Medicaid
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.
Resources
- NSBA Issue Brief: Medicaid Reimbursement
[HTML 6,548kb]
Learn about NSBA's position on Medicaid reimbursement funds for school districts in jeopardy.
- Federal Regulations Adversely Impacting Academic Achievement in Public Schools
[PDF 188,603kb]
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 [HTML 3,969kb]
Re: School-Based Medicaid Moratorium in FY 2008 Supplemental
- NSBA's Letter to the Senate: April 30, 2008 [HTML 2,795kb]
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 [HTML 3,306kb]
Re: Protecting the Medicaid Safety Net Act of 2008, H.R. 5613
- NSBA's Comments on Proposed Rule CMS-2287-P: November 2, 2007 [PDF 70,856kb]
Comments on proposed rule that would eliminated federal reimbursement for certain school-based Medicaid services provided to students with disabilities.
- NSBA's Letter to Congress: September 25, 2007 [HTML 3,368kb]
Re: State Children's Health Insurance Program Reauthorization Act of 2007 Conference Report (H.R. 976)
- Education Coalition Letter in Support of Medicaid Provision in S-CHIP: September 21, 2007 [HTML 5,961kb]
- Center on Budget and Policy Priorities Brief: September 17, 2007 [PDF 64,517kb]
Congressional Action is Needed to Prevent the Administration from Eviscerating Efforts to Enroll Uninsured Low-Income Children in Health Coverage Through the Schools.
- Centers for Medicare and Medicaid Services Proposed Rule CMS-2287-P [PDF 73,597kb]
Proposed rule published in the Federal Register that would eliminate federal reimbursement for certain school-based Medicaid services provided to students with disabilities.
- Joint Association Letter to Secretary Michael O. Leavitt: August 23, 2007 [HTML 4,926kb]
Joint letter sent by AASA, CGCS, CCSSO, NASBE, CASE, NASDSE, and NSBA regarding the CMS proposed rule prohibiting school-based Medicaid reimbursement.
- Summary of Protecting Children's Health in Schools Act of 2007 [HTML 13,194kb]
A summary of S. 578 in the Senate and H.R. 1017 in the House of Representatives.
- NSBA's Letter to Congress: August 7, 2007 [HTML 2,904kb]
Re: CMS Proposed Rule CMS-2287-P Prohibiting School-Based Medicaid Reimbursements
- School-Based Medicaid Expenditures [PDF 400,104kb]
Fiscal Year 2005 - CMS-64
- Joint Association Letter to the House of Representatives re: H.R. 5834: September 26, 2006 [HTML 3,024kb]
Joint letter from NSBA, AASA, and CGCS to Members of Congress in support of the Protecting Children’s Health in School Act
- NSBA's Letter to Secretary Michael O. Leavitt: July 7, 2006 [PDF 223,229kb]
Re: Proposed administrative changes to school-based Medicaid reimbursement.