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Federal Reimbursement for Medicaid Spending in Virginia School Districts1

For nearly 30 years, schools have used Medicaid dollars to cover health-related services for Medicaid
eligible children and for services provided in a childs special education plan under the Individuals with
Disabilities Education Act (IDEA). These services include both primary and preventive care such as vision
and hearing screenings, diabetes and asthma diagnosis and management, occupational and physical
therapy, nursing care, mental health evaluation and services, special education aides and instructors in
classrooms, and other services and personnel provided to students with disabilities.

For the most recent reporting school years, Virginia received nearly $33 million2 in federal Medicaid funding
for school-based services. Under the Republican health care plan known as TrumpCare Medicaid cuts
could force state elected officials to significantly reduce funding to schools that provide special services
to students with disabilities. Schools in every corner of the Commonwealth would be negatively affected
by the Republican health care proposal. Schools would still be required to provide the same level of services
for students with disabilities, but receive less financial support from the federal government. Below you will
find the current federal reimbursement for Medicaid spending in Virginia school districts.

School Division3 Federal Reimbursement2


Accomack County Public Schools $282,183.82
Albemarle County Public Schools $283,718.34
Alexandria City Public Schools $1,966,076.28
Alleghany County Public Schools $91,501.38
Amelia County Public Schools $1,268.22
Augusta County Public Schools $307,351.27
Bath County Public Schools $66,945.08
Bedford County Public Schools $160,192.13
Bland County Public Schools $13,080.70
Bristol City Public Schools $33,069.41
Buchanan County Public Schools $76,044.75
Buena Vista City Public Schools $60,319.97
Caroline County Public Schools $197,165.19
Carroll County Public Schools $148,285.22
Charlottesville City Public Schools $354,351.82
Chesapeake City Public Schools $526,684.79
Chesterfield County Public Schools $605,635.83

1
Data obtained from the Virginia Department of Medical Assistances Services (VDMAS).
2
Reflects total federal reimbursements minus VDMAS fee for both administrative and direct expenditures, not state match
reimbursements. Administrative expenditures represent expenditures for the 2015-16 school year. Direct expenditures reflect
expenditures for services related to special education individual education plans (IEPs) for the 2014-15 school year as there is an
18-month lag time in reporting at the state level.
3
School divisions not listed did not receive federal reimbursements for administrative expenditures for the 2015-16 school year or
for direct expenditures in the 2014-15 school year, however they may have filed for federal reimbursements in other school years
or students were provided services by out-of-school Medicaid providers.
1
Clarke County Public Schools $963.92
Colonial Beach Public Schools $35,340.58
Colonial Heights City Public Schools $60,040.88
Covington City Public Schools $33,389.79
Craig County Public Schools $4,728.80
Culpeper County Public Schools $139,211.07
Cumberland County Public Schools $55,862.61
Danville City Public Schools $275,303.80
Dickenson County Public Schools $146,598.58
Dinwiddie County Public Schools $8,755.79
Essex County Public Schools $91,439.09
Fairfax County Public Schools $2,996,045.12
Fauquier County Public Schools $194,153.71
Floyd County Public Schools $131,144.48
Fluvanna County Public Schools $73,447.78
Franklin City Public Schools $99,579.29
Franklin County Public Schools $349,583.88
Frederick County Public Schools $160,998.63
Fredericksburg City Public Schools $168,490.31
Giles County Public Schools $62,092.82
Gloucester County Public Schools $244,296.96
Greene County Public Schools $101,480.48
Greensville County Public Schools $102,205.33
Halifax County Public Schools $313,803.19
Hampton City Public Schools $710,661.35
Hanover County Public Schools $733,756.88
Harrisonburg City Public Schools $314,954.26
Henrico County Public Schools $1,401,255.42
Henry County Public Schools $470,134.97
Hopewell City Public Schools $246,879.47
Isle of Wight County Public Schools $158,334.92
King and Queen County Public Schools $37,354.80
King George County Public Schools $256,744.19
King William County Public Schools $3,697.59
Lancaster County Public Schools $79,666.68
Lee County Public Schools $389,221.92
Loudoun County Public Schools $622,883.58
Louisa County Public Schools $206,990.83
Lynchburg City Public Schools $279,221.03
Madison County Public Schools $67,047.99
Manassas City Public Schools $578,414.79
Manassas Park City Public Schools $4,186.16
Martinsville City Public Schools $69,455.70
Mathews County Public Schools $66,216.64
Mecklenburg County Public Schools $247,407.56
Middlesex County Public Schools $5,382.77
Montgomery County Public Schools $377,473.71

2
Nelson County Public Schools $59,003.77
Newport News City Public Schools $219,200.51
Norfolk City Public Schools $1,809,799.36
Northampton County Public Schools $95,655.90
Northumberland County Public Schools $19,842.79
Norton City Public Schools $26,825.86
Orange County Public Schools $198,734.71
Page County Public Schools $128,372.01
Patrick County Public Schools $188,057.76
Petersburg City Public Schools $98,125.48
Pittsylvania County Public Schools $250,958.95
Poquoson City Public Schools $34,015.30
Portsmouth City Public Schools $617,709.37
Prince Edward County Public Schools $139,966.38
Prince William County Public Schools $1,382,231.06
Pulaski County Public Schools $99,947.18
Richmond City Public Schools $1,567,979.14
Richmond County Public Schools $28,855.91
Roanoke City Public Schools $427,970.16
Roanoke County Public Schools $214,279.55
Rockingham County Public Schools $426,694.00
Russell County Public Schools $222,784.57
Salem City Public Schools $87,854.62
Scott County Public Schools $293,432.57
Shenandoah County Public Schools $266,564.99
Smyth County Public Schools $175,346.90
Southampton County Public Schools $86,792.01
Spotsylvania County Public Schools $805,432.40
Stafford County Public Schools $814,879.66
Suffolk City Public Schools $333,319.22
Tazewell County Public Schools $156,900.88
Virginia Beach City Public Schools $1,608,596.97
Virginia School for the Deaf and the Blind Staunton $164,824.50
Warren County Public Schools $167,666.41
Washington County Public Schools $322,572.84
Waynesboro City Public Schools $57,366.76
West Point Public Schools $21,183.12
Westmoreland County Public Schools $62,994.50
Winchester City Public Schools $94,826.94
Wise County Public Schools $307,437.83
Wythe County Public Schools $350,863.94
York County Public Schools $105,422.19
Total Federal Reimbursement to Virginia Schools $32,891,463.27