Special needs are generally divided into three categories:

(1) General Medical Services (GMS):  A variety of physiological, psychological, or social conditions of a chronic nature that have been medically diagnosed and require specialized treatment, referred by a medical provider.

(2) Special Education Services (SES):  Special instruction designed to meet the unique educational needs of a child.  This includes education provided in school, at home, in a hospital or in an institution, and physical and vocational education program.  An Individualized Educational Plan (IEP) is normally required to be considered in this category.

(3) Medically Related Services (MRS):  Developmental, corrective and other required supportive services which allows the student to benefit from a special educational program, and which are provided by or under professional medical supervision (i.e., speech, physical and occupational therapy; audiology, dietetics, ophthalmology, etc.)  Like the SES category, these must be on the IEP in order to be considered MRS.

Depending on where you live within the National Capital Region (District of Columbia, Virginia, or Maryland), there are agencies and local community support groups available to help you address your specific needs and identify the services you may require.  See contacts/links.

Medicaid is a program that pays for medical assistance for certain individuals and families with low incomes and resources. This program became law in 1965 and is jointly funded by the Federal and State governments (including the District of Columbia and the Territories) to assist States in providing medical long-term care assistance to people who meet certain eligibility criteria. Medicaid is the largest source of funding for medical and health-related services for people with limited income.

Who Is Eligible for Medicaid?  Medicaid covers many groups of people.  Within these groups, however, certain requirements must be met.  These may include your age, whether you are pregnant, disabled, blind, or aged; your income and resources (like bank accounts, real property, or other items that can be sold for cash); and whether you are a U.S. citizen or a lawfully admitted immigrant.  The rules for counting your income and resources vary from state to state and from group to group.

There are special Medicaid rules for disabled children living at home.  Eligibility for children is based on the child's status, not the parent's.

The Food Stamp Program serves as the first line of defense against hunger. It enables low-income families to buy nutritious food with coupons and Electronic Benefits Transfer (EBT) cards.  Food stamp recipients spend their benefits to buy eligible food in authorized retail food stores.  The Program is the cornerstone of the Federal food assistance programs, and provides crucial support to needy households and to those making the transition from welfare to work.  Department of Defense Commissaries participate in this program.

The following information pertaining to public schools is just a sampling of the opportunities available in the National Capital Region for special needs children:

The DC Public Schools Parents' Special Education Service Center, for example, is the only service center of its kind in the U.S.  The center seeks to identify the primary learning issue and substantiate other information regarding the concern.  The parent is then guided to school system specialists and services where they may obtain the help necessary.  The center encourages calls in Chinese, Vietnamese, Spanish, French and Amharic.

The DC Public School's Division of Special Education is committed to supporting the delivery of specialized services, with emphasis on increasing opportunities for students with disabilities to learn and grow with their non-disabled peers.

The public schools in Alexandria, Virginia, provide classes and services for children with special educational needs, such as pre-school children; children with mental, emotional and physical disabilities; and children for whom English is a second language. The Special Education, Psychological Services and English As A Second Language departments test and place children in appropriate programs within the division and, when necessary, in regional or state facilities.

In Maryland's Prince George's County Public School system, the well trained staff in Special Education Department works with general education staff members to provide students with special learning needs appropriate services in the least restrictive environment.  Approximately 13,000 students, 10 percent of the total student body, currently receive special education services.  A multidisciplinary team, with the parents as team members, determines whether special education services are needed.


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