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o Public insurance.................... 303.520(a)(3)(i)

● Co-payments .........................

● Composition of Council (Agency

responsible for State regulation of

health insurance) ................... 303.601(a)(10)

● Construction clause (Non-reduction of

Medicaid benefits).................... 303.510(c)

● Cost participation fees or sliding fees

303.521(a)(1)

● Costs to parents (Use of private

insurance to pay for Part C services)

303.520(a)(4), 303.520(b)(1)(ii),

● Deductible amounts or co-payments ...

303.520(b)(1)(ii)- (b)(1)(iii), 303.521(a)(6)

● Enrollment in public insurance or

benefits program (May not require parent

to enroll)........................... 303.520(a)(2)(i)

INSURANCE (F-O)

● Family or parent funds:

o Not treated as “program income” .... 303.520(d)(1)

o Used for Part C services ........... 303.520(d)(2)

● Funds received under a State’s system of

payments.............................. 303.520(e)

● Health insurance .....................

303.520(b)(2), 303.601(a)(10)

● Lack of consent may not delay or deny

services ............................. 303.520(b)

● Medicaid (Payor of last resort).......

303.510(c)

INSURANCE (P-PR)

● Parental consent and ability to decline

services .............................. 303.420(a)(4)

● Parent or family funds to State not

considered “program income”.......... 303.520(d)(1)

● Policies related to use of insurance to

pay for services .....................

303.520(a), 303.520(b)

● Private insurance ....................

303.520(b)

● Proceeds from public or private

insurance:

o Not treated as income............... 303.520(d)(1)

o Reimbursements (Medicaid, etc) for 303.520(d)(2)