• IEP team must note the need for the low incidence equipment on the student’s IEP, and link one or more of the student’s annual goals to the use of that specialized equipment. • Complete SELPA Low Incidence Pre-Approval/Reimbursement Request form (D/M 86A). [ NOTE: For Low Incidence Pre-Approval for Mobile Computing Device(s) and/or device applications, use form D/M 86B and follow instructions below .] Director of Special Education must sign form D/M 86A before the packet is submitted to the SELPA. • Submit the completed form D/M 86A signed by the Director of Special Education with a copy of the current IEP documenting the student’s disability and goal for use of low incidence equipment to the Accounting Technician, SELPA Business Office. (2) For students with a documented low incidence disability for whom assistive technology equipment is recommended after an assessment, use the following procedure for requesting a mobile computing device and/or applications for the mobile computing device. NOTE: Mobile computing device refers to an iPad, Chromebook, Samsung Galaxy Tab, or other computing tablet, with or without an attached/detachable keyboard, that operates with mobile applications and features that are linked to/purchased through an account to which the device is registered, and that are updated through the account (i.e. Apple Store, Google Play Store, Galaxy Store, etc.), rather than traditional hardware operating system built into a desktop or laptop computing system. • Complete SELPA Low Incidence Pre-Approval Request for Mobile Computing Device (Form D/M 86B). Director of Special Education must sign form D/M 86B before the packet is submitted. The SELPA or the LEA will be responsible for purchasing the mobile computing device and educational device applications that meet criteria as educationally appropriate to the child’s functional level. The SELPA will assign the low incidence equipment/ID number, download approved device applications, and coordinate delivery and release of the equipment to the LEA/Student. When the LEA purchases the equipment, this will be indicated on the LIE pre-approval referral form. NOTE: Entertainment/game applications will not be permitted. For protective covers or screen protectors (i.e. Otter Box, Survivor Case, LifeProof, etc.), removable or wireless keyboards/mice, tablet stands, carry cases or other physical accessories for the Mobile Computing Device, use form D/M 86A and submit both forms together. The LEA will purchase and seek reimbursement for accessory items listed on the D/M 86A after approval by SELPA.
Assessment for Non-Low Incidence Equipment
Pre-Referral Local Education Agency (LEA) Responsibility 1. Convene an Individualized Education Program (IEP) meeting to document the team’s decision to refer the student for an Assistive Technology (AT) Assessment.
Chapter 22 – Supports and Services, Charter SELPA As of 10/17/2019 D/M Charter SELPA Steering Committee Approval
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