Third-Party Billing

Federal and state law require all public Minnesota schools to request payment for Individualized Education Program (IEP) health-related services from public and private health insurers. Minnesota Health Care Programs (MHCP) pays the federal share of covered health-related services described on a child’s IEP or Individualized Family Service Plan (IFSP).

Schools are reimbursed when a child has as a disability and an IEP or IFSP, requires health-related services in order to benefit from special education and is eligible for Minnesota Health Care Programs (MHCP) (which includes Medical Assistance (MA), MinnesotaCare and other public, government health programs). Reimbursable IEP health related services include assessments and services for:

  • Physical therapy.
  • Occupational therapy.
  • Speech-language-hearing.
  • Children’s Therapeutic Services and Systems (Mental Health).
  • Nursing.
  • Personal care assistance services.
  • Assistive technology devices (medical equipment).
  • Special transportation (Department of Human Services (DHS) definition).
  • Oral and sign language interpreter services during above service.

Parents of children with disabilities must be fully informed before consenting to schools sharing information with DHS and to bill. See the consent policy and form below.

See the related links on this page for legal requirements, school finance instructions and guidance from the Department of Human Services (DHS), the Medicaid authority in Minnesota.