Q: In order to bill Medicaid, must consent be obtained from the student’s legal guardian(s)?
A: Yes. There are three consent requirements:
- A statement on the Medicaid application (obtained by the Medicaid agency)
- A Release of Information Form- valid from the date that it is signed, forward.
- Annual written notification
Additionally, DCF has given a blanket Release of Information for students in DCF custody. 18 year olds must sign their own Release of Information Form upon turning 18, unless there is a court appointed legal guardian, in which case the court appointed legal guardian would sign the Release of Information Form. If the student is in joint custody of two legal guardians, the signatures and approval of both guardians is required on the Release of Information Form.
Q: What are the 3 versions of the Release of Information form?
Q: How is the annual written notification provided to parents?
A: The IEP service page provides the required annual written notification statement.
Q: Can the parent/guardian revoke the Release of Information at any point in any manner?
A: Yes. The revocation can be in writing or verbally. Any written revocation must be retained. Any verbal revocation must be documented in a document separate from the original Release of Information (in other words, do not write on the original Release of Information; document the verbal revocation, including date of revocation, independent of the Release of Information). As of the date of revocation, billing must cease, regardless of the date of service on any claims.
Q: In order to bill, does Medicaid require a Physician Authorization Form, which establishes that some of the IEP services are medically necessary?
A: Yes. The family physician, nurse practitioner, doctor of osteopathic medicine, a physician assistant, naturopath or a consulting physician who is under contract with the school district, can sign the authorization form. If the school district is using a consulting physician, the legal guardian must be notified in order for the school to release the student’s information to the physician. The child’s physician must be used if the legal guardian refuses to have the consulting physician review the records. Case Management Services do not require a Physician’s Authorization. Parents need to be notified when a physician other than the child’s physician is being used. Parents can refuse the use of a consulting physician.
Q: If an IEP is amended, is a new Physician Authorization required?
A: Yes, if there is an increase or addition to the services being delivered. This would include an amendment for summer services. No, if there is a decrease in services being delivered.
Q: What information, as applicable, will need to be sent to the physician to obtain the signed Physician Authorization?
- Completed Physician Authorization form
- Physician Authorization Letter (not required by all physicians)
- Release of Information Form (not required by all physicians)
- IEP cover and service page (not required by all physicians)
- Self‐addressed, stamped envelope
Q: Once the Physician Authorization is returned, how should it be managed?
- Best practice is to date stamp the form when it is received by the school.
- The authorization should be reviewed to make sure the physician signed the form and to ascertain if the physician made any notations that would affect the services to be billed or the time period covered by the authorization form.
- The printed first and last name of the practitioner who signed the Physician Authorization form needs to appear on the bottom of the form. The printed name needs to be legible. Reprint the name if it is not legible.
- Verify the practitioner who signed the Physician Authorization form is enrolled in VT Medicaid. If the practitioner is not enrolled, the Physician Authorization is not valid.
- The form must be placed in the student’s Medicaid file.
Q: What are Billable Services?
A: Case management, Developmental & Assistive Therapy, Mental Health Counseling (if not provided by a mental health agency), Rehabilitative Nursing Services, Occupational Therapy, Physical Therapy, Speech, Language & Hearing Services and Personal Care. In addition, Assessment and Evaluation, Medical Consultation, Durable Medical Equipment, Vision Care Services and Nutrition Services can also be Billable Services.
Q: What are Assessment and Evaluation Services?
A: Services for the assessment and evaluation of an existing IEP. Services provided for the purposes of evaluating an individual’s treatment needs may include medical, psychiatric, psychological, developmental and/or behavioral assessment, including the administration and interpretation of psychological tests.
Q: Who is qualified to deliver Assessment and Evaluation Services?
A: Physician, Psychiatrist, Psychologist, Clinical Social Worker, School Nurse, Specialized Therapist or a Licensed or Certified Mental Health Practitioner. 
Q: What is a Medical Consultation?
A: Services provided by a licensed physician whose opinion or advice is requested in the evaluation or treatment of an individual’s problem or disability.
Q: What is Durable Medical Equipment (DME)?
A: Items of durable medical equipment provided pursuant to an IEP that may be covered subject to prior authorization requirements established by the Office of Vermont Health Access.
Q: What are Vision Care Services?
A: Visual analysis with refraction, and diagnostic and treatment services for diseases of the visual system.
Q: Who is qualified to deliver Vision Care Services?
A: A Licensed Optometrist or Ophthalmologist.
