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New Medicaid to Schools Rule Works for Students and School Districts
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Issued by the Division of Medicaid Services
Publish Date:
February 21, 2020

Concord, NH – Today, the New Hampshire Joint Legislative Committee on Administrative Rules (JLCAR) voted unanimously to approve He-W 589, the new Medicaid to School rule put forward by the NH Department of Health and Human Services (DHHS). The new rule will ensure schoolchildren and school districts throughout the State realize the benefits of the Medicaid to Schools program.

Under the Medicaid to Schools program, school districts are eligible for Medicaid reimbursement for health care services that schools provide to students enrolled in Medicaid. Services eligible for federal reimbursement include behavioral health services, personal care, and rehabilitation therapy services such as physical therapy.

The purpose of the rule is to describe the services reimbursable under Medicaid. The rule was developed in collaboration with stakeholders including teachers, providers, the Governor’s office, legislators, advocates, the Office of Professional Licensure and Certification, and the Department of Education.

“Today’s action is the result of leaders from across the State joining forces to ensure that New Hampshire’s Medicaid to Schools program remains robust, students get the services they need to receive the best education possible, and schools are on solid fiscal ground,” said Medicaid Director Henry Lipman. “This collaboration has set the State on a path to build one of the best Medicaid to Schools programs in the country.”

“The Medicaid to Schools program is about serving our students in the most effective and efficient way possible,” added Deputy Education Commissioner Christine Brennan. “By breaking down barriers between state agencies, we were able to craft a solution that will enable local school districts to leverage federal resources for all Medicaid-eligible students.”

“I applaud legislators for approving this important measure to ensure that students are still able to receive the critical services they need,” said Governor Chris Sununu. “These rules will help New Hampshire get back on track and ensure critical services to our students. I am a strong supporter of the Medicaid to Schools program, and this effort is the result of bipartisan steps we have taken in coordination with state agencies and the legislature.”

The new rule passed by JLCAR today was developed in conjunction with Senate Bill 684. SB 684 ensures that DHHS has continued authority to create rules that maximize federal reimbursement for schools participating in Medicaid to Schools, and provides a pathway for qualified professionals to get the licensing they need to be eligible for reimbursement by Medicaid for the services those professionals provide.

DHHS will continue to host stakeholder engagement meetings regarding Medicaid to Schools. The next meeting is March 3, 2020. More information is available at

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