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Third Party Billing    Minnesota Health Care Programs (MHCP) Provider Manual

 What is it?

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.