State Medicaid Director Letter on Medicaid Payment for Services Provided without Charge (Free Care)
July 1, 2019
Centers for Medicare & Medicaid Services (CMS) issued this guidance in December 2014 to remove any ambiguity about Medicaid payment being allowed for covered services for Medicaid-eligible students when delivered by Medicaid-qualified providers -- even if those services are "free care," meaning available without charge to the community at large. This guidance paved the way for expanding school Medicaid.