Drop down ID 1 2 3 4 5 6 7 8 9 9 9 9 9 9 9 9 9 10 10 10 11 11 11 11 11 11 11 12 13 13 13 13 14 15 16 17 17 17 17 17 17 17 18 18 20 20 20 20
Form 504 Plan - Section 504 Plan 504 Plan - Section 504 Plan 504 Plan - Section 504 Plan 504 Plan - Section 504 Plan 504 Plan - Section 504 Plan 504 Plan - Section 504 Plan 504 Plan - Section 504 Plan Admin Educators (add/modify) IEP/ISP - Student Information IEP/ISP/IIIP - Special Education Data Sheet IFSP - Eligibility Determination IFSP - Identifying Information IFSP/IEP/ISP/IIIP - Enrollment Record IFSP/ISP/IIIP - ECSE COSF IIIP - Demographic Information MARSS Student Data Student Setup IIIP - Demographic Information MARSS Student Data Special Education Data Sheet IEP - Student Information IFSP - Student Information IFSP - Student Information IIIP - Demographic Information MARSS Student Data Special Education Data Sheet Student Setup IIIP - Description of Child/Student IEP - Attendance Record IEP Services IEP/ISP - Extended School Year (ESY) Services IFSP/IEP/ISP/IIIP - Service Log MA Forms - Activity Log - PCA Services IEP Goals IIIP - Transition Program Planning Additional Forms - (at the top of most pages) Admin Organization - (School Setup) Admin Reporting - MA Forms - Create Eligibility Transmission (270) EL Forms - EL Tracking and Forms IIIP - Demographic Information MARSS Student Data Student Setup MARSS Student Data Special Education Data Sheet IFSP/IEP/ISP/IIIP - Enrollment Record MARSS Student Data Special Education Data Sheet Student Setup
Field label Environmental/Physical Accommodations Instructional Accommodations Assignment/Accommodations Testing Accommodation Instructional Materials, Aids and Supports Behavior Management Special Considerations Category/Location Primary Disability / Secondary Disability Primary Disability Categorical Disability Child's Primary Disability Category Disability Primary Disability Primary Disability/Secondary Disability Special Education Primary Disability Classification Primary Disability Race/Ethnicity Race/Ethnicity RACE/ETHNICITY Primary Home Language / Child's Primary Language Parent's Native Language / Child's Native Language Child's Language for Evaluations and Assessments Primary Language at Home / Primary Language Home Primary Language Native Language Native Language Area Service Service Services Service Description of Services Category/area Transition Area Grade Grade Grade (Create eligibility batch file) Grade Level (Add new test or edit) Grade Student Grade Level Grade Economic Indicator Economic Indicator Status End Status End Status End Status End (Exit reason)
21 IFSP/IEP/ISP/IIIP -Enrollment Record MARSS Student Data 21
State Aid Category
21 Student Acknowledgment and Tuition Agreement MARSS Student Data 22
State Aid Category
22 Special Education Data Sheet
Last Loc of Attend
22 Student Acknowledgment and Tuition Agreement
School Last Attended
23 Admin Organization (Add a District) MARSS Student Data 23
District type
23 Student Acknowledgment and Tuition Agreement
District Type
24 IEP - Student Information
Federal Setting
24 IEP/ISP/IIIP - Enrollment Record IEP/ISP/IIIP - MARSS Student Data 24
Federal Setting
24 IEP/ISP/IIIP - Special Education Data Sheet
Federal Setting
24 IEP/ISP/IIIP - Student Acknowledgment and Tuition Agreement
Federal Setting
24 IEP/ISP/IIIP - Student Setup
Federal Setting
24 IIIP - Required for Birth to Three
Federal Setting #
24 IIIP - Required for Three to Twenty-one MARSS Student Data 25
Federal Setting #
25 Student Acknowledgment and Tuition Agreement MARSS Student Data 26
District Type
27 IEP/ISP - Extended School Year (ESY) Services MARSS Student Data 27
MARSS Transportation Code
27 Special Education Data Sheet MARSS Student Data 28
Transportation Category Code
29 Admin Educators (modify)
Edit Credentials
29 Educator Setup - Credentials
Edit Credentials
31 IFSP/IEP/ISP/IIIP - Record & Notice of a Team Meeting
The purpose of this meeting is:
32 IEP - Transition Services (Page 1)
School Year (Courses of Study)
33 IEP - Transition Services (Page 1)
Grade Level (Courses of Study)
34 IEP - Progress Reporting
Progress Reporting (When and how will progress...)
34 IEP - Student Information
PROGRESS REPORTING (When and how...)
35 IEP - Transition Services (Page 1)
Courses (Courses of Study)
37 IEP - Accommodations, modifications and supports
Service (Program Modifications, Supports, and Adaptations..)
37 IEP - Classroom Adaptations and Modifications
Service (Program Modifications, Supports, and Adaptations..)
