Only health-related services identified in an IEP/IFSP and delivered to students who are actively enrolled as Medical Assistance beneficiaries may be reimbursed as SBAP services. .
A student can be eligible for the MA Program, if they qualify based on income requirements or due to being a child with special needs.
For more information about eligibility, refer to the Office of Income Maintenance webpage and the following resources:
Assisting families with the application process or advising families about the benefits of MA enrollment are MA-allowable administrative activities which may be reimbursed through the quarterly Medicaid Administrative Claiming (MAC) process. When LEA staff perform these activities, evaluate whether they should be included in your Administrative Cost Pool for the Random Moment Time Study (RMTS).
The Individuals with Disabilities Education Act requires parental consent to disclose a student’s personally identifiable information to the State Medicaid Agency for purposes of billing and reimbursement.
- Yes, at any point they can revoke consent.
- The LEA should document that consent was revoked and update MAXCapture to indicate that there is no longer parental consent.