September 2025

School Health Services Program News

Our newsletter is a Department of Health Care Policy & Financing (HCPF) publication that provides information on the School Health Services (SHS) Program. The Colorado SHS Program is administered by HCPF in collaboration with the Colorado Department of Education (CDE). Providers participating in the program may receive federal matching funds for amounts spent in providing health services through the public schools to students who are receiving Health First Colorado (Colorado's Medicaid program) benefits.

To view the entire newsletter, you may have to select “view entire message” at the bottom of your screen in some email platforms. You may also view the whole newsletter in the newsletter section of our SHS program website.

Program Components

2025 Annual Training Recap and Highlights


We are grateful to everyone who made this year’s annual training sessions thoughtful and engaging. A new timeline-based training format was used to explain tasks in the order they are completed during the fiscal year. This is an additional tool participating school districts and Boards of Cooperative Educational Services (BOCES) can use to complete program requirements. We are currently reviewing the results of the survey that we requested participants complete following training. We will be using that feedback as we plan future training sessions. If you did not complete the survey or have additional training feedback, please email hcpf_schoolhealthservices@state.co.us or share your feedback with your stakeholder prior to the October 2nd stakeholder meeting. 


At this year’s annual training we hosted three newly participating school districts and one district considering participation. Thank you to all the stakeholders and coordinators that are sharing best practices and helping to bring them on board while they are building their districts’ SHS program. Making connections is an important part of learning SHS program requirements. We hope that everyone who attended was able to forge new connections by meeting other participating districts/BOCES and stakeholders.   


If you were unable to attend any portion of this year's training, or if you'd like to revisit any of the content covered, the presentation can be found on the SHS Training Website and the recorded webinars are available at the following links:


July - September

Program Fundamentals

October - December


January - March


April - June


Play Recording

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2025 Annual Training Fequently Asked Questions (FAQs)


Annual FAQs: 


Q: Should specialized transportation be reported based on dates of service? 

A: Yes. All costs on the annual cost report, including those associated with transportation, should be reported using accrual-based accounting, which is reporting costs based on the dates of service. 


Q: Can testing and evaluation materials be claimed under Direct Medical Other Costs of the annual cost report? 

A: Yes. Testing and evaluation materials purchased to determine if a student requires a medical plan of care can be reported under direct medical services other costs. 


Q: Can our district still report the salaries and benefits for bus aides after the Centers for Medicare and Medicaid Services (CMS) Guidance is implemented? 

A: Yes. Even with upcoming changes to transportation, costs for bus aides are still allowable under the transportation salaried staff reporting category. 


Q: Under the new CMS guidance, beginning July 2026, if five students on a physically modified bus require specialized transportation in their IEP but one student out of the five students only requires the presence of a bus aide, does it disqualify the trip? 

A: Yes. In this example, the one-way trip would be disqualified. All students riding a physically modified vehicle must have specialized transportation prescribed in their Individual Education Plan (IEP) and be utilizing one of the physical modifications/equipment on the vehicle. In order for the district to claim the costs of the bus (fuel, oil, etc.) in the above example, the district would need to report all transportation costs under not only specialized transportation.  


Q: Can mileage to and from district buildings be reported on the annual cost report? 

A: Yes. If the district reimburses their providers’ mileage when traveling between district buildings to provide direct medical services, the costs can be reported on the annual cost report.  


Program Compliance FAQs: 


Q: Should I provide Public Consulting Group (PCG) parental consent forms for students selected for the comprehensive review? 

A: No, parental consents should be delivered to CDE. CDE will contact your district via email regarding parental consent for the selected students within the same week of your Comprehensive Review notification email.  


Q: How many cost reports are reviewed during the comprehensive review? 

A: If selected for a Comprehensive Review, the district will have multiple cost reports examined as a part of this process. Districts will be required to provide supporting documentation for an annual cost report and one quarterly Medicaid Administrative Claiming (MAC) cost report.  


Quarterly FAQs: 


Q: Can mileage be claimed on the quarterly MAC cost report? 

A: Yes. District reimbursed mileage to attend training or conferences that pertain to the provider’s primary job duties relating to the SHS program can be reported under Staff, Travel, and Training.  


Q: If I forget to put someone on a Staff Pool List (SPL) for a quarter, can I still claim their costs? 

A: No. To report quarterly financials for any individuals, they must appear on the SPL for that quarter. 


Q: How are my district’s financial thresholds calculated? 

A: PCG calculates both annual and quarterly thresholds for your district on a yearly basis. If you anticipate staff pay increases or a large increase in benefits in the upcoming fiscal year, please contact PCG.  


Random Moment Time Study (RMTS) FAQs: 


Q: Do Medicaid coordinators automatically go on the administrative cost pool? 

