SELPA Referral Procedures
DM 66 – Assessment Plan
•
• DM 63 – Authorization for Use and/or Disclosure of Information
• IEP or IEP Addendum dated within one year referring the student for a behavioral intervention assessment
• Psycho-educational evaluation dated within three years of the referral for a behavioral intervention assessment
• Other assessments (i.e., private evaluations, Occupational Therapy (OT), Physical Therapy (PT), etc.)
• Behavior plans (original and revised versions)
Incident reports
•
Discipline reports/log
•
C.
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 develop an Individual Services Agreement (ISA) for the NPA to conduct the assessment. The ISA will be circulated for required signatures by the SELPA and the NPA provider. Upon receipt of the signed ISA, the SELPA will forward the referral packet to the appropriate NPA to conduct the assessment. The assessment must occur within 60 calendar days from the date the Assessment Plan was received by the LEA. Upon completion of the assessment, the NPA will send the written report to the director of special education for the LEA and the Program Manager for Resolution Support Services at the SELPA. The director of special education will reconvene the IEP team to review the report findings and recommendations of the assessment and determine whether behavioral intervention supports/services are warranted. The IEP meeting will be scheduled within the 60-day timeline.
If the IEP team agrees that services are not needed, it will be documented in the IEP notes.
D.
Timeline for Services
If the IEP team agrees that services are appropriate, the goals and services will be listed on an Addendum to the IEP including the service code number 535 for behavioral intervention services and/or supervision, the class number for each service, provider code for the NPA (400), projected start date, duration, and
CAHELP JPA Referral Procedures
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Revised 8/9/2022
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