Illinois Medicaid School Based Health Services

Illinois Medicaid School-Based Health Services

If your child's individual education plan (IEP) or 504 Plan includes special education and related services provided by our special education staff and/or related service providers, and they are eligible for Medicaid, please complete this consent form. One or more of the services included on your child's IEP or 504 qualifies for reimbursement from Medicaid. Schools routinely access Medicaid funding to help meet the costs of providing special education services. Federal special education law requires that school districts seek parental permission prior to submitting bills for reimbursement from public insurers such as Medicaid. 

The purpose of this consent form is to ask for your permission (also known as consent) to share records and information about your child with Medicaid. Granting this permission to bill Medicaid will not reduce your ability to seek other Medicaid-covered health-related services outside the school setting. This permission will not decrease lifetime coverage, increase premiums, or lead to the discontinuation of benefits, as Medicaid does not have a maximum number of eligible visits or a lifetime maximum for services.