Healthy Students, Promising Futures

The Healthy Students, Promising Futures Learning Collaborative supports states and school districts in increasing access to school health services.

About the Healthy Students, Promising Futures Learning Collaborative

Healthy Schools Campaign and Trust for America’s Health co-convene the Healthy Students, Promising Futures Learning Collaborative to support increased access to school health services through Medicaid reimbursement. The collaborative launched in July 2016.

State teams include representatives from the state education agency, state Medicaid agency, school districts, and state and local advocates. Current participating states include:

  • California
  • Colorado
  • District of Columbia
  • Illinois
  • Massachusetts
  • Minnesota
  • Mississippi
  • Nebraska
  • New Jersey
  • New York
  • Ohio
  • South Carolina
  • Tennessee
  • Virginia
  • Washington

National Partner Organizations

State teams are supported by a network of national partner organizations, including:

Thanks to Our Supporters

Association of State and Territorial Health Officials

The California Endowment

Conrad N. Hilton Foundation

Kaiser Permanente

Kresge Foundation

Robert Wood Johnson Foundation

W.K. Kellogg Foundation

Stay Connected!

 

Hidden Section
Note - this is set to the general newsletter - Healthy Schools Campaing Newsletter

Contact

alex-circleAlex Mays
Senior National Program Director

Rethinking School Health Services

Research shows that healthy students learn better, and that school-based health services, both physical and mental, are critical to supporting student health and wellness. Increasing access to school health services is a key strategy for improving children’s access to healthcare and the quality of care they receive.

Despite this, more than half of public schools currently do not have a full-time school nurse or school counselor, and less than five percent of the nation’s students have access to services through a school-based health center. Low-income schools are more likely to have no school nurse or have a higher ratio of students to nurses when compared to higher-income schools.

Schools can and should be a part of the health system. With more than 49 million children attending public schools across the country, schools present an important and efficient opportunity to reach vulnerable and underserved children, thereby supporting children’s health and achievement, while reducing overall healthcare costs.

Recent policy changes present new opportunities to better integrate schools within the health system. In December 2014, the Centers for Medicare and Medicaid Services clarified that the Medicaid free care policy does not apply to school health services, removing a major barrier to accessing funding for school health services. This policy change, coupled with a healthcare system that prioritizes prevention, population health, care coordination and chronic disease management, presents important opportunities to increase access to and resources for school health services, both physical and mental.

Now, states, school districts, health systems, public health agencies and community health providers must come together to rethink how school health services are delivered and leverage these policy opportunities to create more comprehensive and coordinated care in schools.

In 2016, with support from Healthy Schools Campaign and Trust for America’s Health, the U.S. Department of Education, the U.S. Department of Health and Human Services and the Centers for Medicare and Medicaid Services launched the Healthy Students, Promising Futures Learning Collaborative to support states and school districts in implementing strategies to increase access to school health services through Medicaid reimbursement. Healthy Schools Campaign and Trust for America’s Health now co-convene this initiative with the support of over a dozen national partner organizations.

Thanks to Our Supporters

Association of State and Territorial Health Officials

The California Endowment

Conrad N. Hilton Foundation

Kaiser Permanente

Kresge Foundation

Robert Wood Johnson Foundation

W.K. Kellogg Foundation

Stay Connected!

 

Hidden Section
Note - this is set to the general newsletter - Healthy Schools Campaing Newsletter

Contact

alex-circleAlex Mays
Senior National Program Director

The Learning Collaborative Model

The Healthy Students, Promising Futures Learning Collaborative brings together state teams committed to increasing access to school health services through Medicaid reimbursement. All participating state teams convene in person in Washington, D.C., twice per year for peer-to-peer learning and to receive targeted technical assistance. In addition, participating state teams receive ongoing technical assistance throughout the year from national partner organizations and content experts.

The collaborative focuses on topics such as:

  • Federal and state policies that impact school-based health services and can be leveraged to expand services for children enrolled in Medicaid
  • Different models for delivering school-based health services
  • Collaboration among states experiencing similar challenges in similar contexts to promote the sharing of ideas and best practices for scaling systemic improvement
  • Opportunities for deepening state and local relationships with national nonprofit partners that could enhance capacity at the state and local levels to sustain the work

Thanks to Our Supporters

Association of State and Territorial Health Officials

The California Endowment

Conrad N. Hilton Foundation

Kaiser Permanente

Kresge Foundation

Robert Wood Johnson Foundation

W.K. Kellogg Foundation

Stay Connected!

