Skip To Main Content

Proposed Use of Public Insurance

Notification to Parent/Guardian

Proposed Use of Public Insurance (Medicaid)

Ages 3 - 21

Education agencies may receive partial reimbursement from the Oregon Health Authority (OHA) for the costs of Medicaid-covered health services provided to Medicaid-enrolled children and young adults. The education agency needs your consent to share information about your child with the OHA.  

The following information about your child may be shared: name; date of birth; type of services provided, the date(s) services are provided, and by whom; attendance records, and State Student Identification Number (SSID).

This notice explains the protections you have related to giving permission for the use of your child’s public insurance (Medicaid). This notice must be provided by the education agency prior to obtaining your written consent to seek Medicaid reimbursement, and then each following year after your consent is obtained.

This written notice is meant to inform you that you have certain rights and protections:

  1. The education agency cannot require you to sign up for the Oregon Health Plan (Medicaid) for your child to receive the school health services to which they are entitled.
  2. The education agency cannot ask you to pay anything for your child's health-related services provided in the school setting. This means they cannot ask you for a co-pay or deductible to bill the OHA for the services provided.
  3. If you give the education agency permission to share information with the OHA to bill Medicaid:
    1. This will not affect your child’s available coverage or other Medicaid benefits; nor will it in any way limit your own family’s use of Medicaid benefits outside of school.
    2. This will not affect your child’s special education services or Individualized Education Program (IEP), Individualized Family Service Plan (IFSP), or Section 504 Plan rights.
    3. Your permission will not lead to any changes in your child’s Medicaid rights.
    4. Your permission will not lead to any risk of losing eligibility for other Medicaid or OHA funded programs.
  4. If you give permission, you have the right to change your mind and withdraw your permission at any time. You must let the education agency know, in writing, that your permission is withdrawn.
  5. If you withdraw your permission or refuse to allow the education agency to share your child’s records and information for the purpose of seeking Medicaid reimbursement for the cost of services, the education agency will continue to be responsible for providing your child with the services, at no cost to you.