Third Party Billing

IEP HEALTH-RELATED SERVICES
If your child is evaluated to see if they are eligible for special education, and will receive health-related services as part of the education plan, School District 197 will share your child’s name and date of birth with the Minnesota Department of Human Services (DHS) to find out if your child is on Medical Assistance or MinnesotaCare. If you do not want the district to share your child’s name and date of birth with DHS you need to let us know in writing at least one week before we begin to do the evaluation.  Send your request to:

District 197 - Special Programs
1897 Delaware Avenue
Mendota Heights, MN 55118

THIRD PARTY BILLING
Federal and state laws require that all school districts identify and obtain public and private funding sources to help the school district support education health-related services.  The services may include assessment/evaluations, speech/language/hearing services, occupational therapy, physical therapy, nursing services, mental health services, personal care services, assistive technology devices, interpreter services and special transportation.  The funding sources include Medical Assistance (MA), MinnesotaCare (MC), and private health insurance.  In order for the district to receive these additional federal dollars, we need your consent to share the information necessary to submit claims for payment to the Minnesota Department of Human Services. The consent form is available by clicking on the Third Party Billing link below.  Send the completed form to:

District 197 - Special Programs 
Attn:  Karen Conway
1897 Delaware Avenue
Mendota Heights, MN 55118

Third Party Billing Consent Form - English
Third Party Billing Consent Form - Español

We appreciate your support and cooperation. If you have questions, please contact Karen Conway at 651-403-8369 or karen.conway@isd197.org.