Billing Medicaid for Health-Related Services in Student’s Individualized Education Program (IEP)
365体育投注平台Q &A-Information and Answers for Families:
Why are school districts billing Medicaid?
The Individuals with Disabilities Education Act (IDEA) allows certain services provided under an Individualized Education Program (IEP) to be covered by Medicaid. Medicaid funds help pay for the costs of providing these services.
What can school districts bill Medicaid for?
School districts can only bill for health-related services that are outlined in the student’s IEP. In general, services for which school districts may bill Medicaid are: audiologist services, evalua- tion and testing, nursing services, occupational therapy, physical therapy, speech therapy, psy- chological services and social work services.
Do school districts need parental consent to bill Medicaid?
365体育投注平台Yes. Before billing Medicaid for the first time, the school district must ask for your permission to bill your or your child’s public benefits or insurance to pay for your child’s related services under the IDEA. School districts are required by the Family Educational Rights and Privacy Act (FERPA) to obtain parental consent before sharing information about a student. This includes sharing personally identifiable information about a student to Medicaid. To receive funding from Medicaid to help pay for the cost of services, the school district must have parental consent to bill Medicaid.
Can parents withdraw their consent to bill Medicaid?
365体育投注平台Yes. Parents have the right to withdraw their consent at any time.
If consent is not given by parents to bill Medicaid, will their children still receive IEP services?
365体育投注平台Yes. Districts are required to provide all IEP services, at no cost to parents, even if the district cannot bill Medicaid. A school district may not require parents to sign up for or enroll in public insurance programs in order for their child to receive a free, appropriate education under IDEA, Part B.
Where can parents get more information about this?
365体育投注平台The US Department of Education Web site at