.