The Office of Inspector General reviewed 10 State agencies (in Alabama, Arizona, Colorado, Kansas, Massachusetts, Mississippi, Missouri, New Jersey, North Carolina, and Texas) that used RMTS to allocate costs for LEA’s and SBHS and found that RMTS are not an effective way of allocating costs to the Medicaid Program. CMS concurred with the recommendations from the OIG and will be implementing specified corrective actions. The full report can be accessed by clicking on the following link:
The National Alliance for Medicaid in Education would like to share the following news:
The State of Massachusetts recently announced that an expansion of its School-Based Medicaid Program will take effect July 1, 2019. For more information about this expansion, which is a result of the December 15, 2014 change in the CMS free-care policy:
A recent news brief from Georgetown University summarizes key provisions of the Children’s Health Insurance Program (CHIP) extension and other provisions of the HEALTHY KIDS and ACCESS Acts. Click here for the one-page summary. Link to the full brief:
A recent article published by Kaiser Health News discusses the history and context of Medicaid claiming for school-based services, highlighting specific case examples and varying perspectives on the benefits for schools, taxpayers and government. Click this link to read, “Medicaid Nation: How Medicaid Became a Go-To Funder for Schools.”
A new report by the Georgetown University Center for Children and Families estimates that if Congress does not approve funding for the Children's Health Insurance Program (CHIP) in January, an estimated 24 states (including D.C.) could face CHIP funding shortfalls. Read this report:
According to the latest infographic posted by Child Trends: In fifteen states, more than half of all children rely on Medicaid and CHIP for health insurance coverage as of August 2017. Close to half of all children in four states are covered by Medicaid and CHIP. Visit this 12/19/17 Child Trends blog post:
On November 9, the Centers for Medicare and Medicaid Services (CMS) published an informational bulletin outlining program options and financing information for states facing a federal funding shortfall in their Children's Health Insurance Programs (CHIP). The bulletin:
On November 6, the Centers for Medicare and Medicaid Services (CMS) published two informational bulletins describing a series of process improvements to the approval and renewal processes for state plan amendments (SPAs), section 1915 waivers, and section 1115 demonstrations. Link to Medicaid SPA Processing Tools for States and 1915 Waiver Processing Bulletins:
NAME Flash: OSERS Guidance Rescinded on Parental Consent
As part of the Office of Special Education and Rehabilitative Services (OSERS) regulatory reform initiative, the department announced on Friday, October 20 2017 that OSERS has rescinded 72 guidance documents for being outdated, unnecessary or ineffective.
Please read the OSERS announcement:
Review OSERS chart of rescinded guidance documents referred to in the announcement:
Item number eleven on the chart of rescinded guidance documents references a one page document (click here) that was issued by OSERS on March 18, 2013, to clarify changes to the parental consent requirements specified in regulation 34 CFR 300.154(d) on accessing public benefits or insurance (e.g., Medicaid). The reason cited for rescinding this guidance document (see last column regarding item number eleven) asserts that it is no longer needed because it pertained to rolling out new 2006 regulations. Based on the linked document, it appears the guidance referenced was actually shared in 2013 when the 2006 requirements were changed, in part, to allow schools to obtain a one-time written consent instead of requiring parental consent “each and every time” the school accessed Medicaid.
Bottom line—-it appears at this time that the 2013 parental consent regulations remain in effect. NAME is closely monitoring the implications of Executive Order 13777 and will issue additional information to our members as we receive it.
John Hill, Executive Director
National Alliance for Medicaid in Education
Click Here to access Achieving Impact: State Successes in Improving School Nutrition, Physical Education, Physical Activity, and the Management of Chronic Health Conditions in Schools, a new publication from the National Association of Chronic Disease Directors. This publication, features highlights of 15 states’ implementation of school health projects, under 1305 State Public Health Actions, a cooperative agreement funded by the Centers for Disease Control and Prevention (CDC). Examples include identification of key partners, successful strategies and plans for sustainability.