oth 615/619- wk 2

CSO (7), BP (1, 3, 16, 45)

children age 3 to 21 years receive…

special education and related services under Part B of IDEA

sections of IEP important for OT to include

• present level of academic achievement and functional performance

• description of the related services

• accommodations and modifications to assist the child advance or attain annual goals

OT screenings are…

not a covered expense under most medical funding sources

process for school based goal writing

• gather info through the occupational profile

• define the desired performance

• identify the conditions

• establish the criterion

components of IFSP include

• child’s current level of functioning

• family resources, priorities, and concerns

• expected outcomes, which are written annually with a formal review every 6 months

• steps and services to achieve the family’s desired outcomes based on their strengths and needs and grounded in typical family routines

CPT pair edits

pairs of therapy codes that cannot be billed together on the same date

POC is crafted based on the outcome of the comprehensive eval and typically includes:

• OT name, credentials, and state licensure number

• rehabilitative/habilitative barriers

• goals and short term behavioral objectives

• frequency and duration of therapy to attain the short term behavioral objectives

letter of medical necessity (LOMN) often required…

to document the need for skilled OT services or equipment to a commercial insurance carrier or other funding sourcew

federal government became involved in education for 4 major reasons:

• to promote democracy

• to ensure equality of education

• to enhance national productivity

• to strengthen national defense

purposes under IDEA, part B

• to ensure that all children with disabilities have available to them a free appropriate public education that emphasizes special education and related services to meet their unique needs and prepare them for further education, employment, and independent living

• to ensure that the rights of children with disabilities and their parents are protected

• to assist States, localities, educational service agencies, and Federal agencies to provide for the education of all children with disabilities

• to assess and ensure the effectiveness of efforts to educate children with disabilities

ESEA provided…

additional funding to schools and districts with the poorest students for the purpose of improving education opportunities to students from low income families

in realm of Medicaid the purposes of an OT evaluation are to

• describe a student’s disabling condition

• determine whether the student requires OT

• make a case for medical necessity