SELPA Referral Procedures
D.
Referral Procedures
Forward the following completed documents to the attention of the Program Manager for Resolution Support Services at the SELPA.
• DM 127 – Assistive Technology Assessment Referral
DM 66 – Assessment Plan
•
• DM 63 – Authorization for Use and/or Disclosure of Information
• IEP or IEP Addendum dated within one year of the referral for an Assistive Technology Assessment
• Psycho-educational evaluation dated within three years of the referral for an Assistive Technology Assessment
Any additional support information
•
E.
Timeline for Assessment
Within five business days of receipt of the completed referral packet, the Program Manager for Resolution Support Services at the SELPA will determine whether to conduct the assessment using a multi-disciplinary team approach or assign the assessment to an independent assessor who will coordinate the assessment through the contact person named on the referral form (DM 127). All assessments must be completed within 60 days.
F.
Timeline for Services
Upon completion of the assessment, a report will be sent to the director of special education by either the consultant or agency that conducted the assessment or the Assistive Technology Program Specialist at the SELPA with a request to schedule an IEP meeting. The director of special education will reconvene the IEP team to review the report findings and recommendations of the assessment and determine whether AT services or devices/equipment are warranted. If the IEP team agrees that services are not needed, it will be documented in the IEP notes or under the IEP Consideration of Special Factors form (DM 68E page 2) and/or in the Supplementary Aids and Supports form (DM 68E page 1).
III. BEHAVIORAL HEALTH COUNSELING – SCHOOL-AGE TREATMENT SERVICES (SATS) (AGES 7-21 OR GRADES 1-12)
The Desert/Mountain Children’s Center (DMCC) provides individual, group, and family counseling services for children and youth ages seven to 22. The DMCC accepts Medi-
CAHELP JPA Referral Procedures
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Revised 8/9/2022
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