Drop down name PHYSICAL ARRANGEMENT OF ROOM LESSON PRESENTATION ASSIGNMENTS/WORKSHEETS TEST TAKING ORGANIZATION BEHAVIORS SPECIAL CONSIDERATIONS USER CATEGORIES DISABILITIES DISABILITIES DISABILITIES DISABILITIES DISABILITIES DISABILITIES DISABILITIES DISABILITIES DISABILITIES ETHNICITIES ETHNICITIES ETHNICITIES LANGUAGES LANGUAGES LANGUAGES LANGUAGES LANGUAGES LANGUAGES LANGUAGES DESCRIPTION AREA SERVICES LIST SERVICES LIST SERVICES LIST SERVICES LIST ACTIVITY LOG DESCRIPTIONS GOAL CATEGORIES TRANSITION AREA GRADE LEVEL LONG GRADE LEVEL LONG GRADE LEVEL LONG GRADE LEVEL LONG GRADE LEVEL LONG GRADE LEVEL LONG GRADE LEVEL LONG ECONOMIC INDICATOR ECONOMIC INDICATOR STATUS END STATUS END STATUS END STATUS END STATE AID CATEGORY STATE AID CATEGORY
State Aid Category STATE AID CATEGORY LAST LOCATION OF ATTENDANCE Last Loc of Attend LAST LOCATION OF ATTENDANCE LAST LOCATION OF ATTENDANCE DISTRICT TYPE DISTRICT TYPE District Type DISTRICT TYPE FEDERAL SETTING FEDERAL SETTING FEDERAL SETTING Prim Disab Instruc Setting FEDERAL SETTING FEDERAL SETTING FEDERAL SETTING FEDERAL SETTING FEDERAL SETTING RESIDENT DISTRICT TYPE Type RESIDENT DISTRICT TYPE TRANSPORTING DISTRICT TYPE Transporting District Type TRANSPORTATION CATEGORY TRANSPORTATION CATEGORY Transportation Category Code TRANSPORTATION CATEGORY
Supplemental Education Services
SUPPLEMENTAL EDUCATION SERVICES CREDENTIALS CREDENTIALS PURPOSE OF TEAM MEETING SCHOOL_YEAR TRANSITION GRADE PROGRESS REPORTING PROGRESS REPORTING COURSES OF STUDY PROGRAM MODIFICATIONS AND SUPPORTS PROGRAM MODIFICATIONS AND SUPPORTS
Notes
Drop down ID
Form
Field label
38 IEP - Assessments (District-wide) 39 MA Forms - Physical Therapy Referral
District-wide Assessment: (List each assessment...) Dear Doctor
40 IEP - Classroom Adaptations and Modifications
Assistive Technology (explain:)
40 IEP - Services page
Assistive Technology (explain:)
41 IEP - Services page
Services (Child Specific Paraprofessional Support)
42 Eval/Reeval Plan Prior Written Notice
Evaluation Area (Edit Materials...)
42 IFSP - Notice of Proposed Eval: Part B
Evaluation Area (Edit Materials...)
42 ISP - Edit Materials, Procedures and Evaluators
Evaluation Area (Edit Materials...)
43 IEP - Services page
Special Transportation (explain:)
43 IEP/ISP - Extended School Year (ESY) Services
Special Transportation (explain:)
43 IFSP - Part C Services (Early Intervention)
Special Transportation (explain:)
45 504 Plan - Eligibility Determination
Specify (Student has a current, documented mental...
46 504 Plan - Eligibility Determination
Major Life Activity (The student's impairment "substantially...)
46 504 Plan - Section 504 Plan
Major Life Activity (Describe the impairment(s) that....
47 504 Plan - Parental Consent
Assessment Area
48 504 Plan - Parental Consent
Assessment Techniques Service
Drop down name DISTRICT-WIDE ASSESSMENTS
DOCTORS ADAPTIVE EQUIPMENT (SERVICES) ADAPTIVE EQUIPMENT (SERVICES) IEP PARA SUPPORT (SERVICES) EVALUATION AREA EVALUATION AREA EVALUATION AREA SPECIAL TRANSPORTATION (SERVICES) SPECIAL TRANSPORTATION (SERVICES) SPECIAL TRANSPORTATION (SERVICES) DIAGNOSED IMPAIRMENT MAJOR LIFE ACTIVITIES MAJOR LIFE ACTIVITIES ASSESSMENT AREA EVALUATION TECHNIQUES INTERAGENCY SERVICES
49 IIIP - Services page MA SETTING 50 MA Forms - IEP/IFSP Services Activity Log
(MA Setting drop down)
50 MA Forms - Student Billing Setup
MA Setting
51 MA Forms - Student Billing Setup
Relationship (Self or Child)
52 MA Forms - Student Billing Setup
Insurance Type
53 54 55 55
Claim File Indicator Encounter (Add New Student or Group) District-wide Assessment: (If YES... If NO...) Accommodations (Eligibility Requirements for MTAS)
MA SETTING RELATIONSHIP INSURANCE TYPE CLAIM FILE INDICATOR MA Forms - Student Billing Setup MA Forms - IEP/IFSP Services Record IEP - Assessments (District-wide) IEP - Assessments (State/LEP)
56 IEP/ISP - Extended School Year (ESY) Services
Frequency
56 IEP/ISP/IIIP - Services page
Frequency
56 RTI - Interventions chosen - Plan 56 RTI - Interventions chosen - Plan
Intervention (How often:) Measurement (Frequency of data collection:)
57 Eval/Reeval Plan Prior Written Notice
The reason that the district is proposing an initial...
57 IFSP - Notice of Proposed Eval: Part B
The reasons that the district is proposing an initial..
58 IEP/ISP/lllP Prior Written Notice
Other options that the IFSP Team considered and the...
59 Eval/Reeval Plan Prior Written Notice
Other factors relevant to the school district's proposal...
59 IEP/ISP/IIIP Prior Written Notice
Other factors relevant to the school district's proposal...
59 IFSP - Notice of Proposed Eval: Part B
Other factors relevant to the school district's proposal...
59 IFSP - Prior Written Notice: Part B
Other factors relevant to the school district's proposal...
60 Eval/Reeval Plan Prior Written Notice 61 IEP/ISP/IIIP - Prior Written Notice 61 IFSP - Prior Written Notice: Part B
Each evaluation procedure, assessment, record, or report... The district is proposing or refusing the following actions... The district is proposing or refusing the following actions...
62 IEP/ISP/IIIP Prior Written Notice
The reason that the district is proposing or refusing....
62 Prior Written Notice: Part B
The reason that the district is proposing or refusing....
63 IEP - Accommodations, modifications and supports 63 IEP - Classroom Adaptations and Modifications
Services (Program Supports for School Personnel) Service (Program Supports for School Personnel)
64 Eval/Reeval Plan Prior Written Notice
Materials and Procedures (Edit Materials...)
64 IFSP - Eligibility Determination
If scores were obtained through a review of medical or....
64 IFSP - Notice of Proposed Eval: Part B
Materials and Procedures (Edit Materials...)
