Coverage applies to individuals up to the age of 21 who are eligible under the provisions of the Individuals with Disabilities Education Act (IDEA) of 1990 as amended in 2004 and to those enrolled in programs that require an Individualized Education Program (IEP) or an Individualized Family Services Plan (IFSP).
Partial reimbursement applies to the following services:
Direct Medical Services
- Occupational Therapy Services
- Orientation and Mobility Services
- Physical Therapy Services
- Psychological, Counseling and Social Work Services
- Speech, Language and Hearing Services
- Nursing Services
Targeted Case Management
Targeted case management services are services furnished to assist individuals in gaining access to needed medical, social, educational or other services. The case manager is the person responsible for the implementation of the plan of care/treatment plan.
Personal Care Services
Personal Care Services are a range of human assistance services provided to persons with disabilities and chronic conditions which enables them to accomplish tasks that they would normally do for themselves if they did not have a disability.
Medicaid may reimburse for special education transportation when a beneficiary receives a Direct Medical Service on the same day. Special Education specialized transportation services include transport to and from the beneficiary's pick-up and drop-off site where Medicaid services are provided.