The Legal Framework for the Child-Centered Special Education Process

 
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CONSENT TO ACCESS PUBLIC BENEFITS  
 
Authorities: 20 U.S.C. § 1412; 34 C.F.R. Part 300; OSEP Letter to State Directors of Special Education (May 3, 2007)
 
 
 
FEDERAL AND STATE REQUIREMENTS CITATIONS

P
The local educational agency (LEA) must comply with the PARENT and ADULT STUDENT frameworks, as appropriate.


P

The LEA must comply with the USE OF IDEA PART B FORMULA AMOUNTS IN GENERAL framework.




P
The LEA may use the Medicaid or other public benefits or insurance programs in which a child participates to provide or pay for services required under the Individuals with Disabilities Education Act (IDEA), as permitted under the public benefits or insurance program, except as provided in this framework. 300.154(d)
1412(a)(12)(B)(i)
1412(e)


D
The LEA must obtain informed consent from the parent each time that access to public benefits or an insurance program is sought. 300.154(d)(2)(iv)(A)
OSEP Ltr to State Directors of Special Education


ELEMENTS OF CONSENT TO ACCESS PUBLIC BENEFITS


P

The "informed consent" that the LEA must obtain to access public benefits means:

300.154(d)(2)(iv)(A)
OSEP Ltr to State Directors of Special Education


D
  • The parent has been fully informed of all information relevant to the LEA's use of public benefits or insurance in his or her native language or other mode of communication, including that the LEA may not:
300.9(a)


D
    • Require parents to sign up for or enroll in public benefits or insurance programs in order for their child to receive a free appropriate public education;
300.154(d)(2)(i)
1412(a)(12)(B)(i)
1412(e)


D
    • 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;
300.154(d)(2)(ii)
1412(a)(12)(B)(i)
1412(e)


D
    • Use a child's benefits under a public benefits or insurance program if that use would decrease available lifetime coverage or any other insured benefit;
300.154(d)(2)(iii)(A)
1412(a)(12)(B)(i)
1412(e)


D
    • Use a child's benefits under a public benefits or insurance program if that use would 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;
300.154(d)(2)(iii)(B)
1412(a)(12)(B)(i)
1412(e)


D
    • Use a child's benefits under a public benefits or insurance program if that use would increase premiums or lead to the discontinuation of benefits or insurance; and
300.154(d)(2)(iii)(C)
1412(a)(12)(B)(i)
1412(e)


D
    • Use a child's benefits under a public benefits or insurance program if that use would risk loss of eligibility for home and community-based waivers, based on aggregate health-related expenditures;
300.154(d)(2)(iii)(D)
1412(a)(12)(B)(i)
1412(e)


D
  • The parent is informed that the parent's refusal to allow access to public benefits or an insurance program in which the child participates does not relieve the LEA of its responsibility to ensure that all required services are provided at no cost to the parents;
300.154(d)(2)(iv)(B)


D
  • The consent describes the activity of the LEA accessing public benefits or an insurance program;
300.9(b)


D
  • The consent lists the records (if any) that will be released and to whom;
300.9(b)


D
  • The parent understands and agrees in writing to the LEA accessing the public benefits or insurance program in which the child participates;
300.9(b)


D
  • The parent understands that the granting of consent is voluntary on the part of the parent and may be revoked at any time; and
300.9(c)(1)


D
  • The parent understands that if the parent revokes consent, that revocation is not retroactive (i.e., it does not negate an action that has occurred after the consent was given and before the consent was revoked).
300.9(c)(2)

 
 
Last Updated: Tuesday, June 02, 2009
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