Q: What are Nutrition Services?
A: Evaluation and treatment services related to a child’s nutritional needs, as allowed by 42 CFR 440.130(d). Nutrition services are child‐specific and must be medically necessary to treat and correct problems such as eating disorders, food intake deficits, and excessive weight gain or loss which result from other medical problems, psychological issues, metabolic diseases, etc. The service includes assistance with assessments and care plan development. Services do not include coverage of general nutritional services such as those provided by a school’s hot lunch program.
Q: Who is qualified to deliver Nutrition Services?
A: Dieticians who meet state certification requirements.
Q: What is Physical Therapy?
A: Evaluation and treatment services for the purpose of preventing, restoring, or alleviating a lost or impaired physical function. Adaptive Physical Education may be billed if the program was developed by a Physical Therapist. If a Physical Therapist did not develop the adaptive PE plan but adaptive PE is listed on the student’s IEP as a related service, those services may meet the definition of developmental and assistive therapy.
Q: Who is qualified to deliver Physical Therapy?
A: Services must be performed by or under the direction of a qualified physical therapist. A qualified physical therapist is an individual who is a graduate of a program of physical therapy approved by both the Committee on Allied Health Education and Accreditation of the American Medical Association and the American Physical Therapy Association or its equivalent, and is licensed by the State of Vermont. For the purposes of Adaptive Physical Education if the person providing the Adaptive Physical Education is not a licensed Physical Therapist or Physical Therapy Assistant, the Adaptive Physical Education is billed as paraprofessional.
Q: What are Speech, Hearing and Language Services?
A: Evaluation and treatment services related to speech, hearing or language disorders, which result in communication disabilities.
Q: Who is qualified to deliver Speech, Hearing and Language Services?
A: Services must be performed by or under the direction of a speech‐language pathologist or audiologist who has a certificate of clinical competence from the American Speech and Hearing Association, or who has the equivalent education and work experience, or who has completed the academic program and is acquiring supervised work experience to qualify for the certificate.
In order for a Speech Language Pathologist (SLP) to bill as a professional, she must show proof of her three C’s (Certificate of Clinical Competence) or the educational equivalent through one of the following:
- A current or expired Certificate of Clinical Competence from the American Speech and Hearing Association
- A State of Vermont Clinical SLP/Audiologist License AND proof of the completion of a Clinical Fellowship year (Speech‐Language Pathology Clinical Fellowship Report and Rating Form)- A limited scope, limited duration State of Vermont Clinical SLP/Audiologist license can be substituted as proof of Clinical Fellowship year
- An Educational Speech Language Pathologist License (endorsement 6-84) AND proof of the completion of a Clinical Fellowship year (Speech-Language Pathology Clinical Fellowship Report and Rating Form)
- A Provisional Educational Speech Language Pathologist License (endorsement 6-84)- A Provisional Educational Speech Language Pathologist License is issued when an individual has met all requirements but is in the process of completing her Clinical Fellowship year.
All providers who do not fall into one of the above categories cannot bill as a professional.
Paraprofessionals must be supervised by a SLP who meets the above criteria.
When a SLP develops a plan to deliver the IEP services and trains a paraprofessional on how to administer the services, the SLP is considered by Medicaid to be supervising the services and therefore accountable for the services provided.
Q: What is Occupational Therapy?
A: Evaluation and treatment services to implement a program of purposeful activities to develop or maintain adaptive skills necessary to achieve the maximal physical and mental functioning of the individual in daily pursuits.
Q: Who is qualified to deliver Occupational Therapy?
A: Services must be performed by or under the direction of a qualified occupational therapist who is registered by the American Occupational Therapy Association or who is a graduate of a program in occupational therapy approved by the Committee on Allied Health Education and Accreditation of the American Medical Association and is engaged in the supplemental clinical experience required before registration by the AOTA. The direct services provided by an Occupational Therapist (OT) or Certified Occupational Therapist Assistant (COTA) with the appropriate credentials, are billed at the professional level. The services of an Occupational Therapy Aide (OTA), under the direction of a licensed Occupational Therapist are billed as a paraprofessional.
Q: What is Mental Health Counseling?
A: Evaluation and treatment services involving mental, emotional or behavioral problems, disturbances and dysfunctions. Services are individual, group, or family counseling.
Q: Who is qualified to deliver Mental Health Counseling?
A: A Psychiatrist, Psychologist, Clinical Social Worker, or other licensed or certified mental health practitioner, but not a School Guidance Counselor. If using an outside agency, it is likely the outside agency is billing Medicaid directly.
