Occupational and Physical Therapy Referral Procedures

1. Occupational and Physical Therapy Referral Procedures

2. Related Services • Occupational Therapy- addresses fine motor concerns, sensory integration, self care skills, visual motor and perceptual skills, bilateral coordination • Physical Therapy- addresses gross motor concerns (negotiating the school environment, balance and coordination, etc…) School Based Occupational and Physical Therapy

3. Fine Motor Red Flags

4. Fine Motor Red Flags

5. Fine Motor Red Flags

6. Fine Motor Red Flags

7. Gross Motor Red Flags

8. The IEP Team conducts a Reevaluation Plan Meeting to discuss a referral for Occupational Therapy or Physical Therapy. • The parent must be invited to this meeting using Enrich notification letters. Psychologist and SLP (if applicable) must be consulted and included in this Re-evaluation process. The Re-eval date will change because the re-evaluation plan looks at all areas. • Teacher completes OT and/or PT referral form (contact therapists for form). • The teacher gets the D7 Medicaid form signed and uploads to Enrich. • Complete the reevaluation plan and indicate that an OT and/or PT evaluation(s) will be conducted by checking further testing needed for fine motor and/or sensory sections (OT) or gross motor (PT). OT/PT REFERRAL PROCESS

9. Parent signs the Enrich Consent to Re-Evaluate (include signed permission to Evaluate with referral packet) • IEP team should request a prescription for “OT evaluation and treatment” or “PT evaluation and treatment” • OT: OT can complete an evaluation WITHOUT a prescription IF school/parent is unable to obtain. Please send a note with referral packet if unable to obtain the OT prescription. (Prescription from a physician is now REQUIRED for Medicaid billing, but student will not be denied an evaluation/treatment without prescription. The district will still provide services if warranted) • PT: A physical therapy prescription is required for a student to be evaluated. • Submit the referral packet to the Director of Special Services for signature. OT/PT REFERRAL CONTINUED

10. The Director of Special Services will submit the referral packet to the OT/PT assigned to the district • The OT/PT will contact the school/special education teacher to schedule the evaluation. • OT/PT will complete evaluation • OT/PT will notify Case Manager when evaluation is complete. Case Manager will send home appropriate meeting notifications and schedule evaluation results meeting. Processing Requests

11. After the OT/PT evaluation, the Multidisciplinary Team (including the OT/PT) reviews the results and completes theEvaluation review meeting. • If the IEP team agrees that the student requires OT/PT as a related service to meet their IEP goals, the OT/PT information will be added to the IEP and the updated IEP will be reviewed at the meeting. • If the team does not decide that OT/PT is needed as a related services, the Multidisciplinary team reviews the areas of weakness and makes recommendations for classroom interventions/accommodations as needed. OT/PT Evaluation Follow-up

12. Please email or contact the OT/PT Department • For OT contact: Melissa Hendricks MWHendricks@spart7.org Laura Lilly LTLilly@spart7.org Ann Marie Moore AMMoore@spart7.org For PT contact: Mackenzie Reimer mrreimer@spart7.org • An OT/PT screen my be requested for: • 1- A student who has an IEP or a 504 that you would like to determine if he/she would benefit from OT/PT services • 2- A student that does not have services, but you would like OT/PT recommendations for the classroom teacher to incorporate • Students who do not have an IEP or 504 are not eligible for an OT/PT evaluation or direct services. OT/PT Screen Requests

13. Case managers- look at the service section of the IEP and notify the therapists immediately and attach all relevant PT/OT information to prevent lapse in services. • Get a D7 Medicaid form signed at transfer meeting and upload to Enrich • Notify the appropriate therapists of the transfer meeting date/time. • A transfer student with PT and OT services must be seen as close to their start date as possible to comply with their IEP. • Request prescription for PT and OT from parents Transfer Students

14. To dismiss a student from PT /OT services, the case manager must open up a re-evaluation review (therapists are unable to do this) • If no new information is required by other disciplines, add the current data into the re-evaluation review and check no additional data needed. • PWN must include dismissal of services (case manager is responsible for completing PWN paperwork) OT/PT Dismissal