C.M.R. 14, 197, ch. 4, app 197-4-B

Current through 2024-46, November 13, 2024

Appendix 197-4-B - NOTIFICATION OF IDT (Preschool Children)

Child: ________________________ D.O.B. ____________________

Parents Name/Address_________________CXC/CDW ____________________

__________Address: __________

_____________Tel. ____________

Handicapping, Condition: ___________________________________________________

______________________________________________

______________________________________________

__________________

Brief Description of current services:___________________________________________

____________________________________________

____________________________________________

_____________________________________________

_________________

Date___________ Place _____________ Time _______________

(attached is explanation of IDT process).

RESPONSIBILITY GRID FOR IEP/ITP COMPONENTS

BMR	BMR
CDW	CSC	LEA	DSE
Home based special instruction for
developmentally delayed students	P	N	N	N
School based special program 3-5 yr.	P/S	N	P	S
if avail.)
Family Support	P	P	S	N
(0 - 5)	(5-on)	(5-20)
Medical Services	P	P	N	N
(O - 5)
Specialized Education) (5-20)	N	N	P	S
Related Services - Speech, OT, PT	P	S	P	S
(0 - 5)
Evaluations	P	P	P	S
(0 - 5)
Program Evaluation:
a. I.E.P.	S	S	P	S
b. I.P.P.	P	P	S	N
Referral to Vocational Rehabilitation	N	P	P	N
(20 on)
S
(16 on)
Vocational Options or Adult Program	N	P	N	N
Placement in Residential or Foster Home
Non-State Ward	P	P	N	N
Advocacy	P	P	P	P
Placement in ICFMR's	P	P	N	N
P - Primary
S - Secondary

C.M.R. 14, 197, ch. 4, app 197-4-B