Provider Guidelines

As appropriate, include ICD or DSM codes, the date of the most recent evaluation, or the dates of evaluation performed by referring professionals. If the most recent evaluation was not a full evaluation indicate when the last full evaluation conducted.

The current functional impact on physical (including mobility dexterity, and endurance), perceptual, cognitive (including attention, distractibility and communication), and behavioral abilities should be described as clinical narrative and/or through the provision of specific results from the diagnostic procedures. Descriptions should provide a sense of severity, information on variability over time or circumstance and potential environmental triggers.

A description of treatments, medications, assistive devices, accommodations and/or assistive services in current use and their estimated effectiveness in ameliorating the impact of the condition(s) is helpful. Include any significant side effects that may impact physical, perceptual, behavioral or cognitive performance.

This description should provide an estimate of the change in the functional impacts of the condition(s) over time and/or recommendations concerning the predictable needs for reevaluation of the condition(s). If the condition is variable (based on known cycles or environmental triggers) are they under self‐care for flare‐ups or episodes?

Recommendations should be logically connected to the impact of the condition. When connections are not obvious they should be explained. Recommendations will be deferred to whenever possible but will be evaluated in the context of the course or program. Not all documentation will contain all of these elements, but the more information we have, the easier it is to determine which accommodations are appropriate and beneficial.