64 IFSP - Notice of Proposed Eval/Consent: Part C
Proposed Assessment Procedures (Materials and Procedures)
64 ISP - Edit Materials, Procedures and Evaluators
Materials and Procedures (Edit Materials...)
65 Eval/Reeval Plan Prior Written Notice
Evaluators (Edit Materials...)
65 IFSP - Notice of Proposed Eval: Part B
Evaluators (Edit Materials...)
65 IFSP - Notice of Proposed Eval/Consent: Part C
Proposed Assessment Procedures (Evaluators)
65 ISP - Edit Materials, Procedures and Evaluators
Evaluators (Edit Materials...)
66 67 68 68
The evaluation will be conducted at: Category Adaptations needed to conduct this evaluation: Statement of adaptations needed to conduct this evaluation:
MA ENCOUNTER CODES TESTING ACCOMMODATIONS TESTING ACCOMMODATIONS SERVICE FREQUENCY SERVICE FREQUENCY SERVICE FREQUENCY SERVICE FREQUENCY REASON(S) FOR EVALUATION REASON(S) FOR EVALUATION OPTIONS CONSIDERED OTHER FACTORS OTHER FACTORS OTHER FACTORS OTHER FACTORS EVALUATION PROCEDURES ACTIONS PROPOSED (PART B) ACTIONS PROPOSED (PART B) EXPLANATION OF PROPOSALS (PART B) EXPLANATION OF PROPOSALS (PART B) SUPPORTS FOR SCHOOL PERSONNEL SUPPORTS FOR SCHOOL PERSONNEL MATERIALS AND PROCEDURES MATERIALS AND PROCEDURES MATERIALS AND PROCEDURES MATERIALS AND PROCEDURES MATERIALS AND PROCEDURES EVALUATORS EVALUATORS EVALUATORS EVALUATORS LOCATION
Eval/Reeval Plan Prior Written Notice Admin Organization (Edit ER Forms Test templates) Eval/Reeval Plan Prior Written Notice IFSP - Notice of Proposed Eval: Part B
69 Admin Organization (School Setup)
Title 1 indicator
70 Admin Organization (School Setup)
Kind. Sched.
71 Admin Reporting - MA Forms - Reconciliation Report 72 IEP/ISP/IIIP - Prior Written Notice
Select Mental Health service type Each evaluation procedure, assessment, record, or report...
72 IFSP - Prior Written Notice: Part B
Each evaluation procedure, assessment, record, or report...
74 Admin Organization (Add/Edit Form Letter)
Category
75 Admin Reporting - MA Forms - Create Eligibility Transmission (270)
MA eligible (Create eligibility batch)
75 MA Forms - Student Billing Setup
MA eligible
76 Eval/Reeval Plan Prior Written Notice
Other options that the IEP team considered...
TESTS ADAPTATIONS ADAPTATIONS TITLE 1 SCHOOL INDICATOR KINDERGARTEN SCHEDULE INDICATOR MENTAL HEALTH SERVICE TYPE EVALUATION PROCEDURES EVALUATION PROCEDURES FORM LETTER CATEGORIES MA ELIGIBLE MA ELIGIBLE OPTIONS CONSIDERED NEERP
Notes
Drop down ID
Form
Field label
76 IFSP - Notice of Proposed Eval: Part B IEP - Transition Services (Page 2) 78
Other options that the IEP team considered...
79 IFSP/IEP/ISP/IIIP - Confirmation of Conciliation Conference
The meeting will be at (location)
79 IFSP/IEP/ISP/IIIP - Notice of a Team Meeting
The meeting will be at (location)
79 RTI - Notice of Team Meeting
Your are invited to attend a meeting to plan for...
80 IFSP - Attendance Record
Service
80 IFSP - Part C Services (Early Intervention)
Service
81 82 83 84 84 85 85 85
Method Area Document reason if the 45 day timeline was not met: Contact method Teacher information (Select contact method) Relationship to child Parent/Guardian informatin (Relationship to child) Relationship to child
Drop down name OPTIONS CONSIDERED NEERP
OUTSIDE AGENCIES Agency Providing Service on the IEP MEETING LOCATIONS MEETING LOCATIONS MEETING LOCATIONS SERVICES IFSP SERVICES IFSP SERVICE METHOD
IFSP - Part C Services (Early Intervention) IFSP - Eligibility Determination IFSP - Student Information IFSP/IEP/ISP/IIIP - Communication Log RTI - Teacher Request for Assistance IEP - Student Information RTI - Teacher Request for Assistance Student Setup
86 IEP - Extended School Year
Location
86 IEP - Services page
Location
88 IEP - Goals page
How will progress toward meeting this annual goal...
IFSP DEVELOPMENTAL DELAY IFSP DELAY REASON CONTACT METHOD CONTACT METHOD RELATIONSHIP TO CHILD RELATIONSHIP TO CHILD RELATIONSHIP TO CHILD LOCATION (IEP SERVICES) LOCATION (IEP SERVICES) PROGRESS MEASURES EVALUATION AREA (PART C)
89 90 91 92 93 94 95 96 97 98 100
IFSP - Notice of Proposed Eval: Part C IFSP - Notice of Proposed Eval: Part B MA Forms - IEP/IFSP Services Activity Log MA Forms - IEP/IFSP Services Activity Log MA Forms - IEP/IFSP Services Activity Log MA Forms - IEP/IFSP Services Activity Log MA Forms - IEP/IFSP Services Activity Log MA Forms - IEP/IFSP Services Activity Log MA Forms - IEP/IFSP Services Activity Log MA Forms - IEP/IFSP Services Activity Log IFSP/IEP/ISP/IIIP - Attendance Record
Proposed Assessment Procedures (Area) Each evaluation procedure, assessment, record, or report... Description of Services Description of Services Descritpion of Services Description of Services Description of Services Description of Services Description of Services Description of Services Reason
101 IEP - Accommodations, modifications and supports
Service (Supplementary Aids and Services in...)
