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Explains how ESSER funds can be used in innovative, sustainable ways by expanding school-based Medicaid programs. Provides actionable implementation steps for state Medicaid and education agencies, emphasizing interagency coordination, staff training, data systems, telehealth, partnerships with local providers, and evidence-based best practices to improve school and student outcomes nationwide.",{"@graph":69,"@context":122},[70,84,105],{"@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/tapping-into-federal-covid-19-relief-funding-medicaid-to-support-schools-and-the-wellbeing-of-students-strategy-and-implementation-guide/584842/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/tapping-into-federal-covid-19-relief-funding-medicaid-to-support-schools-and-the-wellbeing-of-students-strategy-and-implementation-guide/584842.png","ImageObject",300,407,{"name":92,"@type":93},"Sophia Brooks","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-22","2026-10-15",true,{"@type":102,"interactionType":103,"userInteractionCount":8},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why are school districts focusing on student mental health and wellbeing?","Question",{"text":112,"@type":113},"District leaders identify wellbeing and mental health as pressing issues and report high concern about students’ mental health, while many public schools lack sufficient resources to provide services to all students in need.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How can ESSER funds be used to support Medicaid-related improvements in schools?",{"text":117,"@type":113},"ESSER funds can be used for existing and new services to maximize sustainable benefits of ongoing school-based Medicaid. They can fund planning, interagency task forces, training, and staffing that support Medicaid expansion.",{"name":119,"@type":110,"acceptedAnswer":120},"What coordination and staffing steps are recommended to expand school-based Medicaid?",{"text":121,"@type":113},"Designate SEA staff to oversee Medicaid, build cross-agency collaboration, and provide technical assistance to local education agencies. Dedicate staff for implementation and ongoing Medicaid reimbursement and ensure communication among Medicaid, SEA, and LEA staff.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},584842,1792633230,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":8,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":19,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":52},962084925636,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","Tapping into Federal COVID-19 Relief Funding & Medicaid to Support Schools and the Wellbeing of Students  \nSchools are seeking cost-efficient ways to better meet the educational and health needs of students.  \n• School district leaders identify wellbeing and mental health needs as pressing issues facing their students and staff. They need cost-efficient strategies to meet the high demand for help.  \nIn the 2021–2022 school year, district leaders were more concerned about students’mental health than student engagement and discipline, attendance or declining enrollment.1 But too few public schools feel they have theresources to effectively provide mental health services to all students in need.2  \n90%  \nOF DISTRICT LEADERS HAVE MODERATE OR MAJOR CONCERN ABOUT STUDENT MENTAL HEALTH  \n56%  \nOF PUBLIC SCHOOLS ARE CAPABLE OF PROVIDING MENTAL HEALTH SERVICES TO STUDENTS  \n• Many states and local school districts are already building capacity and infrastructure that support student and staff wellbeing and connection. Because Elementary and Secondary School Emergency Relief (ESSER) funds are flexible and can be used in innovative ways, states can tap them to create supports that can be sustained through the expansion of school-based Medicaid programs.  \n1 Diliberti, M. K. & Schwartz, H. L. (2022) . District Leaders’Concerns About Mental Health and Political Polarization in Schools: Selected Findings from the Fourth American School District Panel Survey. RAND Corporation. [https://www. rand.org/pubs/research_reports/RRA956-8.html](https://www. rand.org/pubs/research_reports/RRA956-8.html)  \n2 National Center for Education Statistics. (2022, May 31). Roughly Half of Public Schools Report That They Can Effectively Provide Mental Health Services to All Students in Need [Press release]. [https://nces.ed.gov/whatsnew/press_releases/05_31_2022_2.asp](https://nces.ed.gov/whatsnew/press_releases/05_31_2022_2.asp)  \n1  \nUse one-time ESSER funds on existing and/or new services to maximize the sustainable benefits of ongoing schoolbased Medicaid.  \n• Designate or hire state education agency (SEA) staff members to oversee school-based Medicaid, build cross-agency collaboration and provide technical assistance to local education agencies (LEAs) .  \n• Develop and disseminate materials from the SEA to LEAs about opportunities to partner with local hospitals, community-based mental health providers and other local medical practices.  \n• Fund a cohort of LEAs that do not currently participate in the state’s school-based Medicaid program to explore opportunities for beginning a program.  \n• Initiate and pilot long-term infrastructure projects:  \nSTARTING O INT:  \nWHO TO COORDINATE WITH  \nSTATE MEDICAID DIRECTOR  \nSTATE SUPERINTENDENT  \nCFOs FROM MEDICAID AND SEA  \nSTATE SPECIAL EDUCATION DIRECTORS  \nSTUDENT HEALTH DIRECTOR (frequently this is the State Special Education Director)  \nSTATE MEDICAID PLAN DIRECTOR  \no Provide training, data systems and infrastructure to support statewide school-based Medicaid implementation.  \no Fund telehealth technology and training.  \no Support partnerships to increase access to school health services, such as start-up grants for school-based health centers.  \nApply evidence and best practices to improve efficiency and effectiveness.  \n• Encourage communication and coordination among state Medicaid, SEA and LEA staff as they consider their options for expanding school-based Medicaid programs.  \n• Dedicate staff to help with both implementation and ongoing Medicaid reimbursement and communicate with Medicaid agency.  \n• Invest in infrastructure, such as local partnerships and collaboratives, as well as database systems to facilitate the long-term success of school-based Medicaid programs.  \n• Promote understanding and compliance through a robust, transparent policy environment—including research, guidance documents and policy manuals.  \n• Work with partners to facilitate initial training, technical assistance and continued ","cbCaiigXs7qOBqeB","https://ap.wps.com/l/cbCaiigXs7qOBqeB","pdf",583747,"English","# School needs and the mental health gap\n## 2021–2022 district concerns and service capacity\n# Using ESSER to expand school-based Medicaid\n## Sustain services through Medicaid program growth\n# Implementation actions for state and local agencies\n## Coordination, staffing, technical assistance, and policy support\n## Training, infrastructure, data systems, and telehealth\n# School-based Medicaid model and reimbursable services\n## Eligible services and planning for long-term improvements\n# Case example: Michigan expansion","[{\"question\":\"Why are school districts focusing on student mental health and wellbeing?\",\"answer\":\"District leaders identify wellbeing and mental health as pressing issues and report high concern about students’ mental health, while many public schools lack sufficient resources to provide services to all students in need.\"},{\"question\":\"How can ESSER funds be used to support Medicaid-related improvements in schools?\",\"answer\":\"ESSER funds can be used for existing and new services to maximize sustainable benefits of ongoing school-based Medicaid. They can fund planning, interagency task forces, training, and staffing that support Medicaid expansion.\"},{\"question\":\"What coordination and staffing steps are recommended to expand school-based Medicaid?\",\"answer\":\"Designate SEA staff to oversee Medicaid, build cross-agency collaboration, and provide technical assistance to local education agencies. Dedicate staff for implementation and ongoing Medicaid reimbursement and ensure communication among Medicaid, SEA, and LEA staff.\"}]","Tapping into Federal COVID-19 Relief Funding & Medicaid to Support Schools and the Wellbeing of Students - Strategy and Implementation Guide | PDF",1792052636]