Health Services in Schools: Medicaid and Special Education Services

Executive Summary

This NHeLP fact sheet provides information about health services for children, under age of 21, in schools. Many of the services are provided in schools, and some these services are provided Medicaid and/or the Individuals with Disabilities Education Act, or IDEA.

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Source: Health Services in Schools: Medicaid and Special Education Services

Health services in schools.

  • Services provided in schools can play an important role in child and adolescent health care.
  • Many services are already provided in schools: through school-based health clinics, school nurses, or through special education programs. This includes services such as mental health services and physical, occupational, and speech therapies.
  • Some of these services can be covered by Medicaid.
  • Early and Periodic Screening, Diagnostic and Treatment (EPSDT)

Medicaid services for children.

  • Medicaid requires that children under age 21 get Early and Periodic Screening, Diagnostic, and Treatment services, or EPSDT.
  • EPSDT covers screenings (checkups) and treatment for medical, mental health, dental, vision, and hearing problems.
  • Treatment includes services that can provided in schools, like:

    Physical, occupational, and speech therapy.
    Vaccinations.
    Hearing and vision screenings.
    Behavioral health services.

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