CONSENT TO ACCESS PUBLIC BENEFITS

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CONSENTIMIENTO PARA TENER ACCESO A BENEFICIOS PÚBLICOS

Authorities: 34 CFR Parts 99 and 300

	REQUISITOS FEDERALES Y ESTATALES
Práctica	La agencia de educación local (LEA) debe cumplir con las estructuras de PADRE y de ESTUDIANTE ADULTO Y TRANSFERENCIA DE DERECHOS, según sea apropiado.
Práctica	La LEA debe cumplir con la estructura de USO DE CANTIDADES DE FÓRMULA PARTE B DE IDEA EN GENERAL.
Práctica	La LEA puede usar Medicaid u otros beneficios públicos o programas de seguro en los cuales el niño participa para proporcionar o pagar por servicios requeridos bajo la Ley de Educación para Individuos con Discapacidades (IDEA), según es permitido bajo los beneficios públicos o programa de seguro, excepto como se dispone en esta estructura. Citas: 300.154(d)
	ELEMENTOS DE AVISO REQUERIDO
Práctica	Antes de tener acceso a los beneficios públicos o seguro del niño o padre por primera vez, y posteriormente anualmente, la LEA debe proveer aviso escrito al padre del niño en idioma comprensible al público en general y en el idioma materno del padre u otro modo de comunicación, que incluye una declaración: Citas: 300.154(d)(2)(v) 300.503(c)
Documentación	De las estipulaciones de consentimiento paternal de esta estructura; Citas: 300.154(d)(2)(v)(A)
Documentación	Que el padre entiende que el otorgamiento del consentimiento es voluntario por parte del padre y puede ser revocado en cualquier momento; Citas: 300.154(d)(2)(v)(C)
Documentación	Que el retiro del consentimiento del padre o rehusar para consentir divulgar información personalmente identificable a Medicaid no libera a la LEA de su responsabilidad de asegurar que los servicios requeridos son proporcionados sin costo a los padres; Citas: 300.154(d)(2)(v)(D)
Documentación	Que la LEA no puede requerir al padre a: Citas: 300.154(d)(2)
Documentación	Que se incriba o se registre en beneficios públicos o en programas de seguro para que el niño reciba una educación gratis pública apropiada; o Citas: 300.154(d)(2)(i)
Documentación	Que incurra gastos pagados en efectivo como el pago de una cantidad deducible o una cantidad de pago conjunto incurrida al presentar una reclamación; y Citas: 300.154(d)(2)(ii)
Documentación	Que la LEA no puede usar los beneficios del niño bajo un programa de beneficios públicos o seguro si ese uso podría: Citas: 300.154(d)(2)(iii)
Documentación	Disminuir la cobertura vitalicia disponible o cualquier otro beneficio asegurado; Citas: 300.154(d)(2)(iii)(A)
Documentación	Resultar que la familia pagara por servicios que estarían cubiertos de otra manera por el programa de beneficios públicos o programa de seguro y que son requeridos para el niño fuera del tiempo que el niño está en la escuela; Citas: 300.154(d)(2)(iii)(B)
Documentación	Aumentar las primas o causaría suspención de beneficios o seguro; o Citas: 300.154(d)(2)(iii)(C)
Documentación	Arriesgiar la pérdida de la elegibilidad para renuncias de hogar y base comunitaria, basado en el total de gastos relacionados con la salud. Citas: 300.154(d)(2)(iii)(D)
	ELEMENTOS DE CONSENTIMIENTO PARA TENER ACCESO A BENEFICIOS PÚBLICOS
Práctica	Anter de tener acceso a los beneficios públicos o seguro del niño o padre por primera vez, y después de proveer notificación al padre consistente con esta estructura, la LEA debe obtener consentimiento paternal escrito que es fimado y fechado y que especifica: Citas: 300.154(d)(2)(iv) 99.30(a)
Documentación	La información personal identificable que puede ser divulgada; Citas: 300.154(d)(2)(iv)(A) 99.30(b)(1)
Documentación	El propósito de la divulgación; Citas: 300.154(d)(2)(iv)(A) 99.30(b)(2)
Documentación	La agencia a la cual la divulgación puede hacerse; y Citas: 300.154(d)(2)(iv)(A) 99.30(b)(3)
Documentación	Que el padre entiende y está de acuerdo que la LEA puede tener acceso a los beneficios públicos o seguro del padre o niño para pagar por servicio bajo la IDEA. Citas: 300.154(d)(2)(iv)(B)

Ultima Vez actualizada : Wed, Apr 05, 2023

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34 Code of Federal Regulations § 300.154 Methods of ensuring services.

