Section 405IAC5-30-11. IEP transportation services

   Medicaid reimbursement is available for IEP transportation services subject to the following limitations:

(1) Services are consistent with the definition set forth in 405 IAC 5-2-13.3.

(2) IEP transportation services must be listed in a Medicaid enrolled student's IEP and must be necessary to enable the student to receive other Medicaid covered services listed in the student's IEP.

(3) IEP transportation services:

(A) must be rendered by school corporation personnel or their contractor; and

(B) are not covered when provided by a member of the student's family if the person is not an employee of the school corporation.

(4) IEP transportation service must be provided using a type of vehicle that is appropriate for the student's disability and meets the specifications established in:

(A) 575 IAC 1-1-1(a) through 575 IAC 1-1-1(h);

(B) 575 IAC 1-5; or

(C) 575 IAC 1-5.5.

(5) Additional reimbursement is available for an attendant, subject to the limitations in 405 IAC 5-30-8(1) and 405 IAC 5-30-8(2), provided the student's IEP includes the need for an attendant and all other Medicaid requirements are met.

(6) Documentation for IEP transportation service claims, such as an ongoing trip log maintained by the provider of the transportation, must be maintained for audit purposes.

(7) Reimbursement is available for IEP transportation services subject to the requirements set forth in this rule and when provided in accordance with provider communications, including banners, bulletins, provider manuals, and the provider agreement.

(8) School corporations are exempt from the transportation provider requirements set out in 405 IAC 5-4-2, when transportation services provided are in conformance with this rule and IC 20-27.

(Office of the Secretary of Family and Social Services; 405 IAC 5-30-11; filed Apr 22, 2013, 9:47 a.m.: 20130522-IR-405120550FRA; readopted filed Oct 28, 2013, 3:18 p.m.: 20131127-IR-405130241RFA)