What’s at Stake for Schools and Students in Health Care Debate?

"As Congress considers how to reform the nation’s health care system, the decisions made on Capitol Hill could well have a profound impact on schools and their most vulnerable students. How? The most obvious answer is financial. By now we know that Congress is not content to simply repeal the health care plan then-President Barack Obama pushed through seven years ago. Republican lawmakers are...

OIG Publishes Report on Alabama’s School-Based MAC Program

The federal Office of Inspector General (OIG), an agency charged with reviewing more than 100 Health and Human Services programs, has published a report on Alabama's School-Based Medicaid Administrative Claiming program. OIG is recommending that Alabama return all federal reimbursements received for the 2010-2012 fiscal years, $75.3 million, predominantly because the state did not have an...

HHS and DOE Release Joint Letter on the Link Between Health and Education Services

A joint letter was released by the Secretary of Health and Human Services and the Acting Secretary of Education which praises and encourages a continued partnership between health and education services for children. Acknowledging the role that health plays in education, the Secretary of Health and Human Services and the Acting Secretary of Education released a letter today that encourages...

Californa Among 28 States Needing To Upgrade Medicaid Systems

CMS has published a final rule that will maintain billions of dollars in funding to help California and other states upgrade their Medicaid eligibility and enrollment systems, Modern Healthcare reports. Read the full article on California Healthline...

Rule Proposed on Providing Mental Health ‘Parity’ in Medicaid Program

A federal law that passed in 2008 was supposed to ensure that when patients had insurance benefits for mental health and addiction treatment, the coverage was on par with what they received for medical and surgical care. But until now, the government had only spelled out how the law applied to commercial plans. That changed Monday, when federal officials released a long-awaited rule proposing...

Doing Our Part to Address Free Care

January 29, 2015 - San Francisco, CA - There has been a lot of buzz about the federal government's recent reversal of the free care rule, a policy that had effectively prevented schools from billing Medicaid for health services provided to their general education population. The reversal of this policy is the biggest thing to hit school Medicaid billing programs in the last decade and people are...

With Federal Policy Change, More Money for School-Based Health Services

A recent federal policy reversal, long-sought by states and health care advocates, could enable schools to take a lead role in managing chronic childhood diseases and result in the hiring of many more school nurses. The change, announced quietly and unexpectedly last month by the Centers for Medicare and Medicaid Services (CMS), will allow public schools to receive Medicaid money for health...

Schools Can Bill Medicaid for More Student-Health Services, Feds Say

Advocates for school-administered student health services say new guidance issued by a federal agency this week will allow schools to bill Medicaid for more services they provide to students. Those additional reimbursements could help bolster tight budgets for school-health programs, allowing them to provide more services, such as immunizations, mental health care, and screenings for conditions...

Huge Win for School Medicaid Programs as CMS Changes Restrictive Free Care Policy

The federal Centers for Medicare and Medicare Services (CMS) has issued a letter to all State Medicaid Directors withdrawing their prior guidance on the free care policy, Medicaid Payment for Services Provided without Charge (Free Care). This is welcome and exciting news for school districts that participate in their state's school-based Medicaid billing program, many of whom have been waiting...

You Inspire Us!

December 16, 2014 – San Francisco, CA – We at Paradigm believe that School Medicaid Billing Programs play a significant role in enhancing opportunities for students and families in our communities. Moreover, we know this would not be possible without the commitment, and dedication, to gathering the paper, signing the forms, and organizing the files—your daily work makes a difference for...