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

2. 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

3. April 2009 Copyright © 2009 Mississippi Department of Education 3 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.

4. April 2009 Copyright © 2009 Mississippi Department of Education 4 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.

5. April 2009 Copyright © 2009 Mississippi Department of Education 5 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)

6. April 2009 Copyright © 2009 Mississippi Department of Education 6 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

7. April 2009 Copyright © 2009 Mississippi Department of Education 7 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 31 st

8. April 2009 Copyright © 2009 Mississippi Department of Education 8 APPLICATION PROCEDURES 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

9. April 2009 Copyright © 2009 Mississippi Department of Education 9 APPLICATION PROCEDURES 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

10. April 2009 Copyright © 2009 Mississippi Department of Education 10 APPLICATION PROCEDURES 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

11. April 2009 Copyright © 2009 Mississippi Department of Education 11 Types of Applications There are four types of placements: School District (Yellow) Department of Human Services (DHS) (Pink) Parent-Medicaid (Blue) Parent (Green)

12. April 2009 Copyright © 2009 Mississippi Department of Education 12 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

13. April 2009 Copyright © 2009 Mississippi Department of Education 13 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.

14. April 2009 Copyright © 2009 Mississippi Department of Education 14 Department of Human Services Placement Students are wards of the state Reimbursements are 100% of total educational cost as funds are available

15. April 2009 Copyright © 2009 Mississippi Department of Education 15 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) A current Individualized Educational Program (IEP) developed in accordance with regulations 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)

16. April 2009 Copyright © 2009 Mississippi Department of Education 16 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.

17. April 2009 Copyright © 2009 Mississippi Department of Education 17 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.

18. April 2009 Copyright © 2009 Mississippi Department of Education 18 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 current Individualized Educational Program (IEP) developed in accordance with regulations A copy of the notarized Assignment of Tuition Reimbursement Form

19. April 2009 Copyright © 2009 Mississippi Department of Education 19 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 current Individualized Educational Program (IEP) developed in accordance with regulations A copy of the notarized Assignment of Tuition Reimbursement Form

20. April 2009 Copyright © 2009 Mississippi Department of Education 20 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 September Due: September 14, 2009 Second Pay Period: September 12 th thru November Due: November 13, 2009 Third Pay Period: November 14 th thru January 2010 Due: January 15, 2010 Fourth Pay Period: January 16 th thru March 2010 Due: March 12, 2010 Fifth Pay Period: March 13 th thru May 2010 Due: May 28, 2010

21. April 2009 Copyright © 2009 Mississippi Department of Education 21 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

22. April 2009 Copyright © 2009 Mississippi Department of Education 22 REQUEST FOR REIMBURSEMENT FORM

23. April 2009 Copyright © 2009 Mississippi Department of Education 23 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

24. April 2009 Copyright © 2009 Mississippi Department of Education 24 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 RepresentativeDate

25. April 2009 Copyright © 2009 Mississippi Department of Education 25 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

26. April 2009 Copyright © 2009 Mississippi Department of Education 26 FORMS Note: Forward all forms and applications to: Mississippi Department of Education Office of Special Education Attention: Program Coordinator Educable Child Program P. O. Box 771 Jackson, MS 39205 FAX COPIES WILL NOT BE ACCEPTED.

27. April 2009 Copyright © 2009 Mississippi Department of Education 27 CONTACT INFORMATION Audrey Shaifer Priscilla Moore Office of Special Education Division of Program Management 601-359-3498 pmoore@mde.k12.ms.us