IEE Price Range and Reimbursement

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Part
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IEE Price Range and Reimbursement

Across Ohio, Indiana, Florida, Texas, and Missouri.school districts that do not provide limits to IEE services, the maximum allowable cost is the cost that does not exceed customary assessment rates in the area. Optionally, in such districts fees can be deemed reasonable whereby fees should not exceed 25% above Medicaid rates.

METHODOLOGY

We began by identifying the Independent Educational Evaluation regulations among select counties across state websites. From the initial research, we determined that it is the prerogative of school districts to establish Independent Educational Evaluation price ranges and reimbursement criteria in line with the Disabilities Education Act. In this regard, we researched Independent Educational Evaluation policy at three school districts per each select state as a representative of the state Independent Educational Evaluation price ranges and reimbursement criteria.

IDEA

The Disabilities Education Act (IDEA) establishes federal regulations for Independent Educational Evaluation Largely, Ohio, Indiana, Florida, Texas, and Missouri states have adopted the letter of the law in the development of their education law. Particularly, the IDEA act establishes that parents have the right to request for Independent Education Evaluation (IEE). Such evaluations will be at the cost of the school district as a public expense unless when the evaluation request does not meet regulations. Parents who request additional IEE will cater for the services at their expense. Parent's IEE expense can be paid by their medical insurer. Additionally, IEE expenses can be covered by Medicaid only if the evaluations are undertaken at hospitals. However, critical to IEE are education evaluations that have to be undertaken at the school institution, which is not covered by Medicaid. Significantly, Ohio, Indiana, Florida, Texas, and Missouri state education regulation for IEE identify that individual school districts will dictate their rates for IEE services.

MISSOURI

  • In the state of Missouri, maximum allowable cost of comprehensive IEE services ranges from $500 to $1000. Single disciplinary evaluations range from $100 to $400 for academic achievement; $100 to $200 for adaptive behavior; $200 for assistive technology; $100 to $150 for auditory acuity; $100 to $150 for auditory perception (cap); $30 to $400 for cognitive. Other single disciplinary evaluations are range as from $100 to $500 for health; $200 to $700 for neurological; $160 to $250 for motor; $200 to $300 for sensory-motor integration; $100 to $400 for speech/language; $200 to $400 for social/emotional/behavioral; $75 to $200 for vision.
  • Delta RV school district identifies comprehensive IEE limited to a total cost of $500. Single disciplinary evaluations will be limited to academic achievement up to $200; adaptive behavior up to $100; assistive technology up to $200; auditory acuity up to $100; auditory perception (cap) up to $100. Other single disciplinary evaluations are cognitive up to $300; health $500; neurological up to $200; motor up to $200; sensory-motor integration up to $200; speech/language up to $200; social/emotional/behavioral up to $200; vision up to $75.
  • The Raypec school district identifies that the IEE services are limited to a maximum price tag of $1000. Single disciplinary evaluations will be limited to academic achievement up to $400; adaptive behavior up to $200; assistive technology up to $200; auditory acuity up to $150; auditory perception (cap) up to $150; cognitive up to $400. Other single disciplinary evaluations are limited as health up to $100; neurological up to $700; motor up to $250; sensory-motor integration up to $300; speech/language up to $400; social/emotional/behavioral up to $400; vision: up to $150.
  • The Pemiscot special school district identifies comprehensive, IEE limited to a total cost of $1000. Single disciplinary evaluations will be limited to cognition/cognitive $250.00; adaptive behavior $100.00; achievement/academic $100.00. Other single disciplinary evaluations are limited as speech/language $100.00; social/emotional/behavioral $250.00; vision $75.00; visual perceptual $75.00; audiology $75.00; auditory perceptual $100.00; health $200.00; motor $160.00.