. . .
(d) Children with disabilities who are covered by public benefits or insurance.
(1) A public agency may use the Medicaid or other public benefits or insurance programs in which a child participates to provide or pay for services required under this part, as permitted under the public benefits or insurance program, except as provided in paragraph (d)(2) of this section.
(2) With regard to services required to provide FAPE to an eligible child under this part, the public agency—
(i) May not require parents to sign up for or enroll in public benefits or insurance programs in order for their child to receive FAPE under Part B of the Act;
(ii) May not require parents to incur an out-of-pocket expense such as the payment of a deductible or co-pay amount incurred in filing a claim for services provided pursuant to this part, but pursuant to paragraph (g)(2) of this section, may pay the cost that the parents otherwise would be required to pay;
(iii) May not use a child’s benefits under a public benefits or insurance program if that use would—               (A) Decrease available lifetime coverage or any other insured benefit;
(B) Result in the family paying for services that would otherwise be covered by the public benefits or insurance program and that are required for the child outside of the time the child is in school;
(C) Increase premiums or lead to the discontinuation of benefits or insurance; or
(D) Risk loss of eligibility for home and community-based waivers, based on aggregate health-related expenditures; and
(iv) Prior to accessing a child's or parent's public benefits or insurance for the first time, and after providing notification to the child's parents consistent with paragraph (d)(2)(v) of this section, must obtain written, parental consent that—
(A) Meets the requirements of §99.30 of this title and §300.622, which consent must specify the personally identifiable information that may be disclosed (e.g., records or information about the services that may be provided to a particular child), the purpose of the disclosure (e.g., billing for services under part 300), and the agency to which the disclosure may be made (e.g., the State’s public benefits or insurance program (e.g., Medicaid)); and
(B) Specifies that the parent understands and agrees that the public agency may access the parent’s or child’s public benefits or insurance to pay for services under part 300.
(v) Prior to accessing a child’s or parent’s public benefits or insurance for the first time, and annually thereafter, must provide written notification, consistent with §300.503(c), to the child’s parents, that includes—
(A) A statement of the parental consent provisions in paragraphs (d)(2)(iv)(A) and (B) of this section;
(B) A statement of the ‘‘no cost’’ provisions in paragraphs (d)(2)(i) through (iii) of this section;
(C) A statement that the parents have the right under 34 CFR part 99 and part 300 to withdraw their consent to disclosure of their child’s personally identifiable information to the agency responsible for the administration of the State’s public benefits or insurance program (e.g., Medicaid) at any time; and
(D) A statement that the withdrawal of consent or refusal to provide consent under 34 CFR part 99 and part 300 to disclose personally identifiable information to the agency responsible for the administration of the State’s public benefits or insurance program (e.g., Medicaid) does not relieve the public agency of its responsibility to ensure that all required services are provided at no cost to the parents.
. . .

Last Amended: 82 FR 29759, June 30, 2017
Entered: Aug. 2, 2017

34 Code of Federal Regulations § 300.154 Methods of ensuring services.

. . .
(d) Children with disabilities who are covered by public benefits or insurance.
. . .
(2) With regard to services required to provide FAPE to an eligible child under this part, the public agency—
(i) May not require parents to sign up for or enroll in public benefits or insurance programs in order for their child to receive FAPE under Part B of the Act;
(ii) May not require parents to incur an out-of-pocket expense such as the payment of a deductible or co-pay amount incurred in filing a claim for services provided pursuant to this part, but pursuant to paragraph (g)(2) of this section, may pay the cost that the parents otherwise would be required to pay;
(iii) May not use a child’s benefits under a public benefits or insurance program if that use would—               (A) Decrease available lifetime coverage or any other insured benefit;
(B) Result in the family paying for services that would otherwise be covered by the public benefits or insurance program and that are required for the child outside of the time the child is in school;
(C) Increase premiums or lead to the discontinuation of benefits or insurance; or
(D) Risk loss of eligibility for home and community-based waivers, based on aggregate health-related expenditures; and
(iv) Prior to accessing a child's or parent's public benefits or insurance for the first time, and after providing notification to the child's parents consistent with paragraph (d)(2)(v) of this section, must obtain written, parental consent that—
(A) Meets the requirements of §99.30 of this title and §300.622, which consent must specify the personally identifiable information that may be disclosed (e.g., records or information about the services that may be provided to a particular child), the purpose of the disclosure (e.g., billing for services under part 300), and the agency to which the disclosure may be made (e.g., the State’s public benefits or insurance program (e.g., Medicaid)); and
(B) Specifies that the parent understands and agrees that the public agency may access the parent’s or child’s public benefits or insurance to pay for services under part 300.
(v) Prior to accessing a child’s or parent’s public benefits or insurance for the first time, and annually thereafter, must provide written notification, consistent with §300.503(c), to the child’s parents, that includes—
(A) A statement of the parental consent provisions in paragraphs (d)(2)(iv)(A) and (B) of this section;
(B) A statement of the ‘‘no cost’’ provisions in paragraphs (d)(2)(i) through (iii) of this section;
(C) A statement that the parents have the right under 34 CFR part 99 and part 300 to withdraw their consent to disclosure of their child’s personally identifiable information to the agency responsible for the administration of the State’s public benefits or insurance program (e.g., Medicaid) at any time; and
(D) A statement that the withdrawal of consent or refusal to provide consent under 34 CFR part 99 and part 300 to disclose personally identifiable information to the agency responsible for the administration of the State’s public benefits or insurance program (e.g., Medicaid) does not relieve the public agency of its responsibility to ensure that all required services are provided at no cost to the parents.
. . .

Last Amended: 82 FR 29759, June 30, 2017
Entered: Aug. 2, 2017