ERIC Number: ED191196
Record Type: RIE
Publication Date: 1980-Mar
Reference Count: 0
Third Party Payments for Related Services: Policy Issues and Implications for Handicapped Students.
Ross, John W.
Insurance carriers and state directors of special education were contacted for information regarding policies regarding third party payments for related services mandated for handicapped students under P. L. 94-142, the Education for All Handicapped Children Act. Insurance companies were queried regarding reimbursable services, conditions for reimbursement, levels of reimbursement, and qualifications for eligible providers. Findings indicated that school systems are not eligible for reimbursement under the individual's group health insurance policy, and that otherwise reimbursable services are not reimbursable to the school system when the system provides those services. Analysis of state policies revealed confusion over the distinction between educationally and medically related services. Among other findings was that insurance companies negate payments based on governmental benefits exclusion clauses for services required by law. Potential strategies for obtaining third party payments for related services delivered by a school system to handicapped children are considered. A final chapter reviews cooperative agreements between the Bureau of Education for the Handicapped and other federal agencies (including Head Start, Office of Child Health Medicaid Bureau, and the Social Security Administration) regarding cost sharing and service delivery. (CL)
Publication Type: Reports - Research
Education Level: N/A
Sponsor: Bureau of Education for the Handicapped (DHEW/OE), Washington, DC.
Authoring Institution: Council for Exceptional Children, Reston, VA. Policy Research Center.
Note: Policy Options Project Series.