the student’s electronic file. A monthly meeting coordinated with the DHH Itinerant teachers, DMOPS, and the Audiologist will be held to review all the reports to assist LEAs in determining who may need further assessment and DHH services. • The LEA director of special education should reconvene the IEP team to review the findings and recommendations of the assessment, consider the educational impact, and determine whether audiological services are needed. • If ongoing audiological follow-up is recommended, code 720 should be listed under the Special Education and Related Services section of the IEP form. • If it is decided that classroom amplification equipment is needed, a request for a proposal of the specific equipment should be made to DMOPS or the LEA Coordinator for Audiology Services requests a quote from Pacific Hearing Services. • If a profound hearing loss has been found, the deaf disability code (020) should be listed under the Eligibility section of the IEP form. • If a mild to severe hearing loss has been found, the hard of hearing disability code (030) should be listed under the Eligibility section of the IEP form. • If the disability is due to a hearing loss, the Low Incidence Disability box on the IEP form should be checked. • If the hearing loss is not the primary disability, it may be listed as the secondary disability. • If recommended and agreed upon, classroom amplification equipment should also be noted under Assistive Technology on the IEP form (D/M 68E). • If the student is to receive amplification equipment for the first time, goals should be included for mastering equipment utilization, care, and operation. Annual Students who have previously been referred and evaluated for audiological services as part of the SELPA Audiological Program are eligible for annual audiological assessments.
Pre-Referral Local Education Agency (LEA) Responsibility
LEAs participating in the SELPA Audiological Program may request an annual audiological assessment by following the procedure listed below. It is not necessary that the Individualized Education Program (IEP) team convene for this type of referral. 1. Complete the Annual Request for Audiological Evaluations/Services form (D/M 108A). Please DO NOT complete the Initial Request for Audiological Evaluation/Services form (D/M 108) for annual referrals.
Chapter 22 – Supports and Services, Charter SELPA As of 10/17/2019 D/M Charter SELPA Steering Committee Approval
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