[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-584681-105":3,"detail-sidebar-cat-0-en-105":71,"doc-detail-584681-en":121},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":64,"head_meta":66,"extra_data":68,"updated_unix":70},105,"en","schools-are-key-to-improving-childrens-health-how-illinois-can-leverage-medicaid-funds-to-expand-school-health-services-september-2020","SCHOOLS ARE KEY TO IMPROVING CHILDREN’S HEALTH - How Illinois Can Leverage Medicaid Funds to Expand School Health Services - September 2020","","Illinois has an opportunity to expand comprehensive, school-based health services for vulnerable children by making a straightforward change to its Medicaid policy. The COVID-19 crisis has intensified health inequities, and schools often provide crucial services that students in underserved communities otherwise lack. In 2014, CMS clarified which school-delivered services Medicaid can reimburse, described as the Free Care Rule reversal. This brief outlines steps Illinois must take to draw down available federal funds for all Medicaid-enrolled students.",{"@graph":14,"@context":63},[15,34,54],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/schools-are-key-to-improving-childrens-health-how-illinois-can-leverage-medicaid-funds-to-expand-school-health-services-september-2020/584681/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":48,"encodingFormat":47,"isAccessibleForFree":49,"interactionStatistic":50},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/schools-are-key-to-improving-childrens-health-how-illinois-can-leverage-medicaid-funds-to-expand-school-health-services-september-2020/584681.png","ImageObject",300,407,{"name":42,"@type":43},"Damian","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-15",true,{"@type":51,"interactionType":52,"userInteractionCount":22},"InteractionCounter",{"@type":53},"ViewAction",{"@type":55,"mainEntity":56},"FAQPage",[57],{"name":58,"@type":59,"acceptedAnswer":60},"What is the Free Care Rule reversal and why does it matter?","Question",{"text":61,"@type":62},"CMS clarified in 2014 that Medicaid can reimburse eligible health services delivered in school-based settings for all eligible Medicaid-enrolled students. This encourages states to draw down additional federal funding and expand covered services and providers.","Answer","https://schema.org",{"og:url":32,"og:type":65,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":67,"canonical":32},"index,follow",{"doc_id":69,"site_id":7},584681,1792079818,{"code":4,"msg":72,"data":73},"success",[74,78,82,86,91,96,100,105,110,113,117],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":75,"show_sort_weight":76,"slug":77},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":79,"show_sort_weight":80,"slug":81},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":83,"show_sort_weight":84,"slug":85},"Exam",70,"exam",{"id":87,"doc_module":4,"doc_module_name":25,"category_name":88,"show_sort_weight":89,"slug":90},5,"Comic",60,"comic",{"id":92,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},6,"Technology",50,"technology",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":98,"slug":99},7,40,"healthcare",{"id":101,"doc_module":4,"doc_module_name":25,"category_name":102,"show_sort_weight":103,"slug":104},8,"Research & Report",30,"research-report",{"id":106,"doc_module":4,"doc_module_name":25,"category_name":107,"show_sort_weight":108,"slug":109},9,"Religion & Spirituality",20,"religion-spirituality",{"id":108,"doc_module":4,"doc_module_name":25,"category_name":111,"show_sort_weight":108,"slug":112},"World Cup","world-cup",{"id":114,"doc_module":4,"doc_module_name":25,"category_name":115,"show_sort_weight":114,"slug":116},10,"Lifestyle","lifestyle",{"id":118,"doc_module":4,"doc_module_name":25,"category_name":119,"show_sort_weight":87,"slug":120},19,"General","general",{"code":4,"msg":72,"data":122},{"doc_id":69,"user_id":123,"nickname":42,"user_avatar":124,"doc_module":4,"category_id":97,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":125,"file_id":126,"file_url":127,"file_type":128,"file_size":129,"view_count":22,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":130,"language":131,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":132,"faqs":133,"seo_title":134,"seo_description":12,"update_tm":135,"read_time":98},137451208677,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","SCHOOLS ARE KEY TO  \nIMPROVING CHILDREN’S HEALTH  \nHow Illinois Can Leverage Medicaid Funds to Expand School Health Services  \nSeptember 2020  \nThis brief was produced with generous support from the Blowitz-Ridgeway Foundation, Michael Reese Health Trust, Polk Bros. Foundation, Pritzker Community Health Initiative and Steans Family Foundation. The views expressed here were developed independently and do not necessarily reflect the views of these funders.  \nAuthors  \nKate Yager, Healthy Schools Campaign Rochelle Davis, Healthy Schools Campaign  \nEditor  \nChristine Cupaiuolo, on behalf of Healthy Schools Campaign  \nDesigner  \nAnne Moertel, on behalf of Healthy Schools Campaign  \nHealthy Schools Campaign  \nHealthy Schools Campaign (HSC) works to ensure that all students have access to healthy school environments, including nutritious food, physical activity and essential health services, so they can learn and thrive.  \nThis report was prepared by Healthy Schools Campaign, which is solely responsible for the views expressed. This work is licensed under a Creative Commons Attribution 4.0 International License.  \n“Many of my students do not have primary care physicians or access to medical care. I am able to assess their symptoms and direct them to low-cost healthcare options so that the families can obtain the needed medical care.”  \n—School Nurse, Riverside  \nINTRODUCTION  \nIllinois has an important opportunity to dramatically expand comprehensive school-based health services for the state’s most vulnerable children by making a simple change to its Medicaid policy.  \nThe COVID-19 pandemic has had a profound impact on the health oflowincome communities, particularly communities of color that have been marginalized by systemic racism and already suffer from inequitable distribution of resources.  \nThe health crisis also has highlighted the critical role that schools play in providing health services to students—and the significant deficits and disparities inherent in the current system.  \nWe are witnessing first-hand how schools often represent the only source of healthcare—including mental health, dental, vision, chronic disease management and other crucial services—for children in underserved communities.  \nIllinois has an opportunity—and responsibility—to make a simple change to its Medicaid policy to dramatically expand school-based physical, mental and behavioral health services for the state’s most vulnerable children. This action is critical to ensure that strong student health and wellness policies and programs are in place, and that schools have the sustainable resources needed for implementation.  \nIn 2014, the Centers for Medicare & Medicaid Services (CMS) issued a letter to state Medicaid directors clarifying which health services could be reimbursed by Medicaid in a school-based setting: School districts, once limited to receive reimbursement for services delivered to a small number of students under specific conditions, would be allowed reimbursement for all eligible services delivered to all Medicaid-enrolled students.  \nThis policy change, known as the Free Care Rule reversal, encourages states to draw down additional federal funding for school health services and expand the types of health services and providers eligible for reimbursement.  \nThough the federal policy shift opened the door to greater financial support, some states, including Illinois, had codified the original CMS policy into their Medicaid state plans, asserting that districts could only seek reimbursement for specified health services delivered under a student’s Individualized Education Plan (IEP).  \nEvery day that Illinois fails to update its Medicaid state policy, schools are losing out on financial support for health services that can help reduce health disparities, and funds that can help offset severe budget deficits. Due to the current health crisis, students need these services—and districts need these funds—now more than ever.  \nHealthy Sch","cbCail99byT9IBb2","https://ap.wps.com/l/cbCail99byT9IBb2","pdf",1637585,16,"English","# Introduction\n# The Opportunity for Illinois\n## Medicaid enrollment and current limits\n## What the CMS clarification enables\n## Why school health matters","[{\"question\":\"What is the Free Care Rule reversal and why does it matter?\",\"answer\":\"CMS clarified in 2014 that Medicaid can reimburse eligible health services delivered in school-based settings for all eligible Medicaid-enrolled students. This encourages states to draw down additional federal funding and expand covered services and providers.\"}]","SCHOOLS ARE KEY TO IMPROVING CHILDREN’S HEALTH - How Illinois Can Leverage Medicaid Funds to Expand School Health Services - September 2020 | PDF",1792051794]