Collaborative Working Relations with Your State Medicaid Office: Whats in It for YouReportar como inadecuado

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Medicaid is the principal source of public funding for therapeutic interventions for children birth to 21 years of age and can be used to support health-related services of special education programs. An overview discusses Medicaid provisions related to state medical assistance plans; Medicaid's status as an entitlement, which means that services are not limited by federal budgetary appropriations; eligibility; mandatory services; and optional services. Of key importance to special education is the provision of early, periodic screening, diagnosis, and treatment services to persons below the age of 21. During the 1990s, a collaboration between Maine's Department of Education and Bureau of Medical Services (the state Medicaid office) developed strategies whereby health-related services could be delivered within public schools and partially funded by Medicaid reimbursements. Eligible costs included the health-related portion of special education costs, covering various types of therapy and rehabilitation, screening services, nursing services, and medical transportation. The collaborating state agencies developed a monthly blended-payment system that reimburses school administrative units (SAUs) for eligible services covered in the individual education program. A January 2000 survey of SAUs found that almost all respondents had billed Medicaid during 1998-99; about half had used Medicaid revenues to maintain or expand special education or school health services; and further training was needed. (SV)

Descriptors: Agency Cooperation, Elementary Secondary Education, Federal Aid, Federal State Relationship, Financial Support, Rural Schools, School Districts, School Health Services, Special Education, State Programs, State School District Relationship

Autor: Wolfenden, Deborah Parker; Stockford, David Noble


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