School-Based Health Services Glossary DEF

Deductible - The amount of money, or value of certain services (such as one physician visit), a patient or family must pay before costs are covered by a health plan or insurance company, usually per year.

Disability - A physical, sensory, cognitive or affective impairment that causes the student to need special education.

Due process - In general, due process includes the elements of notice, opportunity to be heard and to defend ones' self. With regard to IDEA, due process refers to a specific set of procedures described in 23 IAC Part 226.

Early and Periodic Screening, Diagnosis and Treatment program (EPSDT) - Medicaid program for children (until age 21). EPSDT covers any medically necessary service allowable under Medicaid regulations.

Educably Mentally Handicapped (EMH) - An eligibility category under IDEA including children whose cognitive development is approximately one-half to three-fourths the average rate and is accompanied by similar delays in adaptive behavior.

Education for All Handicapped Children Act (EHA) - More commonly identified as PL 94-142. It became effective in 1975 and was significantly modified in 1977 by the Individuals with Disabilities Act (IDEA).

Extended school day - A provision for a special education student to receive instruction for a period longer than the standard school day.

Extended school year services - Special education and related services provided to a student with a disability beyond the normal school year of the public agency, in accordance with the child's IEP, and at no cost to the parents of the child.

Family Educational Rights and Privacy Act (FERPA) - A federal law that regulates the management of student records and disclosure of information from those records.

Federal Financial Participation (FFP) - The amount of federal money a state receives for expenditures under its Medicaid program. For most administrative expenditures, states receive FFP at a rate of 50%. For medical assistance percentages (payment for the cost of medical care and services) states receive FFP at a rate referred to as the Federal Medical Assistance Percentage (FMAP). The FMAP is determined by a formula which compares the state's per capita income level with the national average for per capita income (ranging from 50% - 83%).

Federal poverty guideline - The official annual income level for poverty is defined by the federal government. Under the 2001 guidelines, the federal poverty level for a family of four was $17, 650.

Fee-For-Service reimbursement - Traditional health care payment system, under which practitioners receive a payment for each unit of service provided.

FM system - Frequency modulated (FM) systems are standard equipment for children with hearing loss in educational settings. FM systems are sometimes called auditory trainers.

Free Appropriate Public Education (FAPE) - A statutory requirement that children and youth with disabilities receive a public education appropriate to their needs, at no cost to their families.

Functional limitation - Any physical, mental, or sensory condition that prevents a person from caring for herself or himself. It can affect communication, working, playing, or simply functioning in an environment where other people can function. Limitations can range from a difficulty in interpreting information, to blindness, hearing loss, or an inability to move all or part of one's body