ERIC Number: ED439542
Record Type: Non-Journal
Publication Date: 1999-Dec
Reference Count: N/A
Medicaid and Special Education: Coordination of Services for Children with Disabilities Is Evolving.
General Accounting Office, Washington, DC.
This report discusses the results of an investigation into the coordination between the Individuals with Disabilities Education Act (IDEA) and the Medicaid program. Interagency agreements and other documentation were obtained and analyzed from 12 state directors of special education, coordination mechanisms reported by key federal agencies were analyzed, and coordination in five urban school districts was reviewed. Results indicate Medicaid and IDEA interact differently at the federal, state, and local levels and the extent and nature of coordination continue to evolve. For the 12 states, interagency agreements and agency liaisons are the primary mechanisms of state-level interaction between Medicaid and IDEA. Interagency agreements are generally used to assign roles and responsibilities to participating agencies, while agency liaisons typically serve as resources for coordination efforts. Local interactions between Medicaid and IDEA are affected by a variety of factors, including the commitment of individual school districts to seek Medicaid reimbursement. Efforts to coordinate Medicaid and IDEA have been adversely affected by the need to safeguard the privacy of children with disabilities while ensuring appropriate documentation for claiming Medicaid reimbursement and by the lack of clear and consistent federal guidance. The development of additional guidance by the Health Care Financing Administration is discussed. (CR)
Descriptors: Agency Cooperation, Coordination, Delivery Systems, Disabilities, Elementary Education, Federal Legislation, Federal State Relationship, Financial Support, Guidelines, Medical Services, Privacy, Program Evaluation, School Districts, Shared Resources and Services
U.S. General Accounting Office, P.O. Box 37050, Washington, DC 20013 (first copy free, additional copies $2, 100 copies or more to a single address discounted 25 percent). Tel: 202-512-6000; Tel: 202-512-2537 (TDD); Fax: 202-512-6061; Web site: http://www.gao.gov.
Publication Type: Reports - Evaluative
Education Level: N/A
Authoring Institution: General Accounting Office, Washington, DC.
Identifiers - Laws, Policies, & Programs: Individuals with Disabilities Education Act