Senate Bill 1095 Summary

• Creates Chapter 61, Title 33, Idaho Code (Special Education Reimbursement Act) to establish a framework for Idaho public schools to receive Medicaid reimbursement for school-based health and rehabilitative services provided to students with disabilities under IDEA.

• Establishes the Interagency Student Services Support Committee by August 1, 2017, comprising representatives from the Department of Education, Department of Health and Welfare, state board of education, legislature, school boards association, school administrators association, six regional special education directors, and two parent advocates to oversee program implementation.

• Authorizes schools to seek Medicaid administrative claiming (MAC claiming) reimbursement for administrative activities supporting eligible students, with the committee recommending a MAC claiming plan to federal agencies by December 1, 2017.

• Requires the Department of Health and Welfare to conduct audits limited to the 12 months preceding notice, with schools permitted to correct billing errors without negative findings, and professional development support identified through audit findings.

• Prohibits civil penalties against schools for audit findings unless intent to defraud is proven, and requires schools to negotiate repayment schedules if Medicaid funds are owed.