101 102 104 105 106 107 108 109 110 113 113 117 118 119 120 121 122 123 124 125 126 131 133 134 135 136 137 138 139 140 141 142 143 144 151 152 153 154 155 156 157 158 159
Service (Supplementary Aids and Services in...) Select area of concern County Health Information Previous Schools/Services Interview Summary (Interview Type) Classroom Observation (Type) Problem Identification Summary C1 (Disposition:) Statement of student's need for and the specific.... Data collection (Select Meaure) Measure (Select Measure) Activity (Instruction) Activity (Related services) Activity (Community participation) Activity (The development of employment...) Activity (If appropriate, acquisition of daily living skills...) Problem Analysis - Instruction Problem Analysis - Curriculum Problem Analysis - Environment Problem Analysis - Learner How notified: Attendance Contact Information (Land line) Sources of Information Monitoring of medications What will happen? Discussions with, and training... The student will partcipate in: Frequency Intensity How participated in meeting: Relationship to Student Test (with or without accommodations) Subject (with or without accommodations We anticipate that your child will be provided English Learner... What will happen? Procedures to prepare the child.... What will happen? Identification of transitions services.... Reasons for releasing information: Description of Services Reasons that the district is proposing to screen... Each evaluation, procedure, assessment, record, or... Other options that the IEP Team considered and the... Other factors relevant to the school district's proposal... The Conciliation Conference resulted from:
IEP - Classroom Adaptation and Modifications Response to Intervention (RTI) Student Setup RTI - Problem Identification Screening Summary RTI - Problem Identification Screening Summary RTI - Problem Identification Screening Summary RTI - Problem Identification Screening Summary RTI - Problem Identification Screening Summary IEP - Services (Child Specific Paraprofessional Support) RTI -Interventions chosen - Plan RTI -Interventions chosen - Progress IEP - Transition Services (Page 2) IEP - Transition Services (Page 2) IEP - Transition Services (Page 2) IEP - Transition Services (Page 2) IEP - Transition Services (Page 2) RTI - Interventions chosen - Analysis RTI - Interventions chosen - Analysis RTI - Interventions chosen - Analysis RTI - Interventions chosen - Analysis IFSP/IEP/ISP/IIIP - Use of Restrictive Procedures IFSP/IEP/ISP/IIIP - Attendance Record Educator Setup - Profile 504 Plan - Eligibility Determination 504 Plan - Section 504 Plan IFSP - Transition Planning IEP - Assessments (English Language) IFSP - Part C Services (Early Intervention) IFSP - Part C Services (Early Intervention) IFSP - Team Members IFSP/IEP/ISP/IIIP - Communication Log IEP - Graduation Assessment Requirements IEP - Graduation Assessment Requirements EL Forms - Notification of English Learner Services IFSP - Transition Planning IFSP - Transition Planning IFSP/IEP/ISP/IIIP - Authorization for Release of Information MA Forms - IEP/IFSP Services Activity Log ISP/IIIP - Notice or Proposed Screening: IDEA Part B ISP/IIIP - Notice or Proposed Screening: IDEA Part B ISP/IIIP - Notice or Proposed Screening: IDEA Part B ISP/IIIP - Notice or Proposed Screening: IDEA Part B IFSP/IEP/ISP/IIIP - Conciliation Conference Memorandum
EVALUATION PROCEDURES (PART B) ACTIVITY LOG DESCRIPTIONS T-1013 ACTIVITY LOG DESCRIPTIONS T-1018 - U1 ACTIVITY LOG DESCRIPTIONS T-1018 - U2 ACTIVITY LOG DESCRIPTIONS T-1018 - U3 ACTIVITY LOG DESCRIPTIONS T-1018 - U4 ACTIVITY LOG DESCRIPTIONS T-1018 - U5 ACTIVITY LOG DESCRIPTIONS T-1018 - U7 ACTIVITY LOG DESCRIPTIONS T-1018 - U8 REASONS ABSENT PROGRAM SUPPORTS FOR NONACADEMIC AND EXTRACURRICULAR PROGRAM SUPPORTS FOR NONACADEMIC AND EXTRACURRICULAR AREA COUNTY HEALTH CONCERN PREVIOUS SERVICES INTERVIEW TYPE OBSERVATION TYPE DISPOSITION TYPE STATEMENTS OF NEED MEASURES MEASURES TRANSITION SERVICES - INSTRUCTION TRANSITION SERVICES - RELATED SERVICES TRANSITION SERVICES - COMMUNITY TRANSITION SERVICES - EMPLOYMENT TRANSITION SERVICES - LIVING SKILLS ANALYSIS - INSTRUCTION ANALYSIS - CURRICULUM ANALYSIS - ENVIRONMENT ANALYSIS - LEARNER CONTACT METHOD (RESTRICTIVE) ATTENDANCE TYPE PHONE NUMBER CARRIER SOURCES OF INFORMATION MONITORING OF MEDICATIONS TRANSITION STEPS DISCUSSION ACCESS FOR ELLS SERVICE FREQUENCY SERVICE INTENSITY EVALUATOR PARTICIPATION COMMUNICATION LOG RELATIONSHIP ASSESSMENT TESTS ASSESSMENT TEST SUBJECTS EL SERVICE METHODS TRANSITION STEPS PROCEDURES TRANSITION STEPS IDENTIFICATION RELEASE OF AUTHORIZATION REASONS ACTIVITY LOG DESCRIPTIONS T-1018 - U4HE PART B PWN Q1 PART B PWN Q2 PART B PWN Q3 PART B PWN Q4 CONCILIATION MEMORANDUM RESULT
