A variety of models are used to deliver school health services to students. These include health services delivered through school-employed providers, such as school nurses, school psychologists, occupational therapists (OTs), physical therapists (PTs), social workers, and counselors. In addition, health services can be delivered in school-based health centers and through partnerships with federally-qualified health centers (FQHCs), health departments, hospitals, via telehealth, mobile vans or in partnership with other community providers (including dentists, opticians, community mental health providers, etc.).
For more information on ways to support the financing of these delivery models, see the Financing page.
This guidance document was produced with generous support from the Association of State Territorial Health Officials, Kaiser Permanente, the Robert Wood Johnson Foundation and the William and Flora Hewlett Foundation.
This Healthy Students Promising Futures Learning Collaborative case study highlights Michigan's work to leverage the reversal of free care policy to expand the state's school-based Medicaid program. Beginning in October 2019, school districts in Michigan will be able to seek Medicaid reimbursement for services provided to all Medicaid-enrolled students (not only for health services included in a student's Individualized Education Program). This change presents an important opportunity to expand access to and resources for school health services, particularly behavioral health services
Sandra Williamson, American Institutes for Research; Anne Mathews-Younes, Substance Abuse and Mental Health Services Administration; Valerie Sims Centers for Disease Control and Prevention, Division of Adolescent and School Health; Sarah Lee, Centers for Disease Control and Prevention, Healthy Schools Branch
Eric Rossen, National Association of School Psychologists; Amy Edwards, Virginia Department of Education; Mike Leathead, Michigan Department of Education
Kirsten Beronio, Centers for Medicare and Medicaid Services
Melinda Hollinshead, Public Consulting Group
Rebecca Gudeman, National Center for Youth Law
Amanda Martin, Center for Rural Health Innovation