Student Support Programs and Services

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Medicaid In Schools

Why select YES?

By submitting claims through the Medicaid Certified School Match Program, the district will receive federal government funds that will help pay for services that students receive, purchase durable medical equipment and help fund the district's efforts to enhance medical and mental health services.

The following is a sample of the services the school district will be able to receive reimbursement and critical funding for:

Evaluations
Physical Therapy
Occupational Therapy
Speech Therapy and Language Therapy
Behavioral Services
Nursing Services
Augmentative and Alternative Comunication Services
Transportation
Other related services and equipment

Please note the district's participation in the Medicaid Certified School Match Program will not interfere with or reduce student or family Medicaid coverage or benefits in any way, shape or form

Please see below for additional information

Parental Consent to Release Personally Identifiable Information for Medicaid Reimbursement

By selecting YES on the Medicaid Certified School Match Notice and Consent, you are verifying that you have read, understand and are consenting to the following:

Pasco County Schools wishes to seek reimbursement for certain services provided to your child by accessing Medicaid. We must obtain your written informed consent for the purpose of releasing certain information related to seeking Medicaid reimbursement. Medicaid reimbursement helps the school district fund costs of providing special education, related services and any other services allowable by Medicaid.

I understand and give my consent to the school district to share information about my child with the State Medicaid Agency (State of Florida Agency for Health Care Administration), its fiscal agent, and the school district’s Medicaid billing agent or billing facilitator for the school district to verify Medicaid eligibility, seek Medicaid reimbursement, and satisfy audit and review requests related to services provided to my child. I understand that I may withdraw this consent to release information for Medicaid reimbursement at any time. I understand that if I refuse to give my consent or withdraw this consent, the school district will continue to provide all required services necessary to receive an appropriate education at no charge to my child in accordance with 34 CFR § 300.154(d)(2)(v)(D) or other services provided outside of the IEP. If consent is withdrawn, it will become effective on the date of withdrawal and no information will be released after that date. The information shared may include my child’s name, date of birth, address, primary special education disability (if applicable), Social Security number, Florida Medicaid identification number, and the type and amount of health services provided, including the times and dates services were provided. Services may include assistive communication services, physical therapy services, occupational therapy services, speech therapy services, hearing and language therapy services, behavioral services, transportation services, and nursing services. The records to be released or exchanged may include IEPs, assessment and eligibility records, related service therapy records and logs, transportation logs, progress notes, and nursing reports or records.

Individual Educational Plan (IEP) Services
The Individuals with Disabilities Education Act of 2004 (IDEA) permits school districts to seek reimbursement from Medicaid for services provided at school (Title 34, section 300.154(d)(2)(iv)(A)-(B),(CFR).

Non-IEP Services
School districts are also allowed to seek reimbursement from Medicaid for services provided under the Florida Administrative Code Medicaid rule for school-based services (Rule 59G-4.035).

Annual Parent Notification

Pasco County Schools may request the use of Medicaid or other public benefits or insurance programs in which your child participates to provide or pay for services required under the Individuals with Disabilities Education Act (IDEA), section 300.154(d)(2)(v) of Title 34, Code of Federal Regulations, as permitted under the public benefits or insurance program. The IDEA requires that your school district obtain a one-time parental consent before accessing your child's or your public benefits or insurance for the first time. The one-time parent consent must specify:

The personally identifiable information that may be disclosed
The purpose of the disclosure
The agency to which the disclosure may be made
That you understand and agree that the school district may access your child's or your public benefits or insurance to pay for services under Part B of the IDEA

The district must also provide written notification to you before accessing your child's or your public insurance for the first time, prior to obtaining the one-time parental consent, and annually thereafter.

You have the right to withdraw your consent to disclosure of your child's personally identifiable information to the agency responsible for the administration of the state's public benefits or insurance program at any time. Withdrawal of your consent or refusal to provide consent to disclose personally identifiable information does not relieve the school district of its responsibility to ensure that all required services are provided at no cost.

The district:

May not require you to sign up for or enroll in public benefits or insurance programs in order for your child to receive a free appropriate public education under IDEA Part B;
May not require you to incur an out-of-pocket expense such as the payment of a deductible or co-pay amount incurred in filing a claim for services provided pursuant to this part, but the school district may pay the cost that you otherwise would be required to pay;
May not use your child's benefits under a public benefits or insurance program if that use would:
- Decrease available lifetime coverage or any other insured benefit
- Result in your family paying for services that would otherwise be covered by the public benefits or insurance program and that are required for your child outside of the time your child is in school
- Increase premiums or lead to the discontinuation of benefits or insurance
- Risk loss of eligibility for home and community-based waivers, based on aggregate health-related expenditures