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Note:  This document has been delivered to the Office of the Federal Register but has not yet been scheduled for publication.  The official version of this document is the document that is published in the Federal Register.

insurance program as a condition of receiving Part C services. Under this section, a State may seek to enroll a parent in a public benefits or insurance program, but a parent can decline to enroll without affecting any right to receive Part C services. The purpose of this provision is

to protect the parent’s right to confidentiality of

personally identifiable information (where the lead agency is the same State agency that administers the public benefits or insurance program, such as Medicaid) and to protect the parents from incurring costs involuntarily. We expect this clarification to affect a limited number of States as the majority of States with systems of payments on file with the Department in FFY 2009 that address the use of public benefits or insurance to pay for Part C services do not require families to enroll in those programs in order to receive Part C services. Moreover, we believe that most parents will agree to enroll their infants and toddlers in programs like Medicaid voluntarily

since it is generally to the family’s advantage to obtain

health insurance for all family members to pay for general medical care, including well baby visits and routine immunizations.

However, the few States that currently require parents to enroll in public benefits or insurance programs in order