In light of worsening mental health among youth, strategies have been implemented to improve access to behavioral health services. However, challenges such as funding and workforce shortages often hinder implementation and sustainability of these services. Medicaid provides significant financing for the delivery of these school services and provides coverage to approximately 4 in 10 children nationwide. This issue brief explores the implementation of these provisions from the Safer Communities Act thus far, with a focus on the guidance issued from CMS.