Documenting Medical Necessity is a Requirement for School-Based Medicaid Services
January 27, 2026
The term “medical necessity” refers to the services or supplies needed to diagnose, treat or manage an illness, injury, condition, disease or its symptoms. In other words, it’s the care a health provider deems essential in line with medical standards (e.g., type, frequency, duration).
Learn why medical necessity is a school Medicaid issue and how medical necessity is proven.