167.606. Plan to encourage public schools and school districts to be Medicaid providers--services which may be provided, scope of services--who may provide services--employment of personnel.

MISSOURI STATUTES AND CODES

167.606. Plan to encourage public schools and school districts to be Medicaid providers--services which may be provided, scope of services--who may provide services--employment of personnel.

Plan to encourage public schools and school districts to be Medicaidproviders--services which may be provided, scope of services--who mayprovide services--employment of personnel.

167.606. 1. The departments of social services and elementary andsecondary education shall develop a plan to encourage public schools andschool districts to be Medicaid providers and to provide the most accessiblecare to school age children. A public school district, or a public schoolwithin any district, may elect to function as and be compensated for acting asa provider of Medicaid services. Pursuant to state and federal laws andregulations, a public school or school district shall, upon such election,provide such Medicaid services to all Medicaid-eligible school age childrenlocated in the service area of the school or district electing to be aMedicaid provider. The public school or school district may elect to provideservices under subdivision (1) or (2) of this subsection or to provideservices under both subdivisions (1) and (2). Based upon its election, thepublic school or school district shall provide the following Medicaidservices:

(1) Early periodic screening, diagnosis, and treatment (EPSDT) servicesof the Medicaid program as provided in subdivision (11) of subsection 1 ofsection 208.152, RSMo, subject to the provisions of section 167.611;

(2) Primary and preventive health care services to school age childrenwho are eligible for Medicaid services under section 208.151, RSMo, subject tothe provisions of section 167.611.

2. The department of social services and the public school or schooldistrict shall, by written agreement, determine the scope of EPSDT or primaryand preventive health services to be provided by the public school or schooldistrict. The scope of services offered shall be designed to encourage thepublic school or school district to participate as a Medicaid provider.

3. EPSDT services in subdivision (1) of subsection 1 of this section maybe provided by school district personnel.

4. Primary health care services may be provided by:

(1) Federally qualified health centers;

(2) City, county or city and county health departments;

(3) Federally certified rural health clinics; or

(4) Physicians, hospitals, or other licensed providers in the communityin which the school is located. Such services shall be by contract with a participating school district. Aschool district shall include provisions for the maintenance of medicalrecords and other administrative tasks as are required by the department ofsocial services in contracts executed under the provisions of this subsection.

5. If a school district is unable to contract for primary health careservices pursuant to subdivisions (1) to (4) of subsection 4 of this section,then it may employ the appropriate employees and medical professionals asrequired by the Medicaid program to provide Medicaid services. Screening,diagnosis, and treatments performed by school district employees pursuant tothe provisions of this act* shall be performed under standing orders andprotocols of a physician whose service area encompasses all of or part of thecity or county in which the school is located.