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October 12-15, 2020 | Columbus, Ohio
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Latest National and Medicaid in Education News
It's Not too Late to Become a NAME Sponsor!
The NAME Annual Conference is a national forum for professionals working in education and/or health care and related fields. The conference provides a unique opportunity to network with colleagues and similar professionals in the field of school-based health at the local, state and federal levels.
Our national conference provides an opportunity for professional development with the latest information in research, experience and best practices for Medicaid in Education.
CMS Disaster Response Toolkit
Medicaid, Children’s Health Insurance Program, and Basic Health Program services provide critical health coverage to millions of vulnerable Americans. Over the past several years, numerous states have been impacted by natural or man-made disasters, and these programs serve an important role as states respond to these disasters. Click below to access the site:
CMS Issues SHO on Mental Health Coverage Requirements in Standalone CHIP Programs
On March 2, the Centers for Medicare and Medicaid Services (CMS) published a State Health Official letter describing required access to mental health and substance use disorder services for children and pregnant women enrolled in standalone CHIP programs, as required under Section 5022 of the SUPPORT Act.
These provisions, which became effective October 24, 2019, require child health and pregnancy related assistance to cover mental health services and behavioral health services necessary to prevent, diagnose, and treat a broad range of mental health symptoms and disorders. CMS interprets the coverage requirements to include all developmental and behavioral health related screenings and preventive services recommended by the American Academy of Pediatrics' Bright Futures periodicity schedule and any services with a grade of A or B under the U.S. Preventive Services Task Force. CMS also provides a set of validated behavioral health screening tools that would satisfy the screening requirement.
Lastly, in order to meet the statutory implementation deadline of October 24, 2019, CMS indicates that states needing to make changes to a standalone CHIP program must file a CHIP State Plan Amendment no later than the end of the state fiscal year that includes that date.
The U.S. Department of Health and Human Services and the U.S. Department of Education released the December 2019 Update on the Joint Guidance on the Application of the Family Educational Rights and Privacy Act (FERPA) And the Health Insurance Portability and Accountability Act of 1996 (HIPAA) To Student Health Records. Please Click here to view the report in its entirety.
"We envision the day when public policy values children's health as essential to learning."
The National Alliance for Medicaid in Education, Inc. (NAME) is a non-profit 501(c)(3) organization that was created in response to a need for a national forum to address the complexities and challenges of Medicaid reimbursement programs in school settings.
NAME facilitates a member network comprised mostly of volunteers to share information about Medicaid in Education, and is the only organization of its kind. NAME's membership is primarily composed of professionals from the nation's public school districts, state Medicaid agencies and state education agencies who are involved in administration of Medicaid claiming for school-based services. Other members are those with an interest in the Medicaid in Education field such as businesses, consulting firms, non-profit organizations and federal agencies.
NAME collaborates with key Federal agencies: the Centers for Medicare & Medicaid Services (CMS), the Office of Special Education Programs (OSEP), and other partners and stakeholders, to develop and support public policies that value children's health and recognize it as essential to learning.
NAME draws on the expertise of highly informed and specialized sources from around the country at federal, state and local levels, as well as the private sector.
Voting Members are individuals employed or contracted by a state Medicaid agency, state education agency or local education agency who have responsibility for administering the Medicaid administrative claiming or direct billing of school-based health related special education or free care services provided by public schools to students.
Associate Members are non-voting and include individuals from an agency/organization or company that provides services/support for school-based health care, special education or Medicaid in Education, or function as a Medicaid billing agent.
Wellness is determined in great part by where children live, learn, and grow. Recognizing this, schools across the country are collaborating to create a culture of wellness that extends beyond the health clinic walls into school hallways, classrooms, cafeteria, teachers’ lounges and campus spaces.