All special transportation
arrangements recommended by the Committee on Special Education (CSE) and
Committee on Preschool Special Education (CPSE) and identified on the students'
Individualized Education Program (IEP) are eligible for Medicaid funding. Since there is no mandate for regular
transportation for preschool children, any transportation required by a
preschool child with a disability and indicated on his or her IEP is considered
special transportation and eligible for Medicaid reimbursement.
Transportation for all
students is mandated pursuant to Section 3635 of the Education Law. Transportation as a special education service
is provided when a student requires specialized transportation equipment, supports
or services because of his/her disability [34 CFR 300.24(b)(15)].
In determining whether to include special transportation on a student's
IEP, the CSE and the CPSE must consider how the student's disability affects
the student's need for transportation.
For a preschool child, the CPSE must also consider the site at which
special education services will be provided to the child if that site is
different from the site at which the child receives other preschool or daycare
services. The process to recommend
special transportation should include:
·
Determining if the student's disability prevents the student from
accessing the same transportation provided to non-disabled students or from
getting to school in the same manner as non-disabled students;
·
Determining if a preschool child will be receiving special education
services at a site other than his or her preschool or daycare services; and
·
Documenting recommendations on the IEP as to the specialized equipment,
supports or services a student needs to travel to and from or between schools.
Claims for Medicaid
reimbursement for special transportation must include the following
documentation:
·
Special transportation must be indicated on the student's IEP;
·
The IEP must specify any special transportation, needs as appropriate,
as defined in the March 2005 memo entitled Special Transportation for Students
with Disabilities, from Rebecca Cort. (Appendix A)
·
Provider attendance sheets for the Medicaid covered related service
other than the transportation must be on file; and
·
The schedule/roster for the transportation must be available and have
the child’s name, approximate time and address where the child is picked up and
dropped off each day and the type of vehicle.
·
Daily attendance on bus must be taken when child is picked up and
dropped off from the bus(updated 2/6/07).
·
Transportation departments must be made aware
that these are necessary documentation for the claiming of Medicaid services. The maintenance of this document is mandated
in SED ED- Schedule 1.
·
Pursuant to SED Records Retention and
Disposition Policy these documents are required under ED-Schedule 1. These documents must be retained for six
years from the date the service was paid.
NOTE: Special transportation can only be billed on
a day(s) that a Medicaid reimbursable service was delivered and can only be
billed for a round trip.
Codes (Fees vary, refer to fee schedules):
|
SSHSP(NYC) 5496
PSHSP(NYC) 5327
|
|
|
SSHSP (Nassau,
Suff., West.) 5496 PSHSP(
|
|
|
SSHSP (Rest of State) 5496 PSHSP(Rest of State) 5327
|
|
|
|
|
|
|
|
|
|
|
Fees have been established for each school district. Please refer to the school district and county rates for all Special Transportation fees at the Medicaid WEB Page (directions for access to the WEB Page are on the last page of this guidebook).