SBHS Occupational Therapy Evaluations and Treatments include assessing, improving, developing, or restoring functions impaired or lost through illness, injury or deprivation, improving ability to perform tasks for independent functioning when functions are lost or impaired, preventing through early intervention, initial or further impairment or loss of function, obtaining and interpreting information, coordinating care, and integrating services relative to the student receiving services such as:

• Neuromuscular and musculo-skeletal status (muscle strength and tone, reflex, joint range of motion, postural control, endurance); gross and fine motor development
  
  
• Feeding or oral motor function
  
  
• Adaptive equipment assessment
  
  
• Prosthetic or orthotic training
  
  
• Neuromotor or neurodevelopmental assessment
  
  
• Gait, balance and coordination skills

SBHS Occupational Therapy (OT) evaluation and services shall be provided by therapists who meet the federal requirements at 42 CFR 440.110 and who operate within the scope of their health care practitioner’s license or certification pursuant to state law.

SBHS Medicaid-reimbursed services and treatments are provided in accordance with Oregon’s Prioritized List of Health Services to recipients receiving services pursuant to an IEP/IFSP eligible under IDEA in the educational setting. The above-listed therapy services and treatments are examples of services that may be provided to eligible recipients in an educational setting under Oregon’s Medicaid program. The current Prioritized List of services can be found on the Health Services Commission Web site.

Important!  The SBHS rules define Oregon’s fee-for-service program to reimburse publicly funded education agencies for health services provided under the IDEA to Oregon’s Medicaid-eligible children. The SBHS rules are also a user’s manual designed to assist the Education Agency (EA) in matching state and federal funds for Oregon’s Medicaid-eligible students with disabilities. The SBHS rules are to be used in conjunction with:

• The General Rules governing the Division of Medical Assistance Programs (DMAP) (OAR 410 Division 120);
• The Oregon Health Plan (OHP) rules (OAR) 410 Division 141); and
• The Oregon Administrative Rules (OARs) in Chapter 581, Division 15, for the Oregon Department of Education (ODE) outlining Oregon’s program to meet the federal provisions of the Individuals with Disabilities Education Act (IDEA).

Please go to the SBHS information page and review the above listed rules for additional information.