File:  JLCG* - Medicaid Reimbursement

NOTE: While Colorado school districts are not required by law to adopt a policy on this subject, some content in this sample reflects legal requirements school districts must follow. This sample contains the content/language that CASB believes best meets the intent of the law. However, the district should consult with its own legal counsel to determine appropriate language that meets local circumstances and needs.

In all cases in which a student is enrolled in the Colorado Medicaid program, the district shall seek reimbursement for health-related services rendered by qualified district staff. District staff shall make a reasonable effort to coordinate care with the student's health care provider to avoid duplication of services.

As a Medicaid provider, the district shall access Medicaid eligibility information for students from Health Care Policy and Financing ("HCPF"). HCPF is the designated Medicaid agency for the state of Colorado.

The district shall obtain written consent annually from a parent/guardian before release of any non-directory information required for billing. To accomplish this, the district shall:

Note: choose one or more of the following.

•  include a consent form with the "start of school" information each fall.

•  include a consent form with IEP packet materials.

•  include a consent provision on the Medical Emergency form.

All ongoing health and related services shall be rendered by qualified district staff pursuant to an individual health services plan signed by a professional qualified to provide the types of services described in the plan. The plan may be an Individualized Education Program (IEP), Individual Family Service Plan (IFSP), Section 504 Accommodation Plan or any individual health services plan.

A dated record of all transactions shall be kept on file at the school office.

(Adoption date)

LEGAL REF.: C.R.S. 25.5-1-116 (confidentiality of HCPF records)

CROSS REF.: JRA/JRC, Student Records/Release of Information on Students

[Revised January 2008]

COLORADO SAMPLE POLICY 1999