School Medicaid Background
This national policy brief addresses the opportunities to expand on health services delivered within a school by school nurses and other district-employed providers.
This comprehensive, step-by-step guide provides background on school-based Medicaid and outlines various opportunities to advance state policy changes required to access federal funds.
This brief explores what Medicaid is, what it covers—in and out of school—and how school districts can leverage Medicaid to enhance school health services.
This webinar recording describes the Medicaid program and what it covers, discusses how school districts can leverage Medicaid to enhance school health services, and provides information about the free care policy reversal and how states are leveraging this opportunity to expand their school-based Medicaid programs. Tips are shared on how key stakeholders, including school health providers and school superintendents, can support this work in their states and communities.
This recorded webinar provides an in-depth look at trends in expanding school-based Medicaid programs, including detailed information about how states have successfully structured their programs. Presenters from Colorado and Michigan share how they expanded their programs and highlight key decisions they made along the way.
Presentation delivered by CMS for the Healthy Students, Promising Futures Learning Collaborative providing an overview of Medicaid reimbursement in the school setting. The presentation addresses issues including the free care policy, certified public expenditures, and telehealth.
Presentation by Kirsten Beronio, Centers for Medicare and Medicaid Services.
This webinar provides an overview of the Early and Periodic Screening, Diagnostic and Treatment Benefit (EPSDT) requirements.
This report reviews reimbursement challenges across the country and demonstrates how alignment between state Medicaid and education standards for school health personnel can reduce barriers to Medicaid reimbursement for school health services.
Building off Schools Are Key to Improving Children’s Health, this brief looks at the state of children’s health and school staffing in Illinois and outlines the steps Illinois must take to amend its Medicaid state plan and increase access to health services.
In this recorded webinar, learn about a federal policy shift that allows billing for all health services provided to all students enrolled in Illinois Medicaid.
Answers to common questions about the Illinois State Plan Amendment and the benefits and changes to school Medicaid reimbursement.
These case studies reflect the work states have completed, and the success they have achieved, in leveraging federal Medicaid policy to expand physical, behavioral, and mental health services.
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.
This regularly updated brief tracks state efforts to expand access to school health services, either through a state plan amendment or through legislative/administrative action, allowing school districts to bill Medicaid for health services delivered to all Medicaid-enrolled children.
Tools and Templates
Sample parental consent form developed by the Illinois State Board of Education.
Numerous materials that districts can use for Medicaid outreach and enrollment.
Platform to assist Illinois families with applying for Medicaid and other benefits.
This U.S. Department of Education report provides information and resources on promoting mental health and social-emotional well-being among students. It specifically mentions Medicaid and “free care” opportunities.
Announcements and Upcoming Events
Welcome Cohort 1! We are excited to work together to expand Medicaid-funded school health services.
Kickoff Meeting: October 28, 2021
Peer Call: December 15, 2021
Meeting 2: February 15, 2022
Meeting 3: March 16, 2022
Peer Call: April 21, 2022
Please submit this form any time you add new partners to your team so that we can include them in project communications.
Contact Laura Frankel DeStigter, Project Director, at email@example.com with any questions or concerns regarding the MESH Learning Collaborative.
Illinois Alliance of Administrators of Special Education
Illinois Association of School Business Officials
Illinois Association of School Nurses
Illinois School Counselor Association
Illinois School Psychologists Association
National Association of Social Workers, Illinois Chapter
September 17, 2021