Q: What are Rehabilitative Nursing Services?
A: Medical monitoring and provision of other medical rehabilitative services.
Q: Who is qualified to deliver Rehabilitative Nursing Services?
A: Services provided by a Registered Nurse (RN) or a Licensed Practical Nurse (LPN) can be billed at the professional level. If staff training needs are written into the student’s IEP and the student is present during the training, it is considered a direct service and can be billed as a professional service, as rehabilitative nursing services. Indirect services are billable to the EPSDT program and therefore are not billable to the School‐Based Health Services Program.
Q: What is Developmental and Assistive Therapy?
A: Services provided in order to promote normal development by correcting deficits in the child’s affective, cognitive, behavioral, or psychomotor/fine motor skills development, when such services are identified in the IEP. Services include application of techniques and methods designed to overcome disabilities, improve cognitive skills, and modify behavior.
Q: Who is qualified to deliver Developmental and Assistive Therapy?
A: Services are furnished by or under the direction of licensed professionals who meet qualifications established by the LEA, or who meet applicable state licensure or certification requirements.
A provider must have a license with one of the following endorsement codes to be billed as a professional:
- 67- Teacher of the Blind and Visually Impaired
- 68- Teacher of the Deaf and Hard of Hearing
- 80- Early Childhood Special Educator
- 81- Intensive Special Needs
- 82- Special Educator
- 84- Educational Speech Language Pathologist
- 85- Consulting Teacher
- 86- Director of Special Education
- 87- Career and Technical Education Special Needs Coordinator
A teacher without one of the above special education endorsements providing services as outlined in the child’s IEP must be billed at the paraprofessional level. The Provider Type category on the IEP must state “Professional” or “Special Education Teacher” or one of the special education licensing endorsements, such as “Special Educator”, “Consulting teacherʺ or ʺIntensive Special Needs teacherʺ in order to be billed at the professional level. The only two non‐licensing terms that will be accepted are ʺLearning Specialistʺ and ʺIntegration Facilitatorʺ as these were special educator licensure programs at UVM.
A teacher on a provisional or emergency license can be billed as a paraprofessional until she is endorsed by the State of Vermont as a special educator.
Q: What is Personal Care?
A: Services related to a child’s physical or behavioral requirements, including assistance with eating, dressing, personal hygiene, activities of daily living, bladder and bowel requirements, use of adaptive equipment, ambulating and exercise, behavior modification, and other remedial services necessary to promote a child’s ability to participate in, and benefit from, the educational setting. If a child receives 1:1 support for his or her full school day and cannot be left alone for any portion of the school day, the 1:1 service can be billed as personal care. If a child receives 1:1 support for any portion of the day, but not the full school day, the service may meet the criteria for developmental and assistive therapy. If the student has a 1:1 aide, and the aide does not attend 1:1 services provided by another provider (such as specialized instruction, PT, OT, Speech, etc.) the school can bill the aide’s direct service time as personal care.
Q: Who is qualified to deliver Personal Care?
A: Providers who have satisfactorily completed a training program for home health aides/ nursing assistants, or other equivalent training, or who have appropriate background and experience in the provision of personal or behavioral conditions and meet qualifications established by the LEA. Personal care providers must be employed by a school, school district or supervisory union. Personal care services are not covered when provided to recipients by their parents, including natural, adoptive and stepparents. Personal Care can only be billed at the paraprofessional level.
Q: What is Case Management?
A: Services designed to assist children in gaining access to and coordination the delivery of medical services, including interaction with providers, monitoring treatment and interaction with parents and guardians. Case Management can only be billed at the amount listed in the IEP. If case management is not listed on the IEP then it cannot be billed to Medicaid. If more case management is provided than listed on the IEP, only the amount listed on the IEP can be billed.
Q: Who is qualified to deliver Case Management?
A: Qualified providers who, based on their education, training and experience, have been designated as such by the Agency of Human Services, Department of Education or the LEA. For billing purposes, however, it appears that only the following can bill Case Management to Medicaid:
- An individual with a license as a special educator (see endorsement code list above)
- An individual with a special education emergency or provisional license
Q: Are schools able to bill for the case management services involved in the development of subsequent IEPs and evaluations for Medicaid eligible students ages three through twenty‐one?
