Apirl 2009 Copyright © 2009 Mississippi Department of Education 1 Funds Educable Child.

Apirl 2009 Copyright © 2009 Mississippi Department of Education 1

Funds

Educable Child

April 2009 Copyright © 2009 Mississippi Department of Education 2

OVERVIEW

The Educable Child Program provides financial assistance to: • Children with disabilities, under 21 years of age,

Who are residents of the state of Mississippi Who attend private schools or Who require inpatient care in an intermediate care

facility for the mentally retarded or Who require inpatient care in a psychiatric

residential treatment facility


EDUCABLE CHILD PROGRAM

• The daily rate for the 2009-2010 school year is unknown.

• The number of days in the Educable Child school year is 180 days.

• Only original copies of applications will be accepted.• ALL INCOMPLETE APPLICATIONS WILL BE

RETURNED.


REFERRAL/ELIGIBILITY REQUIREMENTS • Each local school district is responsible for locating, identifying

and evaluating all private school children with disabilities who reside in their jurisdiction.

• Local school districts with private preschool, elementary or secondary schools located within their boundaries must consult annually regarding the referral process for any child suspected of having a disability and may be in need of special education and related services under IDEA.

• Local school districts are responsible for conducting the initial evaluation of all children who are in the custody or under the jurisdiction of any public or private agency or institution.


EDUCABLE CHILD PROGRAM

• Students will be considered for enrollment in the Educable Child Program upon receipt of : A Completed Application A Current Individualized Education Program A Current Eligibility A Current Court Order (if required) A Current Medicaid Certification (if required)


FACILITY APPROVAL

• All private schools/facilities will be accredited by a state or regional accrediting agency

• All private intermediate care facilities for the mentally retarded or psychiatric residential treatment facilities shall be certified/licensed by the designated state authority for those facilities

• Out of state private facilities must hold an approval status from their state educational agency or a current accreditation status from a recognized educational accrediting entity


APPLICATION PROCEDURES

Must submit an application for approval each year

Applications are mailed on the first working day in July with a due date of July 31st



• Descriptive Information: Name of school School contacts Type of students served Length of the school day

• Tuition Rate Schedule Must be submitted on letterhead signed by an

authorized school official



• Certification and Background Information Form Report the school’s non-discrimination policy Parochial schools are exempt

• Data Sheet Report teacher certification with licenses attached EmD licensure is required for Psychiatric

Residential Treatment Facilities



• Accreditation A copy of your State Department of Education

accreditation status for the current school year To applicable facilities, also submit a copy of your

current Mississippi PRTF and/or ICF-MR licensure certification

• Assurances Must be signed and adopted by your school board

or governing body or CEO


Types of Applications

There are four types of placements:

• School District (Yellow)• Department of Human Services (DHS) (Pink)• Parent-Medicaid (Blue)• Parent (Green)


School District Application

• Application for Financial Assistance (Yellow)• A copy of the child’s Current Determination of

Eligibility Report (DER) and a copy of the current Assessment Team Report (ATR)

• A current Individualized Educational Program (IEP) developed in accordance with regulations

• Justification for Placement Form• Budget Analysis Form


School District Placement

• Educable child funds are not appropriated for services through the summer months.

• Educable funds will be used to reimburse the balance (as funds are available) of each student’s total tuition after the district pays the first $8,000.

• Educable funds will not be used for any medical services.


Department of Human Services Placement

• Students are wards of the state

• Reimbursements are 100% of total educational cost as funds are available


Department of Human Services Application

• Application for Financial Assistance (Pink)

• A copy of the child’s Current Determination of Eligibility Report (DER) and a copy of the current Assessment Team Report (ATR)


• Court order/legal document which grants custody of the child to the MS Department of Human Services or other State Agency dated within the last two years

• A copy of the notarized Assignment of Tuition Reimbursement Form (DI-SE-F9)


Parent-Medicaid Placement

• The Division of Medicaid certifies the need for inpatient care with Medicaid reimbursement.

• Medicaid will be responsible for the residential costs.

