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Medicaid to Schools: Medical Assistance Services Provided by Education Agencies

Upcoming Events

  • Becoming a Medicaid Enrolled School Provider
    Wednesday, December 4, 2019, 2:00 - 4:30 PM
    Department of Environmental Services
    29 Hazen Drive - Auditorium
    Concord NH

    This will be a training for schools on how to become a Medicaid enrolled school provider, and what the requirements are for NH Medicaid enrollment, such as trading partner requirements, performing provider screenings, and revalidation.

  • Stakeholder Engagement Meetings
    • Tuesday, November 5, 2019, 2:30 – 4:30 PM
      Department of Health and Human Services
      Brown Building – Auditorium
      129 Pleasant Street
      Concord NH
      Portions of the working draft administrative rule Adobe Acrobat Reader Symbol (which has not been fully vetted) will be reviewed during the November 5th stakeholder meeting.

    • Tuesday, October 29, 2019, 2:00-4:00 PM
      Health Trust Building
      25 Triangle Drive
      Concord, NH
      Agenda, handout, and portion of the MTS rule Adobe Acrobat Reader Symbol

    • Future Meetings (Locations TBD):
      • Thursday, November 21, 2019, 12:30-2:00 PM
    The primary goal of these meetings is to elicit stakeholder feedback as the Department goes through the regular rulemaking, as well as to ensure an open line of ommunication for questions, concerns, and potential opportunities related to Medicaid to Schools. Information gathered through this process will also inform future guidance, technical assistance, and trainings related to compliance under the Medicaid program.

    Please RSVP by emailing Laura Rebolledo at Laura.Rebolledo@dhhs.nh.gov. Please specify if you plan to attend in person, or if you would like to participate by teleconference. We will send call in information prior to the meeting.

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 Laura.Rebolledo@dhhs.nh.gov. 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.

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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