Department for Community Based Services

Standards of Practice Online Manual

12.26 Medical Expenses

Cabinet for Health and Family Services

Department for Community Based Services
Division of Protection and Permanency
Standards of Practice Online Manual
Chapter 12-Resource Family Recruitment, Certification and Reimbursement
12.26 Medical Expenses

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Legal Authority/Introduction



Medical items that a child needs such as glasses, wheelchairs, hearing aids, etc. are the responsibility of medicaid/managed care organization , if the child is medicaid eligible, with DCBS being the last alternative for payment.

For all children receiving Medicaid, the cost of non-emergency medical transportation is supported by the Department of Medicaid Services, either through the regional transportation broker or managed care provider. 


  1. The R&C worker provides the foster home parent with the broker or managed care provider's information, to ensure the foster home can provide/arrange the child's transportation to necessary medical appointments.
  2. The Billing Specialist may authorize all medical bills without special approval after verifying that no other source (such as Medicaid or private health insurance) has primary responsibility for the medical bills. 
  3. The Billing Specialist may authorize payment for those medical supplies/over-the-counter medications prescribed by a physician that would routinely not be kept in a medicine cabinet (e.g. Melatonin, lice medication, B-12, Vitamins, etc.).


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