ForHealth Consulting School-Based Claiming Services Helps with New CMS Guidance

Teacher and students walking in the corridor at school - including a person with special needs

Last week, the U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), announced they will give $50 million in grants for children to be connected to critical healthcare services.

“Made possible by the historic investments of the Bipartisan Safer Communities Act (BSCA), the grants will provide 20 states up to $2.5 million each in funding that can help states implement, enhance, and expand the use of school-based health services through Medicaid and the Children’s Health Insurance Program (CHIP),” said

School districts, or local education agencies (LEAs), can bill Medicaid for direct services provided at schools, such as physical or occupational therapy, psychological services or counseling, screenings, nursing, or speech/hearing/language services.

New CMS guidance issued last year poses new options and requirements for schools to participate in federal reimbursement. Most importantly, it encourages states to design effective CMS reimbursement programs. This funding announcement will enable more states to better meet the needs of children in school.

ForHealth Consulting has industry-leading experts who can design reimbursement models and programs, which, along with over 20 years of experience in school-based Medicaid programs, can support states in the design, implementation, and ongoing administration phases of their programs. Our consultants’ experience can help states understand the new guidance and how the states can create and operate programs to maximize this funding opportunity to better support their children and youth in school.

ForHealth Consulting offers a robust comprehensive suite of school-based claiming services, along with our expert guidance. Learn more about how we can help you.