Notes
Drop down ID 1 2 3 4 5 6 7 8 9 9 9 9 9 9 9 9 9 10 10 10 11 11 11 11 11 11 11 12 13 13 13 13 14 15 16 17 17 17 17 17 17 17 18 18 20 20 20 20
Form 504 Plan - Section 504 Plan 504 Plan - Section 504 Plan 504 Plan - Section 504 Plan 504 Plan - Section 504 Plan 504 Plan - Section 504 Plan 504 Plan - Section 504 Plan 504 Plan - Section 504 Plan Admin Educators (add/modify) IEP/ISP - Student Information IFSP - Identifying Information IFSP - Eligibility Determination IFSP/IEP/ISP/IIIP - Enrollment Record MARSS Student Data IEP/ISP/IIIP - Special Education Data Sheet IIIP - Demographic Information Student Setup IFSP/ISP/IIIP - ECSE COSF IIIP - Demographic Information MARSS Student Data Special Education Data Sheet IEP - Student Information IFSP - Student Information IFSP - Student Information IIIP - Demographic Information MARSS Student Data Special Education Data Sheet Student Setup IIIP - Description of Child/Student IEP/ISP - Extended School Year (ESY) Services IFSP/IEP/ISP/IIIP - Service Log IEP Services IEP - Attendance Record MA Forms - Activity Log - PCA Services IEP Goals IIIP - Transition Program Planning Additional Forms - (at the top of most pages) Admin Organization - (School Setup) EL Forms - EL Tracking and Forms IIIP - Demographic Information MARSS Student Data Student Setup Admin Reporting - MA Forms - Create Eligibility Transmission (270) MARSS Student Data Special Education Data Sheet MARSS Student Data Special Education Data Sheet IFSP/IEP/ISP/IIIP - Enrollment Record Student Setup MARSS Student Data
Field label Environmental/Physical Accommodations Instructional Accommodations Assignment/Accommodations Testing Accommodation Instructional Materials, Aids and Supports Behavior Management Special Considerations Category/Location Primary Disability / Secondary Disability Child's Primary Disability Category Categorical Disability Disability Special Education Primary Disability Classification Primary Disability Primary Disability/Secondary Disability Primary Disability Primary Disability Race/Ethnicity Race/Ethnicity RACE/ETHNICITY Primary Home Language / Child's Primary Language Parent's Native Language / Child's Native Language Child's Language for Evaluations and Assessments Primary Language at Home / Primary Language Home Primary Language Native Language Native Language Area Services Service Service Service Description of Services Category/area Transition Area Grade Grade Grade Level (Add new test or edit) Grade Student Grade Level Grade Grade (Create eligibility batch file) Economic Indicator Economic Indicator Status End Status End Status End Status End (Exit reason)
21
State Aid Category
21 Student Acknowledgment and Tuition Agreement
State Aid Category
21 IFSP/IEP/ISP/IIIP -Enrollment Record MARSS Student Data 22
State Aid Category
22 Special Education Data Sheet
Last Loc of Attend
22 Student Acknowledgment and Tuition Agreement
School Last Attended
23 Admin Organization (Add a District) MARSS Student Data 23
District type
23 Student Acknowledgment and Tuition Agreement
District Type
24 IEP - Student Information
Federal Setting
24 IEP/ISP/IIIP - Enrollment Record
Federal Setting
24 IIIP - Required for Birth to Three
Federal Setting #
24 IIIP - Required for Three to Twenty-one IEP/ISP/IIIP - MARSS Student Data 24
Federal Setting #
24 IEP/ISP/IIIP - Special Education Data Sheet
Federal Setting
24 IEP/ISP/IIIP - Student Acknowledgment and Tuition Agreement
Federal Setting
24 IEP/ISP/IIIP - Student Setup MARSS Student Data 25
Federal Setting
25 Student Acknowledgment and Tuition Agreement MARSS Student Data 26 MARSS Student Data 27
District Type
27 Special Education Data Sheet
Transportation Category Code
27 IEP/ISP - Extended School Year (ESY) Services MARSS Student Data 28
MARSS Transportation Code
29 Admin Educators (modify)
Edit Credentials
29 Educator Setup - Credentials
Edit Credentials
31 IFSP/IEP/ISP/IIIP - Record & Notice of a Team Meeting
The purpose of this meeting is:
32 IEP - Transition Services (Page 1)
School Year (Courses of Study)
33 IEP - Transition Services (Page 1)
Grade Level (Courses of Study)
34 IEP - Student Information
PROGRESS REPORTING (When and how...)
34 IEP - Progress Reporting
Progress Reporting (When and how will progress...)
35 IEP - Transition Services (Page 1)
Courses (Courses of Study)
37 IEP - Classroom Adaptations and Modifications
Service (Program Modifications, Supports, and Adaptations..)
37 IEP - Accommodations, modifications and supports
Service (Program Modifications, Supports, and Adaptations..)
