NAME is pleased to announce the selection of our new Executive Director, Mark Smith, QIDP, CPM, MPA.

Yesterday was a celebration! Today is about action!

Yesterday we celebrated the release of the new guide. It was a monumental day for our field. The Bipartisan Safer Communities Act charged CMS with this task. It allowed opportunities for NAME to engage in meaningful conversations around challenges and barriers. We received a call from CMS thanking our organization for the part we played in its development. We began conversations with CMS, in reference to this guide, last July. We were thankful that they were willing to participate in our conference, where many of you were able to ask specific questions and share your barriers. NAME was asked toform specific focus groups over the past several months and many of you were willing to participate. Thank you for your willingness to contribute to the process and share your experiences.

Quick Facts

• Public Health Emergency (PHE) will expire on 5/11/2023.
• Continuous coverage requirement ends as of 4/1/2023.
• Medicaid redeterminations begin on 4/1/2023.
• Redetermination timelines will vary by state. See map for details.
• Enhanced Federal Medical Assistance Percentage (FMAP) will begin to phase out, and fully expires 1/1/2024.
• It is estimated that between 5 – 14 million people could lose their Medicaid coverage.
• A reduced Medicaid eligibility rate will impact school-based Medicaid claiming reimbursements.
• Medicaid outreach is reimbursable via Medicaid Administrative Claiming (MAC) programs, as activities will be captured in Random Moment Time Study (RMTS), for LEAs that participate in MAC.

Read more: PHE Unwinding - LEA Quick Reference Guide

The bipartisan Safer Communities Act that passed to prevent gun violence last week included language requiring CMS to issue new school-based Medicaid guidance before June 2023. The guidance does EXACTLY what we have been asking CMS to do for years and even does more than what we had hoped for in that it provides direct grants to states to start the hard, but meaningful work of changing how they process Medicaid claims, find ways to dramatically expand Medicaid-reimbursable services to schools, and generally take advantage of the new flexibilities that they will be granted via updated guidance to expand healthcare, particularly mental health services, to millions more children.