Third Party Billing
The federal Individuals with Disabilities Education Act (IDEA) and Minnesota statutes require all school districts to seek payments from third parties when the cost of assessments and related services are covered by a student’s public or private health plan. To accomplish this mandate, districts must integrate complex health plan requirements with the intricate details of IDEA.
Combined Consent to Share Data and Seek Payment for Individualized Education Program (IEP) Health-Related Services-A form districts may use to obtain consent for third-party reimbursement: English Hmong Russian Somali Spanish (Billing Information in Spanish) Vietnamese
Additional third-party billing resources are available under related resources, including Part B Procedural Safeguards Notices from the Recommended Due Process Forms page.
Contact Mike Matlock, Minnesota Department of Education, 651-582-8379 with questions on the Electronic Data Reporting System (EDRS) and the cost and full-time equivalent (FTS) components used in the rate-setting process. Department of Human Services (DHS) contacts are listed below:
Combined Consent to Share Data and Seek Payment for Individualized Education Program (IEP) Health-Related Services-A form districts may use to obtain consent for third-party reimbursement: English Hmong Russian Somali Spanish (Billing Information in Spanish) Vietnamese
Additional third-party billing resources are available under related resources, including Part B Procedural Safeguards Notices from the Recommended Due Process Forms page.
Contact Mike Matlock, Minnesota Department of Education, 651-582-8379 with questions on the Electronic Data Reporting System (EDRS) and the cost and full-time equivalent (FTS) components used in the rate-setting process. Department of Human Services (DHS) contacts are listed below:
- IEP Providers: Genie Potosky, 651-431-2622
- Rates: Jesusa Williams, 651-431-2538
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Third Party Reimbursement: Private Insurance Coverage
MDE obtains responses from private health insurance plans on behalf of school districts statewide to reduce duplication of effort and expedite billing. Find the steps school districts must take. -
Third Party Reimbursement: How to Access SharePoint
See the instructions on this sheet to get signed up to access the TPR SharePoint for timely materials for coordinators and staff setting up the TPR system and billing. -
Interagency Agreement
PDF
Minnesota Departments of Human Services and Education agreement on procedures for interagency disputes for Local Education Agencies and Medicaid enrollee appeals.
