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Medicaid to Schools: Medical Assistance Services Provided by Education Agencies

New Medicaid to Schools Rule

On Friday, February 21, 2020, the New Hampshire Joint Legislative Committee on Administrative Rules (JLCAR) voted unanimously to approve He-W 589, the new Medicaid to School rule Adobe Acrobat Reader Symbol put forward by the NH Department of Health and Human Services (DHHS). 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.


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

  • Stakeholder Engagement Meeting
    • Tuesday, March 3, 2020, 2:30 – 4:30 PM
      Department of Health and Human Services
      Brown Building – Auditorium
      129 Pleasant Street
      Concord, NH
    At this meeting there will be a panel of representatives from licensing boards who will be available to discuss issues related to Physical Therapy, Occupational Therapy, Speech Language Pathology, Nursing, Mental Health and Psychology board licensees. Please submit your questions in advance to the dedicated Medicaid to Schools email address: with “For the March 3rd meeting” in the subject line. Please submit questions by Monday, March 2, by 1:00 P.M.

    Please RSVP for the March 3, 2020 meeting by emailing Laura Rebolledo at Please specify if you plan to attend in person, or if you would like to participate by teleconference. We will send in call in information prior to the meeting.

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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