38 IEP - Assessments (District-wide) 39 MA Forms - Physical Therapy Referral
District-wide Assessment: (List each assessment...) Dear Doctor
40 IEP - Services page
Assistive Technology (explain:)
Drop down name PHYSICAL ARRANGEMENT OF ROOM LESSON PRESENTATION ASSIGNMENTS/WORKSHEETS TEST TAKING ORGANIZATION BEHAVIORS SPECIAL CONSIDERATIONS USER CATEGORIES DISABILITIES DISABILITIES DISABILITIES DISABILITIES DISABILITIES DISABILITIES DISABILITIES DISABILITIES DISABILITIES ETHNICITIES ETHNICITIES ETHNICITIES LANGUAGES LANGUAGES LANGUAGES LANGUAGES LANGUAGES LANGUAGES LANGUAGES DESCRIPTION AREA SERVICES LIST SERVICES LIST SERVICES LIST SERVICES LIST ACTIVITY LOG DESCRIPTIONS GOAL CATEGORIES TRANSITION AREA GRADE LEVEL LONG GRADE LEVEL LONG GRADE LEVEL LONG GRADE LEVEL LONG GRADE LEVEL LONG GRADE LEVEL LONG GRADE LEVEL LONG ECONOMIC INDICATOR ECONOMIC INDICATOR STATUS END STATUS END STATUS END STATUS END STATE AID CATEGORY
Notes Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay
STATE AID CATEGORY Okay STATE AID CATEGORY Okay LAST LOCATION OF ATTENDANCE Last Loc of Attend
Okay LAST LOCATION OF ATTENDANCE Okay LAST LOCATION OF ATTENDANCE Okay DISTRICT TYPE Okay DISTRICT TYPE
District Type
Okay DISTRICT TYPE Okay FEDERAL SETTING Okay FEDERAL SETTING Okay FEDERAL SETTING Settings are incorrect FEDERAL SETTING Okay FEDERAL SETTING
Prim Disab Instruc Setting
Okay FEDERAL SETTING Okay FEDERAL SETTING Okay FEDERAL SETTING Okay RESIDENT DISTRICT TYPE
Type
Okay RESIDENT DISTRICT TYPE Okay TRANSPORTING DISTRICT TYPE
Transporting District Type
Okay TRANSPORTATION CATEGORY
Transportation Category Code
Okay TRANSPORTATION CATEGORY Okay TRANSPORTATION CATEGORY
Supplemental Education Services
Okay SUPPLEMENTAL EDUCATION SERVICES CREDENTIALS
Okay Okay
CREDENTIALS Okay PURPOSE OF TEAM MEETING Okay SCHOOL_YEAR Okay TRANSITION GRADE Okay PROGRESS REPORTING Okay PROGRESS REPORTING Okay COURSES OF STUDY Okay PROGRAM MODIFICATIONS AND SUPPORTS Okay PROGRAM MODIFICATIONS AND SUPPORTS Okay DISTRICT-WIDE ASSESSMENTS DOCTORS ADAPTIVE EQUIPMENT (SERVICES)
Okay Okay Okay
ADAPTIVE EQUIPMENT (SERVICES) 40 IEP - Classroom Adaptations and Modifications
Assistive Technology (explain:)
41 IEP - Services page
Services (Child Specific Paraprofessional Support)
42 IFSP - Notice of Proposed Eval: Part B
Evaluation Area (Edit Materials...)
42 Eval/Reeval Plan Prior Written Notice
Evaluation Area (Edit Materials...)
42 ISP - Edit Materials, Procedures and Evaluators
Evaluation Area (Edit Materials...)
43 IEP - Services page
Special Transportation (explain:)
43 IFSP - Part C Services (Early Intervention)
Special Transportation (explain:)
43 IEP/ISP - Extended School Year (ESY) Services
Special Transportation (explain:)
45 504 Plan - Eligibility Determination
Specify (Student has a current, documented mental...
46 504 Plan - Eligibility Determination
Major Life Activity (The student's impairment "substantially...)
46 504 Plan - Section 504 Plan
Major Life Activity (Describe the impairment(s) that....
47 504 Plan - Parental Consent
Assessment Area
48 504 Plan - Parental Consent
Assessment Techniques Service
Okay IEP PARA SUPPORT (SERVICES) Okay EVALUATION AREA Okay EVALUATION AREA Okay EVALUATION AREA Okay SPECIAL TRANSPORTATION (SERVICES) Okay SPECIAL TRANSPORTATION (SERVICES) Okay SPECIAL TRANSPORTATION (SERVICES) Okay DIAGNOSED IMPAIRMENT Okay MAJOR LIFE ACTIVITIES Okay MAJOR LIFE ACTIVITIES Okay ASSESSMENT AREA Okay EVALUATION TECHNIQUES Okay INTERAGENCY SERVICES
49 IIIP - Services page
Okay MA SETTING
50 MA Forms - IEP/IFSP Services Activity Log
(MA Setting drop down)
50 MA Forms - Student Billing Setup
MA Setting
51 MA Forms - Student Billing Setup
Relationship (Self or Child)
52 MA Forms - Student Billing Setup
Insurance Type
53 54 55 55
Claim File Indicator Encounter (Add New Student or Group) District-wide Assessment: (If YES... If NO...) Accommodations (Eligibility Requirements for MTAS)
Okay MA SETTING Okay RELATIONSHIP Okay INSURANCE TYPE Okay CLAIM FILE INDICATOR
MA Forms - Student Billing Setup MA Forms - IEP/IFSP Services Record IEP - Assessments (District-wide) IEP - Assessments (State/LEP)
56 IEP/ISP - Extended School Year (ESY) Services
Frequency
56 IEP/ISP/IIIP - Services page
Frequency
56 RTI - Interventions chosen - Plan 56 RTI - Interventions chosen - Plan
Intervention (How often:) Measurement (Frequency of data collection:)
57 IFSP - Notice of Proposed Eval: Part B
The reasons that the district is proposing an initial..
57 Eval/Reeval Plan Prior Written Notice
The reason that the district is proposing an initial...
58 IEP/ISP/lllP Prior Written Notice
Other options that the IFSP Team considered and the...
59 IFSP - Notice of Proposed Eval: Part B
Other factors relevant to the school district's proposal...
59 IFSP - Prior Written Notice: Part B
Other factors relevant to the school district's proposal...
59 Eval/Reeval Plan Prior Written Notice
Other factors relevant to the school district's proposal...
59 IEP/ISP/IIIP Prior Written Notice
Other factors relevant to the school district's proposal...
60 Eval/Reeval Plan Prior Written Notice 61 IFSP - Prior Written Notice: Part B 61 IEP/ISP/IIIP - Prior Written Notice
Each evaluation procedure, assessment, record, or report... The district is proposing or refusing the following actions... The district is proposing or refusing the following actions...
62 Prior Written Notice: Part B
The reason that the district is proposing or refusing....
62 IEP/ISP/IIIP Prior Written Notice
The reason that the district is proposing or refusing....
63 IEP - Accommodations, modifications and supports 63 IEP - Classroom Adaptations and Modifications
Services (Program Supports for School Personnel) Service (Program Supports for School Personnel)
64 IFSP - Notice of Proposed Eval: Part B
Materials and Procedures (Edit Materials...)
64 IFSP - Notice of Proposed Eval/Consent: Part C
Proposed Assessment Procedures (Materials and Procedures)
64 Eval/Reeval Plan Prior Written Notice
Materials and Procedures (Edit Materials...)
