What does Medicaid have to do with schools? Medicaid provides healthcare coverage to people with low-incomes, including children. An often-overlooked aspect of Medicaid is that it can directly reimburse local educational agencies for school-based services. School Medicaid can be an incredibly valuable tool to support state and local efforts to sustain and expand access to school-based health and mental health services, especially those aligned with ESEA and IDEA programs. In this workshop, presenters will introduce basic information about understanding Medicaid in school settings and how it is aligned with education initiatives, such as multi-tiered systems of support and mental health and wellness programs. This workshop will equip state and local education leaders with information to understand the policy landscape around Medicaid in schools and identify strategies to leverage Medicaid funding to strengthen ESEA and IDEA programs.