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Medicaid in Education

Public schools may receive Medicaid funds for some health services provided to students at school. The services must be medically necessary and the student must be enrolled in N.C. Medicaid. In North Carolina, the following services may be reimbursed in schools:

  • Audiology
  • Nursing services
  • Occupational therapy
  • Physical therapy
  • Psychological/counseling services
  • Speech-language pathology services


Medicaid Expansion:

With Medicaid expanded enrollment beginning December 1, 2023, school personnel are in a critical position to identify and support parents and children who can benefit from Medicaid coverage.  Healthy children need healthy parents in order to thrive and do well in school and beyond.  Follow this link to the DHHS toolkit on Medicaid expansion and resources.


IDEA Parental Consent Final Regulations (sample notice and consent form to follow)



Contact Kim Fox ( for ACS EC Medicaid questions.