Literaturnachweis - Detailanzeige
| Institution | AASA, The School Superintendent's Association |
|---|---|
| Titel | Structural Inefficiencies in the School-Based Medicaid Program Disadvantage Small and Rural Districts and Students |
| Quelle | (2019), (13 Seiten)
PDF als Volltext kostenfreie Datei |
| Sprache | englisch |
| Dokumenttyp | gedruckt; online; Monographie |
| Schlagwörter | Health Insurance; School District Size; Rural Schools; Federal Programs; School Health Services; Barriers; Participation; Federal State Relationship; Program Administration; Federal Legislation |
| Abstract | Awareness that educational equity and health care equity are intrinsically linked is becoming more commonplace, but because a significant share of states are providing much less school funding than they were a decade ago, there are fewer local education dollars allocated to addressing the health care issues of children in school. In December 2018, the American Association of School Administrators (AASA) surveyed more than 750 leaders in 41 states about their participation, or lack thereof, in the school-based Medicaid program. Findings point to a clear need for immediate improvements to how the school-based Medicaid program is administered by the Centers for Medicaid and Medicare Services (CMS). Medicaid has an obligation to guarantee that districts currently claiming Medicaid reimbursements are not unfairly burdened by needless red tape and redundant requirements in order to obtain essential funding to support the mandated services they are providing to eligible children. Such burdens unfairly diminish the amount of reimbursement to which schools are entitled, or create insurmountable barriers that freeze out small, rural and high-poverty schools from even attempting to receive reimbursement. Medicaid has the responsibility, and the opportunity, to enable school districts of all capacities to fully and equitably receive reimbursement under the Medicaid program while facilitating accountable and efficient processes for schools to follow. This report provides background on Medicaid billing in schools, explains districts' reimbursement procedures from Medicaid, and provides reasons why districts do not bill Medicaid. A discussion of managing the Medicaid system is provided. A description of the ways the current Medicaid billing system limits participation of the neediest school systems is outlined. The Dec 2018 survey clearly indicates that paperwork is hampering efforts to provide health care services to Medicaid-eligible children. The AASA calls for education and health care advocates to work with leaders in Congress and the administration to reduce the administrative burdens on districts that do bill or want to bill Medicaid. AASA maintains that calling on Congress to pass the "Improving Medicaid in Schools Act" would reduce the barriers to entry and the overhead costs of billing software, billing staff and third-party billers. AASA makes the argument that passing of the act would also free up financial and staff resources, helping schools to more readily participate in the Medicaid program. School personnel can then dedicate more time to providing direct health-related services to children in school. [For the executive summary, see ED602005.] (ERIC). |
| Anmerkungen | AASA, The School Superintendent's Association. 1615 Duke Street, Alexandria, VA 221314. Tel: 703-528-0700. Fax: 703-841-1543; e-mail: info@aasa.org; Web site: http://www.aasa.org |
| Erfasst von | ERIC (Education Resources Information Center), Washington, DC |
| Update | 2024/1/01 |
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