64 ISP - Edit Materials, Procedures and Evaluators
Materials and Procedures (Edit Materials...)
64 IFSP - Eligibility Determination
If scores were obtained through a review of medical or....
65 IFSP - Notice of Proposed Eval: Part B
Evaluators (Edit Materials...)
65 IFSP - Notice of Proposed Eval/Consent: Part C
Proposed Assessment Procedures (Evaluators)
65 Eval/Reeval Plan Prior Written Notice
Evaluators (Edit Materials...)
65 ISP - Edit Materials, Procedures and Evaluators
Evaluators (Edit Materials...)
66 67 68 68
The evaluation will be conducted at: Category Statement of adaptations needed to conduct this evaluation: Adaptations needed to conduct this evaluation:
MA ENCOUNTER CODES TESTING ACCOMMODATIONS TESTING ACCOMMODATIONS SERVICE FREQUENCY
Okay Okay Okay Okay Okay
SERVICE FREQUENCY Okay SERVICE FREQUENCY SERVICE FREQUENCY REASON(S) FOR EVALUATION
Okay Okay Okay
REASON(S) FOR EVALUATION Okay OPTIONS CONSIDERED Okay OTHER FACTORS Okay OTHER FACTORS Okay OTHER FACTORS Okay OTHER FACTORS Okay EVALUATION PROCEDURES ACTIONS PROPOSED (PART B) ACTIONS PROPOSED (PART B) EXPLANATION OF PROPOSALS (PART B)
Okay Okay Okay Okay
EXPLANATION OF PROPOSALS (PART B) Okay SUPPORTS FOR SCHOOL PERSONNEL SUPPORTS FOR SCHOOL PERSONNEL MATERIALS AND PROCEDURES
Okay Okay Okay
MATERIALS AND PROCEDURES Okay MATERIALS AND PROCEDURES Okay MATERIALS AND PROCEDURES Okay MATERIALS AND PROCEDURES Okay EVALUATORS Okay EVALUATORS Okay EVALUATORS Okay EVALUATORS Okay LOCATION Eval/Reeval Plan Prior Written Notice Admin Organization (Edit ER Forms Test templates) IFSP - Notice of Proposed Eval: Part B Eval/Reeval Plan Prior Written Notice
69 Admin Organization (School Setup)
Title 1 indicator
70 Admin Organization (School Setup)
Kind. Sched.
71 Admin Reporting - MA Forms - Reconciliation Report
Select Mental Health service type
72 IFSP - Prior Written Notice: Part B 72 IEP/ISP/IIIP - Prior Written Notice
Each evaluation procedure, assessment, record, or report... Each evaluation procedure, assessment, record, or report...
74 Admin Organization (Add/Edit Form Letter)
Category
75 MA Forms - Student Billing Setup
MA eligible
75 Admin Reporting - MA Forms - Create Eligibility Transmission (270)
MA eligible (Create eligibility batch)
76 IFSP - Notice of Proposed Eval: Part B
Other options that the IEP team considered...
76 Eval/Reeval Plan Prior Written Notice IEP - Transition Services (Page 2) 78
Other options that the IEP team considered...
79 IFSP/IEP/ISP/IIIP - Notice of a Team Meeting
The meeting will be at (location)
79 IFSP/IEP/ISP/IIIP - Confirmation of Conciliation Conference
The meeting will be at (location)
79 RTI - Notice of Team Meeting
Your are invited to attend a meeting to plan for...
80 IFSP - Part C Services (Early Intervention)
Service
80 IFSP - Attendance Record
Service
TESTS ADAPTATIONS ADAPTATIONS TITLE 1 SCHOOL INDICATOR
Okay Okay Okay Okay Okay
KINDERGARTEN SCHEDULE INDICATOR Okay MENTAL HEALTH SERVICE TYPE Okay EVALUATION PROCEDURES EVALUATION PROCEDURES FORM LETTER CATEGORIES
Okay Okay Okay
MA ELIGIBLE Okay MA ELIGIBLE Okay OPTIONS CONSIDERED NEERP Okay OPTIONS CONSIDERED NEERP Okay OUTSIDE AGENCIES Agency Providing Service on the IEP
Okay MEETING LOCATIONS Okay MEETING LOCATIONS Okay MEETING LOCATIONS Okay SERVICES IFSP Okay SERVICES IFSP Okay
SERVICE METHOD 81 82 83 84 84 85 85 85
IFSP - Part C Services (Early Intervention) IFSP - Eligibility Determination IFSP - Student Information IFSP/IEP/ISP/IIIP - Communication Log RTI - Teacher Request for Assistance IEP - Student Information Student Setup RTI - Teacher Request for Assistance
Method Area Document reason if the 45 day timeline was not met: Contact method Teacher information (Select contact method) Relationship to child Relationship to child Parent/Guardian informatin (Relationship to child)
86 IEP - Services page
Location
86 IEP - Extended School Year
Location
88 IEP - Goals page
How will progress toward meeting this annual goal...
IFSP DEVELOPMENTAL DELAY IFSP DELAY REASON CONTACT METHOD CONTACT METHOD RELATIONSHIP TO CHILD RELATIONSHIP TO CHILD RELATIONSHIP TO CHILD LOCATION (IEP SERVICES)
Okay Okay Okay Okay Okay Okay Okay Okay Okay
LOCATION (IEP SERVICES) Okay PROGRESS MEASURES Okay EVALUATION AREA (PART C) 89 90 91 92 93 94 95 96 97 98 100
IFSP - Notice of Proposed Eval: Part C IFSP - Notice of Proposed Eval: Part B MA Forms - IEP/IFSP Services Activity Log MA Forms - IEP/IFSP Services Activity Log MA Forms - IEP/IFSP Services Activity Log MA Forms - IEP/IFSP Services Activity Log MA Forms - IEP/IFSP Services Activity Log MA Forms - IEP/IFSP Services Activity Log MA Forms - IEP/IFSP Services Activity Log MA Forms - IEP/IFSP Services Activity Log IFSP/IEP/ISP/IIIP - Attendance Record
Proposed Assessment Procedures (Area) Each evaluation procedure, assessment, record, or report... Description of Services Description of Services Descritpion of Services Description of Services Description of Services Description of Services Description of Services Description of Services Reason
101 IEP - Accommodations, modifications and supports
Service (Supplementary Aids and Services in...)
