Chapter I is the largest federal elementary and secondary education program. It serves educationally disadvantaged children and can support a range of education-related activities. State education agencies allocate Chapter I funds to local school districts. This program operates through state lead agencies designated by the Governor. Medicaid, Title XIX of the Social Security Act, is a federal entitlement program administered by states to provide health care to the poor.
States have a good deal of leeway in determining eligibility.
Although all Medicaid states must provide core mandated services, they may choose to provide up to 31 optional benefits. Case management, for example, is an optional benefit offered in many states that school-linked initiatives could use. Programs must provide outreach and case management services and may target high-risk populations. Basic benefits include health screening, vision, dental, hearing, and other necessary health care services. Title V of the Social Security Act Maternal and Child Health Block Grant is a revenue source that consolidates seven programs for mothers and children.