TEXAS

  • School districts in the state of Texas do not have maximum allowable comprehensive costs for IEE services. Specific disciplinary evaluations costs range at $1500 to 25% above the Medicaid rate for functional behavioral assessments; $1500 to 25% above the Medicaid rate for psycho-educational evaluations. Specific disciplinary evaluations costs range at $1,500 to 25% above the Medicaid rate for psychological evaluations; $1,200 to 25% above the Medicaid rate for speech and language evaluations; $1,000 to 25% above the Medicaid rate for vocational assessments. Other single disciplinary evaluations are range as from $750 to 25% above the Medicaid rate for occupational and physical therapy evaluations; $650 to 25% above the Medicaid rate for functional vision/learning media assessment.
  • Eanes school district does not set limits for IEE services and specific disciplinary evaluations. However, it identifies that it will only pay for reasonable IEE fees if the fees are reasonable whereby fees should not exceed 25% above the prevailing rate in the area for the specific test.
  • The Katy independent school district does not identify total cost for comprehensive IEE but rather identifies single disciplinary evaluations will be limited to functional behavioral assessments $1,500; psycho-educational evaluations up to $1,500; psychological evaluations up to $1,500. Other single disciplinary evaluations are speech and language evaluations up to $1,200; vocational assessments up to $1,000; occupational and physical therapy evaluations up to $750; functional vision/learning media assessment up to $650. Maximum reimbursement is 10% above the prevailing fees in the area or 20% above the Medicaid rate for the specific test.
  • Fort Bend school district does not set limits for IEE services and specific disciplinary evaluations. However, it identifies that it will only pay for reasonable IEE fees if the fees are reasonable whereby fees should not exceed 25% above Medicaid rates.

OHIO

  • In Ohio, the maximum allowable comprehensive IEE cost ranges around $3,000 whereas single disciplinary evaluations maximum allowable cost should not exceed customary assessment rates in the area. As such, the range of cost for single disciplinary evaluations is dependent on customary assessment rates within the school districts.
  • Colombia school district identifies the maximum allowed cost for an Independent Educational Evaluation is $3,000 unless otherwise approved by the Superintendent.
  • Licking Valley school district does not provide limits for IEE costs nor does it specify single disciplinary evaluations limitations. In this regard, the maximum allowable cost is the cost that does not exceed customary assessment rates in the area and there were no unique circumstances.
  • Troy City school district does not provide limits for IEE costs nor does it specify single disciplinary evaluations limitations. However, it identifies that all IEE fees should not exceed maximum allowable cost established in the Independent Educational Evaluation Procedures, As such, the maximum allowable cost is the cost that does not exceed customary assessment rates in the area and there were no unique circumstances.

FLORIDA

  • In Florida, the maximum allowable comprehensive IEE cost has no limits beyond reasonable customary assessment rates. However, single disciplinary evaluations maximum allowable cost should not exceed customary assessment rates in the area. As such, the range of cost for single disciplinary evaluations is dependent on customary assessment rates within the school districts.
  • Dixie school district does not provide limits for IEE costs nor does it specify single disciplinary evaluations limitations. In this regard, the maximum allowable cost is the cost that does not exceed customary assessment rates in the area and there were no unique circumstances.
  • Lakeview school district does not provide limits for IEE costs nor does it specify single disciplinary evaluations limitations. In this regard, the maximum allowable cost is the cost that does not exceed customary assessment rates in the area and there were no unique circumstances.
  • St. John school district does not provide limits for IEE costs nor does it specify single disciplinary evaluations limitations. In this regard, the maximum allowable cost is the cost that does not exceed customary assessment rates in the area and there were no unique circumstances.

INDIANA

  • In Indiana, the maximum allowable comprehensive IEE cost ranges around $2,500 whereas single disciplinary evaluations maximum allowable cost should not exceed customary assessment rates in the area. As such, the range of cost for single disciplinary evaluations is dependent on customary assessment rates within the school districts.
  • Zionsville school district states that the cost of the IEE shall not exceed $2,500.
  • Richmond school district does not provide limits for IEE costs nor does it specify single disciplinary evaluations limitations. In this regard, the maximum allowable cost is the cost that does not exceed customary assessment rates in the area and there were no unique circumstances.
  • South Bend school district does not provide limits for IEE costs nor does it specify single disciplinary evaluations limitations. In this regard, the maximum allowable cost is the cost that does not exceed customary assessment rates in the area and there were no unique circumstances.
Sources
Sources