Healthy Schools Campaign, 2545 W. Diversey Ave. - Suite 214, Chicago, IL, 60647, USA.
J Sch Health. 2020 Dec;90(12):918-922. doi: 10.1111/josh.12969.
School health services improve health and academic outcomes; however, sustainable funding for these services is an ongoing struggle. In December 2014, the Centers for Medicare & Medicaid Services clarified how Medicaid will reimburse school health services. School districts, once restricted to reimbursement for services delivered under specific conditions, can now receive Medicaid reimbursement for eligible services delivered to all Medicaid-enrolled students.
This article examines the literature exploring school health services' impact on health and academic outcomes and Medicaid's role in funding school health services. The article analyzes state, school-based Medicaid policies and programs and the impact of the federal policy change.
As of August 2020, 13 states have used the federal policy change to expand their school-based Medicaid programs to include all eligible services delivered to all Medicaid-enrolled students.
This policy change creates an opportunity for states and school districts to leverage health care funding to implement multiple components of the Whole School, Whole Community, Whole Child model, including health services, counseling, psychological and social services, employee wellness, and school climate. The federal policy change can also improve health equity by increasing reimbursement for school districts serving higher percentages of Medicaid-enrolled students.
学校卫生服务可改善健康和学业成绩；然而，这些服务的可持续资金仍然是一个持续存在的问题。2014 年 12 月，医疗保险和医疗补助服务中心澄清了医疗补助计划将如何报销学校卫生服务费用。学区曾经仅限于报销在特定条件下提供的服务，现在可以为所有参加医疗补助计划的学生提供符合条件的服务报销医疗补助。
本文探讨了学校卫生服务对健康和学业成绩的影响以及医疗补助在资助学校卫生服务方面的作用。本文分析了州、基于学校的医疗补助政策和计划以及联邦政策变化的影响。
截至 2020 年 8 月，已有 13 个州利用联邦政策变化扩大了其基于学校的医疗补助计划，将所有符合条件的服务扩大到所有参加医疗补助计划的学生。
这项政策变化为州和学区提供了一个机会，可以利用医疗保健资金来实施整个学校、整个社区、整个儿童模式的多个组成部分，包括卫生服务、咨询、心理和社会服务、员工健康和学校氛围。联邦政策的变化还可以通过增加对服务更多参加医疗补助计划的学生的学区的报销，来提高健康公平性。
