Information updated September 2009
| General Information | |
| Document Format(s) | |
| General Presentation | |
| Medicaid School Participation Agreement | |
| Amendment to School Participation Agreement | |
| Parental Consent | |
| Parental Consent on the IEP-Addendum | |
| Parental Consent Letter with Explanation | |
| Provider
Qualification Certification |
|
| Provider Qualification Certification attachment for speech clinical fellowship documentation | |
| Rehabilitation/Habilitation Services | |
| Document Format(s) | |
| Rehabilitation/Habilitation Services Presentation | |
| Order for Therapy Evaluation | |
| Plan of Care | |
| Plan of Care Addendum | |
| Plan of Care Discharge | |
| Occupational Therapist Monthly Progress Notes | |
| Physical Therapist Monthly Progress Notes | |
| Speech Therapist Monthly Progress Notes | |
| Audiology Therapist Monthly Progress Notes | |
| Past Deficiencies for School Divisions (2008) | |
| Skilled Nursing Services | |
| Document Format(s) | |
| Skilled Nursing Presentation | |
| Plan of Care for Skilled Nursing | |
| Student Log of Skilled Nursing Procedures | |
| Psychological Services | |
| Document Format(s) | |
| Psychological Services Presentation | |
| Diagnostic Clinical Interview | |
| Psychological Evaluation | |
| Student Log of Psychological Services | |
| Psychologist Therapy Session Notes | |
| Psychological Evaluation Example | |
| Diagnostic Clinical Interview Example | |
| Psychological Service Log Example | |
| Personal Care Assistant Services | |
| Document Format(s) | |
| Personal Care Assistant Services Presentation | |
| Plan of Care for Personal Care Assistant Services | |
| Student Log for Personal Care Assistant Services | |
| Personal Care Assistant Log Example | |
| Plan of Care for Personal Care Assistant Example | |
| Transportation Services | |
| Document Format(s) | |
| School Transportation Services Presentation | |
| Transportation Log | |
| Administrative Claiming | |
| Document Format(s) | |
| Random Moment Time Study Presentation | |
| Understanding the Random Moment Time Study | |
| Audiology | |
| Document Format(s) | |
| Audiology Presentation | |
| Medical Evaluations | |
| Document Format(s) | |
| Medical Evaluations Presentation | |
| EPSDT | |
| Document Format(s) | |
| EPSDT Screening Presentation | |
| Case Management - How to Use EPSDT for Complex Care Presentation | |
| Billing on the CMS1500 | |
| Document Format(s) | |
| Billing Presentation | |