28:33The primary issue at the meeting was the district’s Medicaid reimbursement practices, which have been out of compliance since 2014. The federal government has mandated that school districts move away from a fee schedule to a model based on actual costs. This shift is essential to maintain and potentially increase funding for services such as mental health counseling, nursing, and special transportation. However, the state of Florida has not yet submitted the required State Plan Amendment (SPA) to facilitate this transition, creating uncertainty about future funding.

Board members and administrators acknowledged the need for state-level action to align with federal requirements. They discussed the potential for an additional $10 million annually if the state adopts new policies. However, achieving this requires legislative support and amendments to the existing Medicaid reimbursement framework.

01:13:35Another important topic was the impact of reduced Medicaid reimbursements on Exceptional Student Education (ESE) programs. Concerns were raised about potential budget deficits and the implications for students with disabilities. The board stressed the importance of maintaining services despite funding challenges, particularly for medically fragile students.

31:12The meeting also addressed the importance of outreach to diverse communities to ensure eligible families are enrolled in Medicaid. Board members noted that many Hispanic families face barriers in accessing services due to language and digital resource challenges. Initiatives like the Family Health Care Foundation partnership and the Family and Community Engagement (FACE) program aim to provide assistance in multiple languages and through community events.

Discussions included plans to improve community engagement and communication. Suggestions were made to include Medicaid information in school packets and on the district’s website, facilitating easier access for families. The board members emphasized the need for guidance counselors and principals to support families in navigating Medicaid options.

A discussion revolved around financial implications due to changes in Medicaid access and reimbursement structures. Concerns were expressed about the potential loss of funding if fewer families qualify for Medicaid. The board acknowledged that reduced access would directly impact the district’s financial health.

Efforts to enhance reimbursement rates through rate studies were also discussed. A successful rate study in Levy County was cited as a model for Hillsborough’s transportation services. The board highlighted the importance of conducting a rate study to adjust reimbursement rates according to current costs, although it was noted that this process would require time and coordination.

13:16The interaction between Medicaid and charter schools was clarified during the meeting. Charter schools in Hillsborough County can utilize the district’s Medicaid provider ID to claim services. However, most charter schools have established independent provider numbers since 2020, allowing them to bill Medicaid directly. The meeting closed with a call for collective advocacy among Florida superintendents to address these issues and push for necessary legislative changes.