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Please go to the Dispute Resolution Homepage for additional forms, documents and information related to Special Education Mediation, Facilitated IEP Meetings, State Complaints, or Due Process Hearing Requests.

Medicaid Services, Private Insurance and Special Education

  • Medicaid Referring Provider Form for School-Based Services (DOC)
  • Consent For Medicaid School Based Services – Updated December 2013 (DOC)
  • » Consentimiento para Cobrar al Programa del Seguro Privado por los Servicios Basados en la Escuela (PDF)
  • Medicaid Parental Annual Notification _Revised 12 19 13 (PDF)
  • » Adviso Anual Paternal Guardian Acerca de los Beneficios de Medicaid (PDF)
  • IDEA Part B Written Notification Regarding Use of Public Benefits or Insurance June 11 2013 (PDF)
  • » Parte B de IDEA Aviso Escrito Acerca del Uso de Beneficios Publicos o Seguro (PDF)

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  • Out of District Residential Treatment Center Contractual Service Agreement (DOC)
  • In District Residential Treatment Center Contractual Service Agreement (DOC)
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