Reinvesting School Medicaid Funds to Improve Student Health: State Policies and Strategies

November 18, 2025

This brief discusses opportunities for states and school districts to direct school Medicaid reimbursement funds back into school health services and supports. It highlights how some states have approached this issue and shows how school health providers, families and community members can help determine how Medicaid funding can best support local health priorities while ensuring school districts make the most of these health resources.

A questionnaire is included to help states and school districts gather information about reimbursement opportunities and work toward developing a reinvestment policy that advances the health needs of students and provides transparency and accountability.