1. 1. The departments of social services and elementary and secondary education shall develop a plan to encourage public schools and school districts to be Medicaid providers and to provide the most accessible care to school age children. A public school district, or a public school within any district, may elect to function as and be compensated for acting as a provider of Medicaid services. Pursuant to state and federal laws and regulations, a public school or school district shall, upon such election, provide such Medicaid services to all Medicaid-eligible school age children located in the service area of the school or district electing to be a Medicaid provider. The public school or school district may elect to provide services under subdivision (1) or (2) of this subsection or to provide services under both subdivisions (1) and (2). Based upon its election, the public school or school district shall provide the following Medicaid services:

   1. (1) Early periodic screening, diagnosis, and treatment (EPSDT) services of the Medicaid program as provided in subdivision (10)* of subsection 1 of section 208.152, subject to the provisions of section 167.611;
   2. (2) Primary and preventive health care services to school age children who are eligible for Medicaid services under section 208.151, subject to the provisions of section 167.611.
2. 2. The department of social services and the public school or school district shall, by written agreement, determine the scope of EPSDT or primary and preventive health services to be provided by the public school or school district. The scope of services offered shall be designed to encourage the public school or school district to participate as a Medicaid provider.
3. 3. EPSDT services in subdivision (1) of subsection 1 of this section may be provided by school district personnel.

4. 4. Primary health care services may be provided by:

   1. (1) Federally qualified health centers;
   2. (2) City, county or city and county health departments;
   3. (3) Federally certified rural health clinics; or

   4. (4) Physicians, hospitals, or other licensed providers in the community in which the school is located.

      ­­­Such services shall be by contract with a participating school district. A school district shall include provisions for the maintenance of medical records and other administrative tasks as are required by the department of social services in contracts executed under the provisions of this subsection.

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

(L. 1993 H.B. 564 § 3)

*Statutory reference to "subdivision (9)" changed to "subdivision (10)" in accordance with section 3.060 based on renumbering within section 208.152 in H.B. 1516, 2018.

**"This act" (H.B. 564, 1993) contained numerous sections. Consult Disposition of Sections table for a definitive listing.