Page 28 - Procedural_Safeguards_PartCregs

Under current policy, DHHR/WVBTT does not charge fees or other
costs to families for:
A. Implementing child find requirements, evaluations and
assessment, or service coordination.
B. Administrative and service coordination activities related to
development, review and evaluation of IFSPs, or
implementation of procedural safeguards in Subpart E of IDEA
and the other components of the statewide system of early
intervention services.
C. Part C services identified as needed on the IFSP.

DHHR/WVBTT does use public insurance funds including Medicaid and
CHIP for the provision of WVBTT services without parental consent, but
only with the assurance that such use will not result in:
• A decrease in available annual or lifetime coverage or any
other insured benefit for the child or parent;
• The child’s parents paying for services that would otherwise
have been paid for by the public benefits or insurance program;
• An increase in premiums or the cancellation of public benefits
for the child or parents;
• An out-of-pocket expense such as the payment of a co-pay or
deductible amount incurred in filing a claim; or
• Risk of loss of eligibility for the child or the child’s parents for
home and community-based waivers based on total health-
related costs.

No parent will be required to sign up for or enroll in a public benefits or
insurance program as a condition for their child to receive Part C
services.

Third Party Liability (TPL) and Medicaid
TPL refers to coverage by both public insurance and private insurance.

The processing of Medicaid or CHIP claims for WVBTT services will not
result in
claims
against any
child’s private

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