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Billing Medicaid for Health-Related Services in Student's

Billing Medicaid for Health-Related Services in Student's 2025

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4.8 out of 5

135 votes

The document provides information for families regarding the billing of Medicaid for health-related services included in a student's Individualized Education Program (IEP). It explains that school districts can bill Medicaid with parental consent, detailing the types of services covered and emphasizing that consent can be withdrawn at any time. It reassures parents that IEP services will still be provided at no cost, regardless of Medicaid billing consent, and outlines parental rights under federal and state law.

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Click ‘Get Form’ to open the Billing Medicaid for Health-Related Services in Student's form in the editor.
Begin by entering the student's name, including first, middle, and last names, along with their date of birth and SASID number. This information is crucial for identifying the student.
Review the section regarding consent. Ensure you understand your rights as a parent or guardian, including the ability to withdraw consent at any time without affecting your child's access to services.
Fill out the school district's name where indicated. This identifies which district is seeking permission to bill Medicaid.
In the records disclosure section, specify what records will be shared and for what purpose. This ensures transparency about how your child's information will be used.
Finally, sign and date the form at the bottom. Your signature confirms that you authorize the school district to access public benefits or insurance for health-related services outlined in your child’s IEP.

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2016	4.8 Satisfied (135 Votes)

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