Abstract
Public Law 99–457, the Supreme Court decision in Bowen v. Massachusetts, budgetary needs, and the creation of entities such as TAMES (Trans Allied Medical Educational Services) haue combined to lead agencies seming young children with disabilities to obtain third-party reimbursement for services from Medicaid, private insurance, and other sources. At first glance, third-party payments are the perfect resource for these programs. But an examination of the legal and policy implications of increased third-party billing reveals serious drawbacks in the form of loss of confidentiality, burdens on the exercise of informed consent, hidden costs to parents, and financial and administrative difficulties.
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