Local Education Agency Services
Provider Type
- Physicians
- Participating Physician Groups (PPG)
- Hospitals
- Ancillary
The Local Education Agency (LEA) provides certain health care assessment services via school programs. LEA services may include:
- Targeted case management
- Physical and mental health evaluation
- Education and psychosocial assessments
- Health and nutrition education
- Developmental assessments
- Behavioral Health screenings and treatment services
- Behavioral Health wellness programs and services
Primary care physicians (PCPs) are encouraged to inform members of these services; however, members may obtain services without a referral from their PCPs. PCPs should, whenever possible, coordinate needed medical services with LEA providers to promote continuity of care and ensure proper and timely follow-up. LEA medical services may include:
- Physical and occupational therapy
- Speech pathology and audiology
- Psychology and counseling
- Nursing services
- School health aide services
- Medical transportation
- Behavioral Health screenings and treatment
- Behavioral Health wellness programs and services
PCPs may be asked to support LEAs with the following:
- Written prescriptions for specific LEA services
- Medical evaluations or records on request
- Referrals for appropriate and necessary medical services
- Medically necessary services when school is not in session
On request, the PCP may authorize LEA providers to provide other services on a case-by-case basis.