 

Hidden Section
Note - this is set to the general newsletter - Healthy Schools Campaing Newsletter

Contact

alex-circleAlex Mays
Senior National Program Director

Case Studies

School-based Mental and Behavioral Health in Columbus, Ohio
Through a partnership with Columbus City Schools (CCS), Nationwide Children’s Hospital provides the licensed mental health professionals and training for school personnel to implement evidence-based school-wide prevention programs for students and teachers, in addition to providing primary care services through their Care Connection school-based clinics and mobile care centers.

Investing in Prevention in Toledo, Ohio
Non-profit health system ProMedica invests in making sure there is a school nurse in every Toledo Public School because data shows that school nurses keep kids healthy, improve attendance and prevent costly hospital trips.

Data Informs Care in Austin, Texas
By using a process known as acuity analysis, Austin Independent School District and Dell Children’s Medical Center work together to analyze data such as insurance coverage, number of illness visits to school nurses and the number of students receiving case management for chronic conditions to determine the most effective way to spread resources across the district’s schools.

Embedding Health Teams to Improve Student Health in Grand Rapids, Michigan
A 20-year partnership between Grand Rapids Public Schools and Spectrum Health has produced a flexible model that is used in districts throughout the region. Embedded school nurses oversee effective on-site delivery of healthcare, and the program utilizes a variety of funding streams to provide effective care.

Sharing Data to Meet Student Health Needs in Washington, D.C.
An innovative data-sharing agreement allows the D.C. Public Schools, Department of Health and Department of Health Care Finance (the District’s Medicaid agency) to effectively target outreach and resources to schools and students with the greatest unmet needs.

Evidence-based Prevention in Lane County, Oregon
Trillium Community Health Plan Coordinated Care Organization (CCO) and Lane County Health and Human Services (HHS) work together to prevent tobacco and drug use and improve access to care, including funding teacher training and implementation of the evidence-based prevention programs, such as the PAX Good Behavior Game, in Lane County schools.

Thanks to Our Supporters

Association of State and Territorial Health Officials

The California Endowment

Conrad N. Hilton Foundation

Kaiser Permanente

Kresge Foundation

Robert Wood Johnson Foundation

W.K. Kellogg Foundation

Stay Connected!

 

Hidden Section
Note - this is set to the general newsletter - Healthy Schools Campaing Newsletter

Contact

alex-circleAlex Mays
Senior National Program Director

Healthy Students, Promising Futures Learning Collaborative Resources

Access related resources below, or go to our main Resource Center to access resources across all of our program and policy areas.

pdf

About the Healthy Students, Promising Futures Learning Collaborative

The Healthy Students, Promising Futures Learning Collaborative, in partnership with Healthy Schools Campaign and Trust for America’s Health, was launched in July 2016 to support states in expanding Medicaid services in schools, including physical and behavioral health services.

Related Programs:

pdf

“Free Care” Medicaid School Based Services

From the National Association for Medicaid in Education.

Related Programs:

web link

Dismantling Barriers to School Health

From the American Federation of Teachers.

Related Programs:

pdf

Advocates’ Guide to the Change in the Medicaid Free Care Rule

This document provides guidance for health care advocates to engage a diverse set of partners to advance implementation of the medicaid free care rule change.

Related Programs:

pdf

Medicaid’s “Free Care Policy:” Results from Review of State Medicaid Plans

From the National Health Law Program.

Related Programs:

pdf

Policy Considerations for California Following the Reversal of the Medicaid “Free Care Rule”

From the California School-based Health Alliance.

Related Programs:

web link

Let’s Take Medicaid Back to School

This blog offers concrete examples of how advocates and stakeholders can support school-based Medicaid programs, streamlining federal and state reimbursements to school districts and contributing to children's equitable, easy access to high-quality healthcare services.

Related Programs:

pdf

Medicaid Helps Schools Help Children

A clear overview of the role Medicaid plays in ensuring student health.

Related Programs:

web link

State Resources on Medicaid and CHIP

From Georgetown Center for Children and Families.

Related Programs:

pdf

Happy, Healthy and Ready to Learn: Insure All Children

This toolkit focuses on school-based child health outreach and enrollment.

Related Programs:

pdf

Guide to School-Based Outreach for Health Coverage Enrollment

From the Center on Budget and Policy Priorities.

Related Programs:

pdf

A Guide for Incorporating Health and Wellness into School Improvement Plans

This guide explores the opportunities provided by School Improvement Plans to address the needs of the whole child, incorporating physical, social, emotional and/or behavioral health priorities into schools.

Related Programs:

pdf

State Health Department Leadership in Addressing Chronic Health Conditions in Schools: Case Studies from Massachusetts and Missouri

These case studies demonstrate the important role that state health departments can play in strengthening the management of chronic health conditions in schools, even in an era of limited funding.