A: No. Like all administrative positions, you should evaluate what roles and responsibilities each individual is performing on a routine basis. If they are not doing Medicaid-related activities as outlined in the Time Study Implementation Guide on a routine basis, they should not be included on the SPL.


Q: How can I know when tasks are due? 

A: The PCG Claiming System homepage is regularly updated with important announcements and due dates. Additionally, under the Resources section of the PCG Claiming System, you will find the Program Calendar, which outlines all key dates for the entire fiscal year.

HCPF Updates

Stakeholder Spotlight


Name: Marie LeBlanc


District/BOCES: Englewood (Arapahoe #1)


As a stakeholder, what region(s) and districts do you represent: As a Stakeholder, I support the Metro Region. The districts I support in this region include the Littleton, Sheridan, Adams 14, Elizabeth, and Platte Canyon school districts.


Years supporting the SHS program: I am currently in the middle of my 9th year


Biggest tip for new coordinators: Give yourself grace. This role can be demanding, unpredictable, and at times overwhelming — and that’s okay. Allow yourself space to learn and grow. And never think twice about reaching out to other coordinators. When someone says, “Call me if you need anything,” they’re not just being polite — they mean it. We’ve all been in your shoes, navigating the same challenges, questions, and unexpected curveballs. So don’t hesitate to lean on your community. You are NEVER a bother. Your questions, concerns, and even your need to vent or brainstorm are valid and welcome. We are truly all in this together, and your success is our success. Support is part of the job — giving it and receiving it. So reach out, stay connected, and remember: you're not alone in this.


Success story at your district: Englewood's largest success story is our providers' and their willingness to support the School Health Services Program in our district. Everyone from our Paraprofessionals to our SLPs, OTs, School Psychologists to our administration does what is asked of them because they understand the importance of the funding we receive and how impactful it is for our students. Their consistent support is the foundation of everything else we accomplish.


Anything else you'd like to share:  As the National Alliance for Medicaid in Education (NAME) Conference Committee Chair, I would highly recommend considering joining us in Philadelphia this year for the 23rd Annual NAME Conference or next year if this year is not possible. Location to be announced in Philly for 2026. This is a wonderful opportunity for collaboration and building community with others who participate in the School Health Services Program, not only in Colorado but from around the country. Hope to see you there!

 Stakeholder Updates 

Thanks to all the stakeholders who assisted in breakout groups during in person and virtual annual training sessions again this year. This practice has been in place for the last two years to encourage participation and is an additional opportunity to get to know stakeholders. Remember, you can always contact stakeholders if you are looking for program input using the stakeholder areas of knowledge tool under the blue banner on the program website. We look forward to hearing district feedback at our October 2nd stakeholder meeting. Please make sure you are responding to stakeholder requests for input before each stakeholder meeting.

Office Hours 


Office hours have resumed for Fiscal Year (FY) 2025-26. The google “placeholder” invite has been deleted due to issues with updating the invite and calendar syncing. If the google invite is still on your calendar, please delete it completely. If you want to hold the time on your calendar, please follow the Zoom registration link instructions Andria Thornhill emailed on Friday, August 15th, 2025. Office hours are open to staff at participating districts/BOCES who support the administration of the SHS program. Please register for all sessions you plan to attend using this link. Reminders will be sent the week before office hours if you are new to the program or haven’t registered for office hours the following week. If you aren’t receiving reminders, email hcpf_schoolhealthservices@state.co.us to be added to our contact database. 

New Coordinator and other staff at your District/BOCES


When new coordinators are identified at participating school districts/BOCES, they are offered several resources to make sure they have a strong start with the SHS program. If your district has a new coordinator or other new support staff, please email hcpf_SchoolHealthServices@state.co.us with their name, title, email address, and phone number so they are added to the SHS contact list. It is a contract requirement that each participating school district has one designated coordinator that is used as the primary SHS program contact.

CMS Comprehensive Guide


As mentioned during annual training we are currently in the process of submitting requests to CMS for the mandatory changes required by the 2023 Comprehensive Guide. Once changes are approved by CMS we will start building training so that all districts/BOCES are prepared to implement those changes starting July 1, 2026. We anticipate that training will take place in the Spring of 2026 and will communicate training details as soon as they are available. 


Although changes to this program to meet new CMS guidelines are currently under discussion, no updates have been implemented at this time. The SHS Program will continue to operate as usual until your district receives official notification and the approved changes are implemented on July 1, 2026. If you missed annual training and would like to know the changes currently under discussion, please review the April – June recorded session.

