In 1997, the Centers for Medicare and Medicaid Services (CMS) issued guidance materials to local education agencies (LEA’s) to provide technical assistance in implementing school health services and seeking Medicaid reimbursement for covered services.  The Technical Assistance Guide outlined the services for which schools could bill Medicaid.  These services included direct medical care as well as administrative services such as the following:

• Medicaid eligibility determinations;
• Medicaid outreach;
• Activities to inform or persuade beneficiaries to enter into care through the Medicaid