1.2 Components

Navigating this LSP Component

The Assurances Page is a critical component of the Local Services Plan (LSP). It serves as a formal acknowledgment and commitment by the LEA to adhere to the guidelines and requirements set forth by the Colorado Department of Education (CDE) and the Department of Health Care Policy and Financing (HCPF). By signing the Assurances Page, the LEA confirms that they have accurately represented their intentions and will utilize the school Medicaid reimbursement funds in accordance with the outlined plan.

It is essential for LEAs to thoroughly read and understand the assurances before signing. The signed Assurances Page should be submitted to the School Health Services Consultant at CDE. LEAs have the option to submit the LSP electronically, either by scanning and emailing the signed Assurances Page or using electronic document signing capabilities.

The School District Medicaid Coordinator is authorized to sign the Local Services Plan, agreeing to the conditions listed on the form. This person will be identified in your contract as the contact person for the program and will be responsible for ensuring that program funds are spent correctly.

For the latest version of the Part V Assurances Page, visit the CDE School Health Services website.