School nurses provide essential healthcare services to students, from managing chronic conditions and administering medications to treating injuries and responding to emergencies. Medicaid reimbursement can help school districts support these services, but participating in School Medicaid programs presents challenges, particularly when documentation requirements do not fully account for how school nurses work.
School nurses routinely care for multiple students whose needs overlap. But when Medicaid billing rules require service times to be documented without overlap, the reality of school nursing can conflict with reimbursement requirements. How should schools document care that does not fit neatly into separate time slots?