REFERRAL/SCRIPT/ORDER PROCESS

Medicaid Eligible students must have in writing, by a physician or other licensed practitioner acting within the scope of his/her practice under State law.  (Section 1.3 Medicaid Provider Manual)

Occupational Therapy Services

Therapy services must be prescribed by a physician and updated annually.  A stamped physician signature is not acceptable. 

Services supported by an IEP can precede the signed prescription by up to 90 days; however, the active period of the prescription cannot be longer than one year. 

  1. OT must start prescription for initial IEP/IFSP’s (include physician info if known)
  2. Forward started prescriptions to lforeback@eatonresa.org
  3. Lori will send off for a signature, upload to PSSE, and file

Physical Therapy Services

Therapy services must be prescribed by a physician and updated annually.  A stamped physician signature is not acceptable.

  1. PT must start prescription for initial IEP/IFSP’s (include physician info if known)
  2. Forward started prescriptions to lforeback@eatonresa.org
  3. Lori will send off for a signature, upload to PSSE, and file

Speech, Language and Hearing Therapy Services

Services require an annual referral (prescription) from a physician.  A stamped physician signature is not acceptable. 

Services supported by an IEP can precede the signed referral by up to 90 days; however, the active period of the referral cannot be longer than one year.

  1. SLP must start prescription for initial IEP/IFSP’s (include physician info if known)
  2. Forward started prescriptions to lforeback@eatonresa.org
  3. Lori will send off for a signature, upload to PSSE, and file

Nursing Services

Direct service interventions require a physician’s written order when the initial need for services is determined.  Direct service interventions must be reviewed and revised annually or as medically necessary by the beneficiary’s attending physician.  The nurse is responsible for notifying the attending physician of any change in the beneficiary’s condition which may result in a change or modification to the care plan. 

  1. Registered nurse must start prescription process
  2. Forward started prescriptions to lforeback@eatonresa.org
  3. Lori will send off for a signature, upload to PSSE, and file

Personal Care Services

Authorization for personal care services may be done by a physician or “other licensed practitioner” operating within the scope of their practice.  The State definition of “other licensed practitioner” consists of Registered Nurse, Licensed Occupational Therapist, Licensed Physical Therapist, Master of Social Work, or fully licensed Speech Language Pathologist. 

  1. RN or OT/PT/SW/SLP must start prescription for initial IEP/IFSP’s (include physician info if known)
  2. Forward started prescriptions to lforeback@eatonresa.org
  3. Lori will send off for a signature, upload to PSSE, and file

Prescription Template for Speech, Language & Hearing, Occupational Therapy, and Physical Therapy

PDF DocumentPrescription Authorization Form

PDF DocumentPersonal Care Prescription Authorization Form