Medical Assistance

Student Eligibility for Medical Assistance (MA)

Indicate YES or NO

MA Number

If the student is a recipient of Medical Assistance enter the student’s MA number.

Parental Consent for Service Coordination and Health Related Services

An IEP team determines that the recipient of Medical Assistance (MA) is a student with disabilities who:

• Is eligible for special education and related services; and
• Requires the provision of special education and health related services.

The student’s parent elects, on the student’s behalf, to receive service coordination and health related services as specified in the student’s IEP. In accordance with COMAR 10.09.52, the student’s parent is required to identify the MA Service Coordinator(s).

Each time the student’s IEP is reviewed or revised, a public agency must obtain written parental consent to access MA for service coordination and health related services in accordance with 34 C.F.R. §300.154(d)(2)(iv)(A).

NOTE:
If the student’s parent refuses consent for MA service coordination or access to public benefits, the public agency is not relieved of its responsibility to provide all required health related services at no cost to the parents.