TEIS System of Payment
Part C of the Individual’s with Disabilities Education Act (IDEA) requires that some services, including evaluation and assessment, development of the Individualized Family Service Plan (IFSP), and service coordination, are provided at no charge to families.
All additional early intervention services are subject to a state’s system of payments. Although, at this time Tennessee has not instituted family fee charges associated with Part C supports and services, Tennessee has a system of payment process in place to ensure that supports and services are provided in a way that will not create a financial hardship for families. The System of Payments Policies in Tennessee are intended to be used to utilize other primary payor sources without instituting family fees. The System of Payment Policies in Tennessee involve the use of private insurance, Medicaid and other government benefits to pay for Part C supports and services.
As families enter the Part C system, they should be provided clear information about the System of Payment Policies and procedures that apply for their family’s situation. For broader information about financing of Part C supports and services in Tennessee, please see Policies and Procedures related to financial matters below. These policies were subject to public comment.
- #06-002 Eligibility Determination
- #07-004 Parental Denial to Access Primary Payor Source
- #07-005 Use of Part C Funds for Payment of Services
- #07-009 Updated TEIS Provider In-Network Policy
- #07-010 Use of Part C Funds for Payment of Services/TRICARE
- #07-011 Use of Part C Funds for Payment of Services/CoverKids
- #07-014 Children without Private Health Insurance Coverage
- #07-017 Part C Payments for Individualized Family Service Plan (IFSP) Services
- #07-018 Reimbursement of TEIS Interpreting Services
- #08-020 Reimbursement for TEIS “No Shows”
Please be advised that all eligible families will be responsible for following all system of payment requirements in accordance with the System of Payment Policies and procedures.
Families that do not abide by the policies and procedures will/may be responsible for the payment of their services out of pocket.
Parents must notify their service coordinator and service provider of insurance changes. If failure to do so leads to denial of payment by insurance carrier, the provider will be allowed to bill the family for the service, as TEIS will not serve as a payor in these instances.
Any services not rendered as a result of a family-directed service disruption will not be subject to compensatory services. That is, if a family chooses not to receive services for any period of time (i.e. illness, vacation, or not at home), the sessions missed are not allowed to be made up in future weeks.