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

Guidance
Infectious Diseases and Public Health

Department of Health and Human Services, 2023

Summary
This guide provides direction to State Medicaid/Children’s Health Insurance Program (CHIP) agencies and Local Educational Agencies (LEAs) to deliver school-based services 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 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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