School-Based Medicaid Reimbursement

Issue Brief and Resources

School-Based Medicaid Claiming

Under federal law, school districts are eligible to receive payment from Medicaid for health services delivered to Medicaid-eligible children with disabilities.

Why Is This Important To Your School District?

School districts may receive federal reimbursement for health services delivered to Medicaid-eligible children with disabilities who may need diagnostic, preventative, and rehabilitative services; speech, physical, and occupational therapies. In addition, school districts receive reimbursement for the transportation costs of such services and administrative costs such as outreach for enrollment purposes, and coordination and/or monitoring of medical care.

What To Tell Congress: NSBA's Position

Schools play a key role in identifying children for Medicaid and connecting them to needed services in schools and the community. NSBA supports efforts to block the Administration from prohibiting school districts from claiming federal reimbursement for these services.

Visit our Legislative Action Center to find out what's happening in Congress now.


Additional Resources

NSBA Issue Brief: School-Based Medicaid Reimbursement
Learn more about NSBA's position on school-based Medicaid reimbursement.

NSBA's Comments on Proposed Rule CMS-6028-P
November 16, 2010 - Comments in response to the proposed rules implementing certain provisions of the 2010 Affordable Care Act.

HHS Rescinds Rule to Eliminate School-based Medicaid Reimbursement
HHS Secretary Kathleen Sibelius announced that the Department is reversing the Centers for Medicare and Medicaid Services (CMS) rulemaking that would have eliminated school-based Medicaid reimbursement.

NSBA's Comments on Proposed Rule CMS-2287-P2: June 1, 2009
Comments in response to the Rescission of School-Based Services Final Rule.

Federal Regulations Adversely Impacting Academic Achievement in Public Schools
NSBA's review of three key areas negatively impacting student achievement: 1) Regulations implementing Title I of NCLB; 2) E-Rate program exemption from the Anti-Deficiency Act; and 3) Restrictions on Medicaid reimbursements to school districts.

History of Medicaid Issues from NSBA’s Legal Clips Service
You can read recent news and follows links back through the history of this long-running controversy starting with this news summary from NSBA’s weekly school law e-newsletter.

NSBA's Letter to House Leadership: June 11, 2008
Re: School-Based Medicaid Moratorium in FY 2008 Supplemental

NSBA's Letter to the Senate: April 30, 2008
Re: Extension of Moratorium on School-Based Medicaid Rule, CMS-2287

NSBA's Letter to the House Committee on Energy and Commerce: April 8, 2008
Re: Protecting the Medicaid Safety Net Act of 2008, H.R. 5613

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