441—78.50 (249A) Local education agency services. Subject to the following subrules, payment shall be made for medical services provided by local education agency services providers to Medicaid-eligible individuals under the age of 21.
	 78.50(1) Covered services. Covered services include, but are not limited to, audiology services, behavior services, consultation services, medical transportation, nursing services, nutrition services, occupational therapy services, personal assistance, physical therapy services, psychologist services, speech-language services, social work services, vision services, and school-based clinic visit services.
Vaccines available through the Vaccines for Children program under Section 1928 of the Social Security Act are not covered as local education agency services. However, the administration of vaccines is a covered service.
Payment for supplies shall be approved when the supplies are incidental to the patient’s care, e.g., syringes for injections, and do not exceed $25 per month. Durable medical equipment and other supplies are not covered as local education agency services.
	 78.50(2) Coordination services. Payment shall also be approved for local education agency services coordination, subject to the following requirements:
	  a.   	 Service coordination must consist of activities to assist and enable a child to receive local education agency services and must serve as the point of contact in assisting parents to obtain the services and assistance needed. This must include, but is not limited to:
	 (1) 	 Coordinating the evaluations and assessments needed by the child.
	 (2) 	 Facilitating and participating in the development and review of the initial and annual individual education plan (IEP) or individual health plan (IHP) pursuant to 281—Chapter 41, Division VIII, or 281—subrule 41.96(1).
	 (3) 	 Conducting triennial reviews.
	 (4) 	 Providing ongoing service coordination.
	 (5) 	 Facilitating the timely delivery of needed services.
	 (6) 	 Keeping records, including preparing reports, updating service plans, making notes about IEP/IHP activities in the child’s record, and maintaining face-to-face contact as required in 78.50(2)“b.”
	  b.   	 A minimum of one face-to-face contact per quarter between the service coordinator and the child and family is required for payment of local education agency coordination services.
	 78.50(3) Delivery of services. Services must be delivered directly by the local education agency services providers or by a practitioner under contract with the local education agency services provider.
	 78.50(4) Remission of nonfederal share of costs. Payment for services shall be made only when the following conditions are met:
	  a.   	 Rescinded IAB 5/10/06, effective 7/1/06.
	  b.   	 The local education agency services provider has executed an agreement to remit the nonfederal share of the cost to the department.
	  c.   	 The local education agency provider shall sign and return Form 470-3816, Medicaid Billing Remittance, along with the funds remitted for the nonfederal share of the costs of the services as specified on the form.
This rule is intended to implement Iowa Code section 249A.4.