Related Programs:

pdf

Ten Principles for Collaboration between the Health and Education Systems

From Healthy Schools Campaign and Trust for America's Health.

Related Programs:

pdf

Hospitals and Schools as Hubs for Building Healthy Communities

From Brookings Institution.

Related Programs:

pdf

Healthy Students, Promising Futures Tool Kit

This toolkit focuses on state and local action steps and practices to improve school-based health. It is structured around five key high-impact opportunities.

Related Programs:

Youtube Video

How States are Leveraging Medicaid to Expand Health Services in Schools

Leveraging Medicaid to Expand Access to Health Services in Schools: An Update from the Healthy Students, Promising Futures State Learning Collaborative. The Healthy Students, Promising Futures Learning Collaborative includes a growing number of state teams from Departments of Education and Medicaid who are exploring ways to expand health services in schools and leverage funding through Medicaid. The Collaborative is supported by the U.S. Department of Education, the U.S. Department of Health and Human Services and the Centers for Medicare and Medicaid Services, in partnership with Healthy Schools Campaign (HSC) and Trust for America’s Health (TFAH). This webinar provides an overview of the Collaborative and highlight preliminary findings, successes and challenges that the state teams are facing.

Related Programs:

Youtube Video

Medicaid Managed Care 101: Building a Common Understanding for the Healthy Student

Managed care is the predominant delivery system for children’s health coverage in Medicaid. What is more, managed care plans are important partners when designing innovative care delivery models. This webinar provides basic background about Medicaid managed care and how managed care plans support children’s health through Medicaid. In addition, the webinar provides general guidelines about what plans may cover and how the benefit design may vary from state-to-state. Because every state’s experience with managed care is different, this is not be a deep dive into individual state policies, but it does answer general questions about the critical role managed care plans play—and includes a thoughtful discussion about how schools could work with managed care organizations.

Related Programs:

Youtube Video

Behavioral Health 101: Exploring Best Practices for Behavioral Health in Schools

This webinar provides an overview of the components of a comprehensive school behavioral health system and highlights two examples from Colorado and California where schools or school districts are implementing innovative models to provide behavioral health promotion, prevention and treatment services in schools using a multi-tier system of supports (MTSS) utilizing federal and state funds.

Related Programs:

pdf

50 State Scan of Telehealth Reimbursement Laws and Medicaid Policies – Factsheet, Interactive Map

An overview of current national trends in Telehealth.

Related Programs:

Youtube Video

How States are Leveraging Medicaid to Expand Health Services in Schools

The Healthy Students, Promising Futures Learning Collaborative includes a growing number of state teams from Departments of Education and Medicaid who are exploring ways to expand health services in schools and leverage funding through Medicaid. The Collaborative is supported by the U.S. Department of Education, the U.S. Department of Health and Human Services and the Centers for Medicare and Medicaid Services, in partnership with Healthy Schools Campaign (HSC) and Trust for America’s Health (TFAH). This webinar provides an overview of the Collaborative and highlight preliminary findings, successes and challenges that the state teams are facing.

Related Programs: ,

pdf

State ESSA Plans to Support Student Health and Wellness: A Framework for Action

The Every Student Succeeds Act (ESSA) recognizes the vital role that health and wellness play in education. This document focuses on supporting advocates who are interested in working with state-level policymakers to develop state ESSA plans. It provides practical resources and emphasizes several key areas with the greatest potential impact on student health.

Related Programs:

pdf

Medicaid’s “Free Care Policy:” Results from Review of State Medicaid Plans

This issue brief reports findings from the National Health Law Program’s review of state Medicaid plans (SMPs) for provisions that may impact states’ ability to implement the federal government’s recent reversal of the “free care policy.” Specifically, we reviewed SMPs for provisions related to Medicaid reimbursement for services provided in schools that are available free of charge to beneficiaries and others in the community. This includes SMP provisions that directly prohibit coverage of such services as well as those that might indirectly prevent coverage.

Related Programs:

pdf

Stakeholder’s Guide to Implementing the Change in the Free Care Policy

The change in the free care policy presents an important opportunity to increase access to and resources for school health services. While the December 2014 State Medicaid Director letter clarified that school health services delivered to the general student population, not just those included in student Individualized Education Programs (IEPs), are eligible for Medicaid reimbursement, action is required from states and school districts to implement this change. The following framework highlights key steps you can take to develop and implement a plan for leveraging the change in the free care policy to support increased access to comprehensive and coordinated school health services.

Related Programs: ,