A: Yes. For 3-year special education reevaluations, a Vermont Agency of Education Form is mandated to document the reevaluation. The form includes 11 potential case management services that can be conducted. At least 6 of those must be done and documented in order for the reevaluation to be billable to Medicaid. The first evaluation that is done in Vermont for a student is considered an initial evaluation even if the child has already had an evaluation in another state. When a child is found ineligible for special education during a reevaluation, the reevaluation that found the student ineligible is billable.
Q: Can Supervisory Unions submit Medicaid claims for IEP development after the initial IEP?
A: Yes. A Vermont Agency of Education Form is mandated to document the development of the subsequent IEP. The reimbursement for this service is limited to two claims in a 275‐day period. The form includes 12 potential case management services that can be conducted. At least 6 of those must be done and documented in order for the development of the subsequent IEP to be billable to Medicaid. IEP revisions are not reimbursable.
Q: Are Billable Services based on a Level of Care (LOC)?
A: Yes. For each service the hours provided in the billing period are entered on the LOC form in order to establish a specific level of care.
Q: What is a LOC?
A: Services are weighted differently according to their:
- medical relevance,
- the instructional group size, and
- whether a licensed professional or other staff member provides the service.
The weighting system creates a value for the total units of service provided and the total units are classified as a level of care group 1, 2, 3, or 4. Services in excess of 42 units per week may be billed as outlier units. A monetary value is assigned to each level of care group and outlier unit.
Q: What are the LOC periods?
A: There are nine LOC billing periods:
- Extended School Year (summer services)
Q: If a school district is paying for a residential placement at a Private Non‐Medical Institution (PNMI) facility, may the school district bill using the treatment portion of the PNMI rate developed for the facility?
A: Yes. These claims are submitted as paper claims.
Q: Are Durable Medical Equipment (DME) claims reimbursable?
A: Yes, although there are some specific procedures that must be followed. These claims are submitted as paper claims.
Q: Must services be documented?
A: Yes. Documentation of each occurrence of service billed on the level of care form is required and the log documenting the service is signed by the provider and, if applicable, an appropriate supervisor.
Q: What are the five different types of Documentation Logs?
- Case Management Assurance form
- Developmental and Assistive Therapy log
- Personal Care Verification form
- Personal Care Documentation log
- Related Services Documentation log
Q: What are some of the crucial elements of the Case Management Assurance Form?
- IEP ordered Case Management services provided
- The billing period assurance of the from and to date during which case management services were provided. Time spent for the coordination and development of the IEP or evaluation process cannot be included.
- Provider signature and date.
Q: What are some of the crucial elements of the Developmental and Assistive Therapy log?
- For each Developmental and Assistive Therapy Service, a form needs to be completed for each service.
- List the name of the service EXACTLY as it appears on the IEP. It is okay to truncate the end of the service or abbreviate words, as long as the IEP service being documented is clear.
- The number of minutes of services must be documented or a notation of “x” must be defined in terms of number of minutes. The amount of minutes does not have to exactly match the IEP. “X” and minutes may not be combined in the calendar box. “Either or” must be used.
- The group size must be documented but does not need to equal the group size listed in the IEP.
- Provider signature and date.
- No supervisor’s signature is required for staff members who are considered professionals for Medicaid billing. A supervisor’s signature is required for providers who are not considered professionals for Medicaid billing. The supervisor is required to sign the documentation log to verify that services were provided under the direction of a licensed professional.
Q: What are some crucial elements of the Personal Care Verification Form?
- Verification that the student’s services being billed meet the Medicaid definition of Personal Care.
- Documents the fact that the student’s IEP requires one‐on‐one services for the entire school day.
Q: What are some crucial elements of the Personal Care Service Documentation Log?
- The form is to be completed by the individual providing the majority of the services. When a student has multiple individuals acting as the personal care aide, only one form is completed. Multiple Personal Care Service Documentation Logs can only be completed when the student has two or more full‐time aides. The provider is allowed to document services they provide as well as those provided by substitutes who fill in on a temporary basis.
- The provider needs to include a note on the log when the services provided are different than what is listed on the Personal Care Verification form.
- At the end of the billing period, the service provider calculates the hours of billable service provided during the billing period. Total hours must match the documentation.
- The provider must check all services that are being provided. At least one of the nine activities listed under the service types on the form must be checked in order for personal care to be billable.
- The provider must sign and date the form. If services are evenly split between two people, both individuals should sign the form. When multiple individuals provide services, the individual providing the majority of the services should sign the form. A supervisory union may choose to have all providers sign the log; however, this is not a state requirement. The date of the form cannot be prior to the last date that a service was provided. The name of the provider(s) who signs the log needs to match the name of the provider who is listed in the header.
