(a)(4)(B) and (r) of section 1905, to determine if a 
child is a child with a disability under section 614 
of the Individuals with Disabilities Education Act 
(20 U.S.C. 1414) who requires an individualized 
education program (IEP) under section 614(d) of 
such Act (20 U.S.C. 1414(d)) or if an infant or tod-
dler is an infant or toddler with a disability under 
section 
635(a)(3) 
of 
such 
Act 
(20 
U.S.C. 
1435(a)(3)) who requires an individualized family 
service plan under section 636 of such Act (20 
U.S.C. 1436) and any location in which a reevalua-
tion or reassessment of such a determination is con-
ducted; and 
‘‘(ii) for purposes of subsection (m)(2)(C), any 
location in which items or services described in sec-
tion 1905(a)(4)(B) (relating to early and periodic 
screening, diagnostic, and treatment services defined 
in section 1905(r)) are delivered and costs are in-
curred for providing such items or services in ac-
cordance 
with 
the 
requirements 
of 
section 
1902(a)(43).’’. 
(f) ASSURANCE
OF COMPLIANCE WITH FEDERAL 
AND STATE REQUIREMENTS.—Section 1902(a) of the So-
cial Security Act (42 U.S.C. 1396a(a)) is amended— 
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(1) in paragraph (69), by striking ‘‘and’’ at the 
end; 
(2) in paragraph (70)(B)(iv), by striking the 
period at the end and inserting ‘‘; and’’; and 
(3) by inserting after paragraph (70), the fol-
lowing new paragraph: 
‘‘(71) provide that— 
‘‘(A) the State will establish procedures to 
ensure that— 
‘‘(i) any provider of an item or service 
covered under the plan that is furnished in 
or through an educational program or set-
ting complies with all Federal and State 
requirements applicable to providers of 
such items or services under the plan; and 
‘‘(ii) any educational entity that is en-
gaged in the provision of an activity de-
scribed in paragraph (43) or any other ac-
tivity that is directly related to the admin-
istration of the plan complies with all Fed-
eral and State requirements applicable for 
payment for such activity; and 
‘‘(B) the State will not furnish medical as-
sistance for an item or service covered under 
the plan in or through an educational program 
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or setting, or undertake any activity described 
in paragraph (43) or any other activity that is 
directly related to the administration of the 
plan in or through such a program or setting, 
unless the entity responsible for providing the 
item or service, or undertaking such an activity, 
in or through the educational program or set-
ting will be paid under the State plan for the 
costs related to the furnishing of such item or 
service or the undertaking of such activity.’’. 
(g) UNIFORM METHODOLOGY
FOR EDUCATIONAL 
PROGRAM OR SETTING-BASED CLAIMS.— 
(1) IN GENERAL.—Not later than 90 days after 
the date of enactment of this Act, the Secretary of 
Health and Human Services and the Secretary of 
Education, acting jointly and in consultation with 
State medicaid directors, State educational agencies, 
local educational agencies, and State agencies with 
responsibility for administering part C of the Indi-
viduals with Disabilities Education Act, shall develop 
and implement a uniform methodology for claims for 
payment of medical assistance and related adminis-
trative costs furnished under title XIX of the Social 
Security Act in an educational program or setting. 
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