Medicaid is a "medical assistance program" that recognizes the importance of school-based healthcare (health related) services. Medicaid encourages states to use funds from their program to help pay for certain healthcare services delivered in the schools PROVIDING FEDERAL AND STATE REGULATIONS ARE FOLLOWED. These healthcare services may include psychological counseling, nursing services, physical therapy, occupational therapy, speech therapy, audiology, and durable medical equipment.
Medicaid and IDEA funding cannot overlap; federal IDEA funds only partially cover health related services for students with disabilities in education setting, while Medicaid is primary to IDEA for health-related services.
What & WhyMedicaid and Schools are a combination or partnership between two different groups - public health and public education, coming together for the benefit of children and youth. School Based Child Health Services (SBCHS) are medical services provided through a child's local school district. SBCHS are provided to a Medicaid and Nevada Check Up eligible recipients who meet the Individuals with Disabilities Education Act (IDEA) criteria. SBCHS are reimbursable under the Medicaid program to recipients with special education needs pursuant to an Individual Education Plan (IEP).
Who: Service Providers
The providers of the health related services must meet the Medicaid qualification requirements, which may or may not be the same as the requirements to work in the schools.
Certain school-based professionals who do not meet the Medicaid qualification standards may provide services "under the direction of" a qualified Medicaid provider.
DHCFP requires LEA's to maintain a variety of documents in the IEP. These include but are not limited to:
Mr. Jon Kirwan, Nevada Medicaid
Ms. Marva Cleven, Nevada Department of Education
Ms. Lori Schwank, Nevada Department of Education
Mrs. Nancy Kuhles, M.S. CCC-SLP; NSHA/NV Coalition co-chair; NSHA/ASHA SEAL
|Centers for Medicare and Medicaid Services:||www.cms.hhs.gov|
|Nevada State Medicaid:||https://www.benefits.gov/benefits/benefit-details/1634|
|National Alliance for Medicaid in Education (NAME):||www.medicaidforeducation.org|
|American Speech-Language-Hearing Association (ASHA):||www.asha.org|