Medicaid & Nursing


Medicaid is a state administered health insurance program that's guided by federal requirements. Medicaid is different in every state. Following federal guidelines, the state decides, eligibility requirements, services, rates, policy and, procedures.

Why Medicaid in Education?

Congress changed the Medicaid rules to permit school districts to seek Medicaid reimbursement for medical services in an Individualized Education Program (IEP).

School Nursing

The purpose of school nursing is to enhance the educational process by the modification or removal of health-related barriers to learning and by promotion of an optimal level of wellness. School nurses accomplish these activities in partnership with students, parents, and school staff.

If you have questions or concerns about your child’s health or school nursing services, please contact your school nurse. It is especially important to report any illness or condition that your child has that may require medical support during the school day.

Nursing Policy and Procedures

Medication Policy

All medication must be delivered to the School Nurse or other designated school employee by the student’s parent, legal guardian or a previously designated adult. It is against School District Policy for a student to carry ANY medication on their person without physician permission, parent permission and school district permission to self-administer and self-monitor (SC Law S144). All medication will be maintained in the health room. Medication required for field trips must be given to and administered by an employee designated by the principal. There are separate permission forms for medications on field trips.

Contacting Parents

If your child comes to the Health Room and needs to go home, we must contact a parent or legal guardian. We cannot send a student home with anyone until a parent has been notified. This is why it is so very important that we have current information about how to contact you at all times. If your child has an emergency situation or needs immediate care that cannot be provided at school, those contacts you list on the Health Card will be called IF we cannot reach a parent first. Please understand that this is for your child's protection.

Student Emergency Information Form

On the first day of school your child will be given an Emergency Information sheet to be completed by a parent. This is very important. Please print all information clearly. This will be the only way we have to reach you in case of an emergency at school. If at anytime ANY of this information should change please notify your school nurse immediately.

State Immunization Requirements

A child will not be allowed to attend any school or child development program without a valid SC Certificate of Immunization or a medical, religious, or special exemption.

If your child does not have a valid certificate, take his/her shot records to your physician or the county Health Department. A parent or adult authorized by the parent must accompany a student under 16 who requires shots. 

Nursing Services

Vision Screening

All students in grades K-4, K-5, 1st, 3rd, 5th, and 7th grades will be screened for distant vision problems. If your child does not pass this screening, he will be screened again in two weeks. If he/she does not pass this screening, you will be notified that your child needs further evaluation by a Physician or Optometrist. Please have this letter completed and return it to your School Nurse. If your child is not in one of these grades, and you would like to have their vision screened, please send a note to your child’s Nurse and he/she will be glad to screen your child.

Hearing Screening

All students in K3, K4, K5, 1st, 2nd and 3rd grades will have their hearing screened annually. If your child does not pass the initial screening, he/she will be rescreened at a later date. You will be notified by mail concerning further evaluation. If your child is not in one of these grades and you wish to have a screening, please send a note to your School Nurse and he/she will be glad to screen your child.

Nursing Forms

Consent / Permission Forms (The permission form allows the school to provide medication in a school setting.)

Treatment Plan Form (When medication is prescribed by an authorized prescriber within their scope of practice and the medication will be provided at school, a treatment plan is required.) 

Medical Documentation Forms or Clinical Service Notes (When medical services are provided, the service must be documented and placed in the student's file or a medical file.)

Nurse Training 

Nursing Training and PowerPoints - Nursing Overview Dt 9-17-22

Nursing Services Overview PowerPoint - 

MEDICAID Nurse Training

Nursing Services - CGM

Nursing Services - SNAP

Medicaid Services 

The Medicaid program, as established by Title XIX of the Social Security Act, provides quality health care to low-income, and disabled individuals by utilizing state and federal funds, to reimburse providers for approved medical services.

The South Carolina (South Carolina or State) State Medicaid Plan allows an array of behavioral health services under the Rehabilitative Services Option, 42 CFR 440.130(d).

Rehabilitative Services are medical or remedial services that have been recommended by a Physician or other Licensed Practitioner of the Healing Arts (LPHA) within the scope of their practice under South Carolina State Law and as further determined by the South Carolina Department of Health and Human Services (SCDHHS) for maximum reduction of physical or mental disability and restoration of a beneficiary to their best possible functional level.

Medicaid School-Based Forms 

Medicaid School-Based Fee Schedule date revised  Date- 1-1-2023

Medicaid School-Based Training

Overview of the LEA-RBHS Mental Health Program for Schools -


SCDE Resources:

SCDE OMS Webpage -

SCDE – Medicaid Forms – Forms - South Carolina Department of Education - 09/22/2022 3:00 PM ( 

SCDHHS Resources:

SCDHHS website -

SCDHHS LEA Manual and forms website - Local Education Agencies (LEA) Services Provider Manual | SC DHHS

SCDHHS Medicaid Provider Education webpage - Healthy Connections Medicaid E-Learning (

Contact Us

Susan Howard


Dee Drayton