State Grants for the Implementation, Enhancement, and Expansion of Medicaid and CHIP SBS

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CMS is committed to increasing access to health care services in ways that can narrow disparities in rates of care, promote achievement and quality education, and build a reliable system of support for every young person. Schools are uniquely positioned to increase health equity and to help ensure that all children have access to necessary health care services. Although schools are primarily providers of education, the school setting provides a unique opportunity to: enroll eligible children and adolescents in Medicaid and CHIP; deliver covered services, including behavioral health services (mental health and substance use disorder (SUD) services) to eligible children; and help children who are enrolled in Medicaid or CHIP access the services they need. School-based services (SBS), which are Medicaid or CHIP-coverable services provided to children and adolescents in a school setting, play an important role in the health and well-being of children and adolescents, particularly for those enrolled in the Medicaid or CHIP programs. Through this Notice of Funding Opportunity (NOFO), the Centers for Medicare & Medicaid Services (CMS) will fund recipient States to implement, enhance, or expand the provision of assistance through school-based entities under Medicaid and CHIP. The BSCA stipulates that States shall not use any grant funds to provide medical assistance, child health assistance, or other health services.

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