The State of Vermont is implementing a comprehensive transformation of school-based Medicaid services starting October 1, 2026, moving program oversight from the Agency of Education to the Agency of Human Services. Key changes include a new statewide Electronic Health Record system, expanded documentation requirements, and a broader Random Moment Time Study process. While the transition will require significant staff training and workflow adjustments across the district, the long-term goal is to increase federal reimbursement and improve access to services for students. The Business Office is actively planning for implementation and will share updates as guidance and training timelines become available.