Potential state and federal budget cuts to Medicaid Updates


Please review these webpages for ongoing updates on what Stakeholders and Members need to know about potential state and federal budget cuts to Medicaid. HCPF is updating these websites as new information is available. Resources on the websites include how Federal funding impacts the Colorado state budget, fact sheets on various important topics, as well as a video from Kim Bimestefer, Executive Director of HCPF

National Alliance for Medicaid in Education (NAME) Updates


Join your fellow Medicaidians from Colorado and across the country in Philadelphia, PA for the 23rd Annual NAME Conference, October 7-10, 2025. Registration and travel costs may be covered using your program reimbursement funds, depending on your LSP.


The NAME Conference is an excellent opportunity to network with others who do your same job, learn best practices, and get updates on policies and emerging trends in school-based Medicaid! Click here to register!


Already registered? Be sure to book your hotel room at the conference center to ensure a quick commute to all conference activities!


NAME is hosting their annual Silent Auction at conference, with all proceeds benefiting the Synergy Project by Valley Youth House, a local Philly charity. Items up for auction are donated by attendees - from small items like key-chains, chocolates, mugs, local coffee, and t-shirts to artwork, handcrafts, and gift certificates, all donated items make a difference! The Silent Auction Committee will combine smaller items into state-themed packages, so no donation is too small! Donation items may be brought to the Silent Auction room at the conference from Tuesday at 12pm noon to Wednesday morning by 9:00am. You can browse the packages at the conference, but all bidding will take place using our online platform through GiveButter. This ensures that you can bid from anywhere (even during sessions!) and be alerted when you've been outbid.


Limited amounts of blue NAME merch will be for sale at the conference - if you ordered pink NAME merch during the pre-order, your items will be available for pickup at the conference. Don't forget, on Wednesdays, we wear PINK!

Colorado Department of Education Updates

Local Services Plan (LSP)


LSP Cohort (2026-31)-New Deadlines



  • For districts/BOCES in the cohort renewing (2021-26) or for districts/BOCES in their first year of program participation, initial drafts are due April 1, 2026, and final submissions are due May 1, 2026. 
  • While the deadlines for submission have changed, the plan will still begin July 1, 2026.
  • Optional LSP work sessions will be offered quarterly. Dates and times have been set for the first two sessions, please register below:
  • LSP Work Session 1- September 17, 2025 1:00-2:00 pm Register here
  • LSP Work Session 2- November 12, 2025 1:00-2:00 pm Register here


If you are not sure what LSP cohort your district/BOCES is in please visit the 2025-2026 Timeline and Local Service Plan Cohort Groups on the CDE School Health Services website.

Reimbursement Spending Report to CDE


The Reimbursement Spending Report to CDE will open on Wednesday, October 1, 2025, and will close at 5:00 pm Friday, February 27, 2026. This report will cover expenditures from Fiscal Year (FY) 2024-25. Detailed instructions are included in each section within the report to help guide districts/BOCES with completion. Additional support resources are available on the CDE School Health Services website.


CDE will also offer optional Reimbursement Spending Report work sessions throughout the year. Please register for the fall dates below:

Need to meet?


If you would like 1-1 support on reimbursement spending, the Local Services Plan (LSP), or the reimbursement spending report, feel free to email Andria Thornhill

Key Dates

FY 2025-2026 Stakeholder Dates

October 2, 2025

9:00 a.m. – 12:00 p.m.


January 15, 2026

9:00 a.m. – 12:00 p.m.

 

April 16, 2026

9:00 a.m. – 12:00 p.m.


All meetings will be hybrid via Zoom & In-Person


In person location:

303 E. 17th Ave.

Denver, CO 80203

Random Moment Time Study

 

November 3, 2025

January-March 2026 staff pool list and calendar will be open for reporting


November 28, 2025

January-March 2026 staff pool list and calendar are due

Quarterly Cost Report

 

October 1, 2025

July-September 2025 quarterly cost report will open for reporting


October 28, 2025

JS25 quarterly cost report is due

Annual Cost Report

 

August 1, 2025

The FY 2024-25 annual cost report was open for district reporting 


October 28, 2025

The FY 2024-25 annual cost report is due


Shortly after districts certify the annual cost report, districts will receive an email notification indicating their desk review is ready for response. 

Contacts

The School Health Services Program is a joint effort between the Colorado Department of Education and the Department of Health Care Policy & Financing. For questions related to:



If you have any suggestions for the newsletter, please email the School Health Services Email Box.


  • Please notify all state program contacts of any SHS support staff changes at your district/BOCES. 
  • Add all above emails to your district/BOCES safe list to ensure you are receiving all SHS emails.

Important Links

School Health Services


Public Consulting Group - Claiming System

Colorado Department of Education


Health First Colorado