What types of early intervention services should be claimed to insurance carriers?
Commercial insurance must be claimed for early intervention services reimbursed by the municipality that are included in the child’s insurance benefit plan. While Medicaid coverage is provided in the State Medicaid Plan for all early intervention services (including service coordination and special instruction), commercial insurance carriers will only reimburse for certain services. Commercial insurance coverage is focused primarily on hospital, medical or therapeutic services as opposed to educational or instructional services. Commercial insurance coverage may vary based on the insurance policy purchased by or on behalf of the parent/child. The services provided by the Early Intervention Program that would most likely also be covered to some extent by commercial insurance are: • Physical therapy • Occupational therapy • Speech therapy • Audiology • Medical services for evaluation/diagnostic purposes • Assistive technology devices (e.g., durable medical equipment, prosthetics, orthoti
Related Questions
- Can a child be age-eligible for the Early Intervention Program (EIP) and special education services under Section 4410 of the Education Law at the same time?
- Can a parent volunteer to use his or her insurance for early intervention services if the parents policy is not subject to the Insurance Law?
- What types of early intervention services should be claimed to insurance carriers?
