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Medicaid to Schools: Medical Assistance Services Provided by Education Agencies

December 4, 2019

Governor Chris Sununu Signs Medicaid to Schools Executive Order

Today, Governor Chris Sununu signed an Executive Order Adobe Acrobat Reader Symbol that streamlines and expedites the process of licensing and credentialing applications for individuals who are providing services under the Medicaid to Schools Program.

A Medicaid to Schools Fact Sheet Adobe Acrobat Reader Symbol includes relevant background information on the rulemaking process, the executive order, and future legislation.

Upcoming Events

  • Public Hearing
    SB 684, Relative to Medicaid to Schools
    Thursday, January 23, 2020, 9:00 AM
    State House - Room 103
    107 North Main St
    Concord NH

  • Stakeholder Engagement Meeting
    Wednesday, February 5, 2020, 2:00 – 3:30 PM
    Department of Health and Human Services
    Brown Building – Auditorium
    129 Pleasant Street
    Concord, NH
    Portions of the final proposal of the administrative rule He-W 589 will be reviewed during the stakeholder meeting.

  • Public Hearings on the Administrative Rule
    The purpose of the public hearings is to hear public comment on the proposed administrative rule, He-W 589 Adobe Acrobat Reader Symbol.

    TTY/TDD Access: Relay NH 1-800-735-2964 or dial 711 (in NH)

    • Friday, January 17, 2020, 2:30 – 4:00 PM
      Department of Health and Human Services
      Brown Building - Auditorium
      129 Pleasant Street
      Concord, NH
    • Wednesday, January 22, 2020, 3:00 – 4:30 PM
      Department of Health and Human Services
      Brown Building - Auditorium
      129 Pleasant Street
      Concord, NH

If accommodations are needed for communication access such as interpreters, CART (captioning), assistive listening devices, or other auxiliary aids and/or services, please contact Laura Rebolledo at 603-271-9544 or Requests made fewer than 5 days prior to the event will attempt to be accommodated but cannot be guaranteed.

For more specific information on changes to the Medicaid to Schools benefit, please see our Communication and Guidance webpage.

What is Medicaid to Schools?

Medicaid to Schools (MTS) is a benefit of the NH Medicaid state plan that offers local education agencies (LEAs) and school administrative units (SAUs) the opportunity to receive federal Medicaid dollars to offset costs for Medicaid covered services performed by qualified medical or behavioral health treatment providers in a school setting to a Medicaid eligible student.

To receive Medicaid payment for healthcare and health related services, schools, providers in schools, or school-based health centers must meet federal and state requirements for Medicaid providers (42 CFR 455.400-455.470).

NH Medicaid may cover services included in a Medicaid eligible student’s individualized education plan (IEP), Section 504 plan, or other written care plan when:

  1. The services are listed in Section 1905(a) of the Social Security Act and are medically necessary;
  2. All federal and state regulations are followed, including those specifying treatment provider qualifications;
  3. The student is Medicaid eligible; and
  4. The services are included in the state plan or available under Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit.

Services covered under NH Medicaid via the MTS benefit include, but are not limited to, physical therapy, occupational therapy, speech pathology services, psychological counseling, nursing, and eligible transportation services.

On July 1, 2019 the Substance Abuse and Mental Health Services Administration (SAMHSA) and the Centers for Medicare and Medicaid Services (CMS) issued guidance on how states can expand access to behavioral health and substance use disorder treatment services in the school setting. In response, the Department of Health and Human Services moved the MTS benefit to the Division of Medicaid Services, and on August 27, 2019, adopted an Emergency Rule Adobe Acrobat Reader Symbol that continues coverage for services to Medicaid eligible students beyond those students with IEPs, and clarifies when schools can seek Medicaid reimbursement.

If you would like to submit a question or concern for the Department to address, please use the dedicated MTS e-mail:

Adobe Acrobat Reader Symbol Adobe Acrobat Reader format. You can download a free reader from Adobe.

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New Hampshire Department of Health and Human Services
129 Pleasant Street | Concord, NH | 03301-3852

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