Information on School-Based Services in Medicaid: Policy Flexibilities and Guide on Coverage, Billing, Reimbursement, Documentation and School-Based Administrative Claiming
The purpose of this informational bulletin is to introduce the comprehensive guide Delivering
Service in School-Based Settings: A Comprehensive Guide to Medicaid Services and
Administrative Claiming that the Centers for Medicare & Medicaid Services (CMS), in
consultation with the U. S. Department of Education (ED), is issuing to improve the delivery of
covered Medicaid and Children’s Health Insurance Program (CHIP) services to enrolled students
in school-based settings and to meet the requirements of Section 11003 of the Bipartisan Safer
Communities Act (BSCA) (P.L. 117-159).
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: May 18, 2023
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.