ASHA Advocate: July 26, 2024

In spring 2023, the Department of Education released a proposed rule that would remove the requirement for public agencies, like schools, to obtain parental consent prior to accessing for the first time a child's public benefits or insurance (e.g., Medicaid, Children's Health Insurance Program (CHIP)) to provide or pay for required IDEA Part B services. Given extensive feedback from many stakeholders, including ASHA [PDF], the Department put the rule on hold while it addresses the many issues the opposing comments made.

ASHA has heard from members that Medicaid services are often denied when school-based services are offered on the same day or even just to the same child whose Medicaid insurance is billed across multiple settings. If you work in the outpatient setting and have experienced Medicaid denials of covered services based on services supplied in the schools that are also billed to Medicaid, please share your experiences here to help us collect important data.

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