Back to Resources

Fact Sheet: Medicaid Reimbursement for School Nursing Services

posted on Wed, Jun 5 2019 11:34 am by The Network for Public Health Law

Medicaid is a significant payer for child and adolescent health care in the United States, covering 36 percent of school aged children. School nursing is an important resource for school children to access health care and preventive health services, yet few state laws specifically provide for Medicaid coverage for school nursing services not provided in accordance with a student’s Individual Education Plan (IEP). This fact sheet provides examples of ways that states have chosen to address Medicaid billing for school nursing, highlighting the need for states to consider expanding Medicaid coverage for school nursing services by amending state laws.

View/download the Fact Sheet.