• MDE will pay for the full term of treatment for those students who are certified by the designated authority as requiring inpatient care in a private intermediate care facility for the mentally retarded or psychiatric residential treatment facility with Medicaid reimbursement as funds are available.


Parent-Medicaid Placement

• An appropriate Individualized Educational Program (IEP) must be developed.

• A current eligibility ruling is required.• The facility must hold a current license by the

designated state authority.


Parent-Medicaid Application

• Application for Financial Assistance (Blue)

• A copy of the child’s current certification by Division of Medicaid

• Determination of Eligibility Report (DER)

• Assessment Team Report (ATR)


• A copy of the notarized Assignment of Tuition Reimbursement Form


Parent Application

• Parent/Guardian Application for Financial Assistance (Green)

• A copy of the child’s current Determination of Eligibility Report (DER) and a copy of the current Assessment Team Report (ATR)


• A copy of the notarized Assignment of Tuition Reimbursement Form


Dates for Submission

The deadlines for submitting a student application for Educable Child funds for the 2009-2010 School Year are:

• First Pay Period: Beginning of school thru SeptemberDue: September 14, 2009

• Second Pay Period: September 12th thru NovemberDue: November 13, 2009

• Third Pay Period: November 14th thru January 2010Due: January 15, 2010

• Fourth Pay Period: January 16th thru March 2010Due: March 12, 2010

• Fifth Pay Period: March 13th thru May 2010Due: May 28, 2010


Reimbursement Forms

The deadlines for submitting a reimbursement request form for Educable Child funds for the 2009-2010 School Year are:

• First Pay Period: Due: October 5, 2009

• Second Pay Period: Due: December 4, 2009

• Third Pay Period: Due: February 5, 2010

• Fourth Pay Period: Due: April 5, 2010

• Fifth Pay Period: Due: June 4, 2010


REQUEST FOR REIMBURSEMENT FORM

1st Pay Period Educable Child Request Form (August 2009 - September 2009)

Please complete the following information on each student and return to MDE (Special Education) by October 5, 2009.

Be sure to attach a copy of the roll book to substantiate the days present along with a copy of the invoice from the facility on each student.

School District Name:

Last First Date Enrolled Placement Days Present Daily Rate Total State Obligation School Obligation Federal

______________________________________________________________ _______________________________

MDE USE ONLY

DateSignature of Authorized Representative


OTHER FORMS

• Transfer of Student Form

• Official Drop Form

• These forms should be completed: Within 5 days of transfer or discharge and Mailed to the Office of Special Education


TRANSFER OF STUDENT FORM

Directions: The Transfer of Student Form must be completed and submitted to the Office of Special Education within five (5) days for each student transferring to another facility.

Student Name: Date of Birth: Student last four (4) digits of Social Security Number : MSIS ID number: Private Facility Transferred From: Private Facility Transferred To: School District Transferred From: School District Transferred To: Discharged Date: Admission Date: Date of Determination of Eligibility: Date of IEP:

______________________________________________________ _______________________________________ Signature of Authorized Representative Date


OFFICIAL DROP FORM

EDUCABLE CHILD PROGRAM: OFFICIAL DROP FORM

Directions: The official drop form must be completed and submitted to the Office of Special Education within five (5) days of discharge for each student attending a private school/facility or a parochial school and receiving Educable Child Program funds.

Name of Student: Name of School/Facility:

Date of Discharge: This form is to certify that the above named student was in attendance at an approved private school/facility or parochial school and was officially dropped from the school's roll on the date indicated above.

The school is requesting funds for ___________ days that the above named student was enrolled and

received services during the ______________________pay period. (1st, 2nd, 3rd, 4th or 5th)

_________________________________________ ___________________________ Signature of Authorized Representative Date


FORMS

Note: Forward all forms and applications to:Mississippi Department of EducationOffice of Special EducationAttention: Program CoordinatorEducable Child ProgramP. O. Box 771Jackson, MS 39205

FAX COPIES WILL NOT BE ACCEPTED.


CONTACT INFORMATION

Audrey Shaifer

Priscilla Moore

Office of Special Education

Division of Program Management

[email protected]

Apirl 2009 Copyright © 2009 Mississippi Department of Education 1 Funds Educable Child.

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