CMS Guide to Medicaid Services and Administrative Claiming for School-based Settings

The Centers for Medicare & Medicaid Services (CMS) released Delivering Service in School-Based Settings: A Comprehensive Guide to Medicaid Services and Administrative Claiming. The guide offers new flexibilities and consolidates existing guidance, making it easier for all schools to receive payment for delivering Medicaid-covered services, no matter their size or the resources available to them.

Schools are a key but often overlooked setting for health access and equity. Together, Medicaid and the Children’s Health Insurance Program (CHIP) provide health coverage for over half of all children in the United States.

This guide demonstrates how states can build a bridge between education and health care, including behavioral and mental health, to support all eligible children receiving the health care services to which they are entitled.

Access to school-based health care services has been shown to improve health and academic outcomes.

This summary is from the Centers for Medicare & Medicaid Services (CMS) guide listing. Read the full details and download the PDF by clicking the button in the sidebar.

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Topic Areas

Capacity Building


Mental Health Professionals, School Personnel

Toolkits & Guides