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It outlines flexibility for school-based Medicaid billing so Medicaid-enrolled children can receive covered services, including mental health, without being limited to special education accommodation plans. The brief connects the 2014 and 2022 policy milestones to present-day implementation, noting that expansion may take months or years and stressing early action with input from schools, health providers, and other stakeholders.",{"@graph":69,"@context":121},[70,84,104],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/how-to-help-states-and-school-districts-leverage-federal-medicaid-funding-a-guide-for-school-health-advocates/584879/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":98,"encodingFormat":97,"isAccessibleForFree":99,"interactionStatistic":100},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/how-to-help-states-and-school-districts-leverage-federal-medicaid-funding-a-guide-for-school-health-advocates/584879.png","ImageObject",300,407,{"name":92,"@type":93},"Sophia Brooks","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-15",true,{"@type":101,"interactionType":102,"userInteractionCount":8},"InteractionCounter",{"@type":103},"ViewAction",{"@type":105,"mainEntity":106},"FAQPage",[107,113,117],{"name":108,"@type":109,"acceptedAnswer":110},"What new CMS guidance enables schools to do with Medicaid funding?","Question",{"text":111,"@type":112},"The guidance confirms states have flexibility to let school districts bill Medicaid for health services delivered to Medicaid-enrolled children, rather than limiting billing to services tied to an individual accommodation plan.","Answer",{"name":114,"@type":109,"acceptedAnswer":115},"Why is Medicaid reimbursement considered a crucial funding source for school health services?",{"text":116,"@type":112},"Billing for Medicaid-eligible services helps avoid leaving federal dollars unclaimed, shifting costs away from school districts and taxpayers. It also provides a long-term funding stream that supports ongoing services.",{"name":118,"@type":109,"acceptedAnswer":119},"How long does it typically take to expand school Medicaid, and who should be involved?",{"text":120,"@type":112},"Expansion can take months or years, depending on state changes and implementation. States are encouraged to begin early with input from local education agencies, school health advocates, school-based health providers, and other stakeholders.","https://schema.org",{"og:url":83,"og:type":123,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":125,"canonical":83},"index,follow",{"doc_id":127,"site_id":62},584879,1792079806,{"code":4,"msg":5,"data":130},{"doc_id":127,"user_id":131,"nickname":92,"user_avatar":132,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":133,"file_id":134,"file_url":135,"file_type":136,"file_size":137,"view_count":8,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":39,"language":138,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":139,"faqs":140,"seo_title":141,"seo_description":67,"update_tm":142,"read_time":46},962084925636,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","October 17, 2023  \nHow to Help States and School Districts Leverage Federal Medicaid Funding: A Guide for School Health Advocates  \nIn May 2023 , the Centers for Medicare and Medicaid Services (CMS) released new guidance on school Medicaid that is a clear victory for school health and student health.  \n“Delivering Services in School-Based Settings: A Comprehensive Guide to Medicaid Services and Administrative Claiming” affirms that states have flexibility in their school-based Medicaid program to allow school districts to bill Medicaid for health services delivered to all Medicaid-enrolled children, not just students with a special education plan such as an Individualized Education Plan ( IEP) or Individualized Family Service Plan ( IFSP) .  \nThe Guide offers pathways states can take to leverage Medicaid funding—all of which are designed to improve efficiency and reduce administrative barriers—so more school districts can access sustainable funds for school-based healthcare, including mental health services.  \nIt builds on years of work by school health professionals, advocates and policymakers and launches a new era of collaboration—state Medicaid agencies, in partnership with state education agencies (SEAs) , are encouraged to expand and/or strengthen their school Medicaid program in a way that works for all parties involved: school districts (or local education agencies, LEAs) , healthcare providers and students.  \nThis brief answers key questions about the new guidance and highlights what policymakers and advocates need to know—and how to get involved—to ensure states are best positioned to leverage federal opportunities so more children have access to the services they need.  \nRealistically, expanding school Medicaid can take months or years to complete; the timing depends on the changes a state chooses to make and how it implements those changes. It is therefore important for state Medicaid agencies to begin the work now, with input from LEAs, school health advocates, school-based health providers and other stakeholders.  \nWhy the CMS Guide Matters  \nA Brief History of School Medicaid Guidance  \nWhen a 2014 CMS letter to state Medicaid directors clarified that schools could bill for all medically necessary healthcare services provided to all students enrolled in Medicaid—instead of being limited to services included in a student’s accommodation plan—many states held back on updating their state Medicaid plans, in part due to a lack of clear guidance.  \nState Medicaid Plan: An agreement between a state and the federal government describing how the state administers its Medicaid program, including who gets covered and the types of health services and healthcare providers eligible to bill Medicaid for reimbursement. Changes can be made via a state plan amendment (SPA) or legislative action.  \nThis was understandable; CMS’ administrative and direct services claiming guides were last released in 1997 and 2003 , respectively, and states needed direction to leverage school Medicaid funding.  \nHowever, maintaining the status quo carried its own risks. Not billing for Medicaid-eligible services that are already being provided in schools means leaving federal dollars on the table. When that happens, school districts and state taxpayers bear the entire cost of services. This makes Medicaid a very important source of funding for school health services—and for state health and education budgets overall.  \nIn addition, unlike short-term Covid-relief funds, Medicaid reimbursement is a long-term sustainable funding source. Schools can reinvest the money they receive back into school health services, which could enable them to fund additional health providers. This increase in staffing will benefit all students, not only students enrolled in Medicaid.  \nOver the past several years, especially as state and federal policymakers have looked for ways to address and support student mental health, more states have shown interest in increasing ","cbCailqec1qk9dsD","https://ap.wps.com/l/cbCailqec1qk9dsD","pdf",625474,"English","# How the CMS Guide Matters\n## A Brief History of School Medicaid Guidance\n## Landmark Moment\n## Why Timely Implementation Matters","[{\"question\":\"What new CMS guidance enables schools to do with Medicaid funding?\",\"answer\":\"The guidance confirms states have flexibility to let school districts bill Medicaid for health services delivered to Medicaid-enrolled children, rather than limiting billing to services tied to an individual accommodation plan.\"},{\"question\":\"Why is Medicaid reimbursement considered a crucial funding source for school health services?\",\"answer\":\"Billing for Medicaid-eligible services helps avoid leaving federal dollars unclaimed, shifting costs away from school districts and taxpayers. It also provides a long-term funding stream that supports ongoing services.\"},{\"question\":\"How long does it typically take to expand school Medicaid, and who should be involved?\",\"answer\":\"Expansion can take months or years, depending on state changes and implementation. States are encouraged to begin early with input from local education agencies, school health advocates, school-based health providers, and other stakeholders.\"}]","How to Help States and School Districts Leverage Federal Medicaid Funding - A Guide for School Health Advocates | PDF",1792052801]