101 102 104 105 106 107 108 109 110 113 113 117 118 119 120 121 122 123 124 125 126 131 133 134 135 136 137 138 139 140 141 142 143 144 151 152 153 154 155 156 157 158 159
Service (Supplementary Aids and Services in...) Select area of concern County Health Information Previous Schools/Services Interview Summary (Interview Type) Classroom Observation (Type) Problem Identification Summary C1 (Disposition:) Statement of student's need for and the specific.... Data collection (Select Meaure) Measure (Select Measure) Activity (Instruction) Activity (Related services) Activity (Community participation) Activity (The development of employment...) Activity (If appropriate, acquisition of daily living skills...) Problem Analysis - Instruction Problem Analysis - Curriculum Problem Analysis - Environment Problem Analysis - Learner How notified: Attendance Contact Information (Land line) Sources of Information Monitoring of medications What will happen? Discussions with, and training... The student will partcipate in: Frequency Intensity How participated in meeting: Relationship to Student Test (with or without accommodations) Subject (with or without accommodations We anticipate that your child will be provided English Learner... What will happen? Procedures to prepare the child.... What will happen? Identification of transitions services.... Reasons for releasing information: Description of Services Reasons that the district is proposing to screen... Each evaluation, procedure, assessment, record, or... Other options that the IEP Team considered and the... Other factors relevant to the school district's proposal... The Conciliation Conference resulted from:
IEP - Classroom Adaptation and Modifications Response to Intervention (RTI) Student Setup RTI - Problem Identification Screening Summary RTI - Problem Identification Screening Summary RTI - Problem Identification Screening Summary RTI - Problem Identification Screening Summary RTI - Problem Identification Screening Summary IEP - Services (Child Specific Paraprofessional Support) RTI -Interventions chosen - Plan RTI -Interventions chosen - Progress IEP - Transition Services (Page 2) IEP - Transition Services (Page 2) IEP - Transition Services (Page 2) IEP - Transition Services (Page 2) IEP - Transition Services (Page 2) RTI - Interventions chosen - Analysis RTI - Interventions chosen - Analysis RTI - Interventions chosen - Analysis RTI - Interventions chosen - Analysis IFSP/IEP/ISP/IIIP - Use of Restrictive Procedures IFSP/IEP/ISP/IIIP - Attendance Record Educator Setup - Profile 504 Plan - Eligibility Determination 504 Plan - Section 504 Plan IFSP - Transition Planning IEP - Assessments (English Language) IFSP - Part C Services (Early Intervention) IFSP - Part C Services (Early Intervention) IFSP - Team Members IFSP/IEP/ISP/IIIP - Communication Log IEP - Graduation Assessment Requirements IEP - Graduation Assessment Requirements EL Forms - Notification of English Learner Services IFSP - Transition Planning IFSP - Transition Planning IFSP/IEP/ISP/IIIP - Authorization for Release of Information MA Forms - IEP/IFSP Services Activity Log ISP/IIIP - Notice or Proposed Screening: IDEA Part B ISP/IIIP - Notice or Proposed Screening: IDEA Part B ISP/IIIP - Notice or Proposed Screening: IDEA Part B ISP/IIIP - Notice or Proposed Screening: IDEA Part B IFSP/IEP/ISP/IIIP - Conciliation Conference Memorandum
EVALUATION PROCEDURES (PART B) ACTIVITY LOG DESCRIPTIONS T-1013 ACTIVITY LOG DESCRIPTIONS T-1018 - U1 ACTIVITY LOG DESCRIPTIONS T-1018 - U2 ACTIVITY LOG DESCRIPTIONS T-1018 - U3 ACTIVITY LOG DESCRIPTIONS T-1018 - U4 ACTIVITY LOG DESCRIPTIONS T-1018 - U5 ACTIVITY LOG DESCRIPTIONS T-1018 - U7 ACTIVITY LOG DESCRIPTIONS T-1018 - U8 REASONS ABSENT PROGRAM SUPPORTS FOR NONACADEMIC AND EXTRACURRICULAR PROGRAM SUPPORTS FOR NONACADEMIC AND EXTRACURRICULAR AREA COUNTY HEALTH CONCERN PREVIOUS SERVICES INTERVIEW TYPE OBSERVATION TYPE DISPOSITION TYPE STATEMENTS OF NEED MEASURES MEASURES TRANSITION SERVICES - INSTRUCTION TRANSITION SERVICES - RELATED SERVICES TRANSITION SERVICES - COMMUNITY TRANSITION SERVICES - EMPLOYMENT TRANSITION SERVICES - LIVING SKILLS ANALYSIS - INSTRUCTION ANALYSIS - CURRICULUM ANALYSIS - ENVIRONMENT ANALYSIS - LEARNER CONTACT METHOD (RESTRICTIVE) ATTENDANCE TYPE PHONE NUMBER CARRIER SOURCES OF INFORMATION MONITORING OF MEDICATIONS TRANSITION STEPS DISCUSSION ACCESS FOR ELLS SERVICE FREQUENCY SERVICE INTENSITY EVALUATOR PARTICIPATION COMMUNICATION LOG RELATIONSHIP ASSESSMENT TESTS ASSESSMENT TEST SUBJECTS EL SERVICE METHODS TRANSITION STEPS PROCEDURES TRANSITION STEPS IDENTIFICATION RELEASE OF AUTHORIZATION REASONS ACTIVITY LOG DESCRIPTIONS T-1018 - U4HE PART B PWN Q1 PART B PWN Q2 PART B PWN Q3 PART B PWN Q4 CONCILIATION MEMORANDUM RESULT
Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay Okay
