In May 2023, the Centers for Medicare and Medicaid Services (CMS) released new guidance on school Medicaid that is a clear victory for school health and student health. It affirms that states have flexibility in their school-based Medicaid program to allow school districts to bill Medicaid for health services delivered to all Medicaid-enrolled…

This consumer education document is intended to provide a complete description of Medicare's Prospective Payment System (PPS) for hospitals from the consumer's point of view and to provide basic information on how consumers can protect their rights to appropriate hospital care under Medicare. The first section describes the PPS and also explains…

Health Maintenance Organization (HMO) "risk contracts," under which HMOs cover Medicare-eligible individuals, are explained; and the costs, benefits, and coverage are compared with those of other managed care options. Employers with retiree medical plans are encouraged to consider using HMO risk contracts for both short- and long-term…

With health insurance costs soaring for both current employees and retirees, governing boards of institutions of higher education must contain costs. Possible strategies include shifting some expenses from employer to employee, establishing flexible-benefit or cafeteria plans, using managed care to reduce unnecessary medical procedures,…

Intended for parents and legal guardians of mentally retarded persons, the manual provides guidelines for estate planning. An overview of definitions, causes, and prevalence factors in retardation is followed by reviews of the major financial assistance governmental programs such as Medicare, and Supplemental Security Income, and of legal…

Basic information about Social Security and Supplementary Security Income benefits for children with disabilities is presented in a question-and-answer format. The following questions are addressed: "How can a child get benefits from Social Security or Supplemental Security Income (SSI)?"; "How is eligibility determined?";…

Intended for parents of disabled children, the handbook addresses issues of estate planning and other legal matters concerning the child's future. An initial section on guardianship covers such aspects as how to obtain guardianship, duties, and alternatives to guardianships. Wills and trusts are examined in separate chapters which include…

This paper addresses issues related to Medicaid-reimbursable nursing services covered under the Florida Medicaid Certified School Match Program and the federal Medicare Catastrophic Coverage Act in coordination with the Individuals with Disabilities Education Act. Following a brief section providing background information, 23 questions and answers…

This guide identifies sources of funding for purchasing assistive technology for people with disabilities. It outlines eligibility requirements, specifies which devices can be obtained from which sources of funding, and discusses how to effectively approach the funding process. It begins by defining assistive technology categories, describing the…

The booklet offers suggestions for parents concerned with providing lifetime protection for a child with mental retardation. Emphasis is placed on the interrelationship between the child's prospective needs of social and/or economic supports and the formal mechanisms which can be brought to bear on them. Four major topics are addressed: (1)…

This book provides a collection of current and historical data on some of the most pressing health challenges facing women, their families, and their communities. It is intended to be a concise reference for policymakers and program managers at the federal, state, and local levels. The book brings together the latest available data from various…

The booklet describes the provisions and the significance of two laws which provide technology services or devices for persons with disabilities: Public Law 100-407, the Technology Related Assistance for Individuals with Disabilities Act of 1988; and Public Law 100-360, the Medicare Catastrophic Coverage Act. The first authorizes federal funds to…

Professional counselors are often uninformed about insurance matters. This monograph is for counselors who wish to participate in third-party reimbursement activities. The text addresses general issues related to professional counselors and health care reimbursement. It describes major health reimbursement plans such as Blue Cross/Blue Shield,…

Many parents who choose to hire someone to provide child care in their home find that locating the right person to provide reliable and loving care can be difficult and that understanding their tax responsibilities is a major challenge. This booklet, directed to parents, details guidelines for selecting an in-home child caregiver and for meeting…

This handbook is designed to help disabled individuals determine the effects of a given employment opportunity on Social Security Benefits. Because of the complexity of the material, it is intended not for the consumer, but for the social workers, counselors, and developmental disabilities coordinators as a reference source for work with people…