Clarification Form
Use this form to submit your questions, concerns, or issues related to Medicaid School-Based Services. Your questions/issues/concerns will be addressed jointly by Medicaid and State Department of Education staff. Your question and response will be emailed to you and will be posted to the Clarifications section on the Idaho Training Clearinghouse. Please submit one question per form.
Email address *
First and Last Name *
Your answer
LEA Name & Number/Agency *
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Phone *
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Identify the category(s) related to your question or issue. Check all that apply. *
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Please provide relevant IDAPA rule, if possible.
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Please describe any previous guidance you may have received on this question/issue/concern in the past.
Your answer
Please provide details about your question/issue/concern. *
Your answer
Date *
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