SELPA Referral Procedures
• DM 108A – Annual Request for Audiological Evaluations/Services
DM 66 – Assessment Plan
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• DM 63 – Authorization for Use and/or Disclosure of Information (for the current school year)
3.
Timeline for Assessment
The audiological assessment must occur within 60 calendar days from the date the Assessment Plan was received by the LEA. When the signed Assessment Plan is received by the LEA, it should be date stamped or the date entered in the field at the bottom of the Assessment Plan (DM 66) . An Audiology Assessment Calendar is published on an annual basis at the beginning of each school year. The calendar lists the scheduled assessment dates and referral due dates for each LEA within the SELPA that participates in the Audiological Program. The calendar can be found on the SELPA website at www.cahelp.org. For students who require services outside of the regularly scheduled LEA visit, services may be coordinated between the SELPA and the LEA. Arrangements may be made for students to be served at the school site, at a nearby LEA, the DMCC, or at the service provider’s office, whichever is available and appropriate. Please contact the CAHELP Chief Executive Officer at the SELPA for assistance.
4.
Timeline for Services
Upon completion of the audiological assessment, a written report will be sent to the Area Director for DMOPs. DMOPs will electronically send a copy of the cover letter and the report to the LEA director of special education and a copy of the director’s secretary and LEA Coordinator for Audiology Services. DMOPs will upload a copy of the cover letter to 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 finds 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
CAHELP JPA Referral Procedures
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Revised 8/9/2022
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