Covering Kids & Families of Indiana Newsletter   
June 8, 2023
IHCP Updates School-Based Services Policy

In 2022, the Indiana General Assembly passed HB 1192, which defined "qualified provider" and "school based nurse" for purposes of providing Medicaid covered services in a school setting. It also specified conditions that must be met in order for the school based Medicaid services to be provided. (HEA 1192 digest)

Last week, Indiana Health Coverage Programs (IHCP) released a bulletin with the updated school-based services policy. The services must be medically necessary, part of the Medicaid state plan, and in a student's IEP or 504 plan. Some examples:

  • Physical and occupational therapy
  • Applied Behavior Analysis (ABA) therapy
  • Speech/language pathology and hearing services
  • Behavioral health services, including assessments and evaluations
  • Mandated school nursing services by a nurse who is employed by or contracts with a school corporation
  • Mandated school transportation services on dates of another covered educational plan service

Prior Authorizations - the educational program or plan serves as the Prior Authorization for the service provided.

Licensed School Psychologists - Department of Education (DoE) licensed school psychologists are qualified providers to supervise or approve services associated with a Medicaid-enrolled student's educational program or plan. 

Billing - services must be billed under the National Provider Identifier (NPI) of the IHCP-enrolled school corporation, not the specific practitioner who provided services.
Summer Meals Resources

School is out and summer is here! For kids who rely on school breakfast, lunch and after-school meals, summer can be the hungriest time of the year. The Summer Food Service Program (SFSP) is a federally-funded, state-administered program and allows for children, ages 18 and under, to receive healthy meals and snacks while school is out. To find a site near you, text “summer meals” or “verano” to 914-342-7744 or use the online searchable meal site locator. For sites that are providing a summer meal program, No Kid Hungry has developed a summer meals outreach toolkit to use when promoting the program to the community.
2023 Indiana School Health Network Conference

The 2023 Indiana School Health Network Conference is less than a week away! We are excited to learn with over 700 of Indiana’s youth-serving professionals and network with over 50 exhibitors during the two days.
Connect with ISHN
Unwinding Updates

A recent blog post from the Georgetown University Health Policy Institute Center for Children and Families reviewed new health coverage estimates from the Congressional Budget Office.
  • Uninsured rates are at an historic low. The uninsured rate for people with incomes below 150% of the federal poverty level fell from 17% in 2019 to 10% in 2023.
  • It is estimated about one-third of the 15.5 million people expected to lose Medicaid coverage during the unwinding will be children.
  • 40% of those losing Medicaid coverage during the unwinding (6.2 million) are expected to become uninsured.
Communications experts are concerned that parents who lose coverage during the unwinding, may not realize family income eligibility is higher for children than adults. The Office of Health Policy projects that 3 out of every 4 children who lose Medicaid coverage will still be eligible, but likely not enrolled
On their June 6th stakeholder call, the Family & Social Services Administration (FSSA) shared current information on April Redetermination Actions by age. This breakout shows that Medicaid members 19-64 years old are seeing a disproportionate number of disenrollments so far.
Back to School Supplies

The Military Relief Fund’s “Operation Back to School” provides Indiana Veteran Families experiencing financial hardship $500 per dependent child for school supplies. The program begins June 1st and runs through August 31st.
Vaccine Brochures

The Indiana Immunization Coalition makes it easy to order a variety of free brochures and fliers about vaccines for your office or school.
Gender Conscious Language

In celebration of Pride month, We Heart Health Literacy released their Inclusive Language Playbook: Writing for LGBTQ+ Communities. The playbook encourages the use of inclusive language that reflects diverse identities and experiences.

Back-to-School Planning: Enrollment, Retention, Vaccines, and Mental Health Services
  • Presented by the national Connecting Kids to Coverage campaign.
  • Wednesday, June 21 at 2 pm.
Prosperity Indiana seeks to support community economic development. They will be holding seven listening sessions around the state in August.
Enrollment Trends

Total Membership increased 
again in April. With 2,230,620 members, there were 11,025, or 0.50%, more members in April 2023 than in March 2023.
Connect with CKF
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