Delivering Services in School-Based Settings: A Comprehensive Guide to Medicaid Services and Administrative Claiming

CMS has published the long-awaited updated Medicaid to Schools services and administrative claiming guide. "This guide seeks to provide direction to State Medicaid/CHIP agencies and LEAs to deliver SBS in a manner that allows LEAs to obtain all the payments for which they can qualify, to then increase access to covered services for enrolled students. This guide also offers possible financially sustainable solutions for State Medicaid/CHIP agencies and LEAs, while acknowledging that behavioral health (mental health and SUD) services, and other medical conditions can be complex and may also require community-based resources outside of schools for effective treatment."

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Guidance Document