- The supervisor is required to sign the personal care log to verify that services were provided under the direction of a licensed professional.
Q: What are some crucial elements of the Related Services Documentation Log?
- Utilized for Speech, OT, PT, Mental Health, Nutrition, Rehabilitative Nursing and Vision services.
- Must include a brief description indicating what activity or service was provided. The description needs to be more detailed then the name of the related service, with the exception of counseling.
- The provider must sign and date the form.
- No supervisor’s signature is required for staff members who are considered professionals for Medicaid billing.
- A supervisor’s signature is required, however, for providers who are not considered professionals for Medicaid billing. The supervisor is required to sign the documentation log to verify that services were provided under the direction of a licensed professional.
- Progress notes are required for all related services billed to the School‐Based Health Services Program.
- Progress notes can be the updated goals/objectives section of the IEP,
- a typed or handwritten note, or
- a description of the student’s progress.
- Progress notes need to be completed quarterly or to coincide with the school marking period (minimally three times per year).
- If a progress note is not completed, future billing for the service cannot be submitted.
- If it is discovered that a service has been billed and progress notes were not completed, the service will need to be removed from the Level of Care Form and the claim adjusted accordingly.
Q: Must professional staff members provide proof of their current licensure or credentials?
A: Yes. They must also sign a provider certification agreement.
Q: What needs to be maintained in a child’s Medicaid File?
- Release of Information Form
- Physician Authorization
- IEP and Evaluation (blue and pink) forms
- Out‐of‐District Provider Certification Agreement (if applicable)
- IEP (cover and service page, including Annual Notification paragraph)
- Amendment Paperwork (IEP cover page, service page and amendment document)
- Level of Care Form, documentation logs
- Personal Care Verification form and progress notes (if applicable)
Q: Are Medicaid reimbursements required to be used in a certain way under Vermont law?
A: Yes. School districts are required to use [Medicaid] State funds for:
- …reasonable costs of administering the Medicaid claims process, and
- for prevention and intervention programs in grades pre‐K through 12.
- The programs shall be designed to facilitate early identification of and intervention with children with disabilities and
- to ensure all students achieve rigorous and challenging standards adopted in the Vermont framework of standards and learning opportunities or locally adopted standards.
A school district shall provide an annual written justification to the Commissioner of Education of the use of the funds. Such annual submission shall show how the funds’ use is expressly linked to those provisions of the school district’s action plan that directly relate to improving student performance. A school district shall include in its annual report the amount of the prior year’s Medicaid reimbursement revenues and the use of Medicaid funds consistent with the purposes set forth in… [Vermont law]
Q: What are the crucial components of an IEP that must be in documented in the IEP for purposes of Medicaid reimbursements?
- Special education services, related services, placement and when appropriate a statement regarding why a child cannot participate full‐time in the regular classroom;
- Beginning date of the IEP and the anticipated frequency, location, and duration of the services and modifications;
- A description of any extended school year services (ESY); and
- the type of personnel (professional or paraprofessional) and group size for each service
Q: Is IEP “wording” of services to be billed to Medicaid important?
- The Use of Ranges and the Words “And/Or”‐‐ Medicaid only allows the lowest amount of service required by the IEP to be billed. This means that if the provider, frequency, duration or group size is listed as a range, only the lowest amount required can be billed.
- “Access to,” “Up to,” “Available,” “As Needed”‐‐Some IEP services are not billable to Medicaid due to the wording on the IEP. When words such as: “available,” “access to,” “up to,” “as needed” etc. are used on the IEP, a specific amount of time is not required and is therefore not billable to Medicaid.
- Group size 2:1 or 1:2—Services listed on the IEP as 1:2 or 2:1 must be billed as small group.
Q: What is the age of eligibility for students under the Medicaid program?
A: Up to the 22nd birthday.
Q: Should service providers be screened against the LEIE and SAM databases?
A: Yes. The LEIE and SAM databases include the names of individuals that are not allowed to bill Medicaid. Typically individuals end up on one of these lists due to committing Medicaid fraud. EDMS recommends that school districts check all of their service providers against this list monthly, based on guidance from the federal Office of Inspector General.
Q: Does Medicaid require providers whose services are billed at the professional level sign a Provider Certification Agreement relinquishing their right to bill Medicaid directly for services provided in accordance with an IEP?
Q: Are there services that are specifically excluded from reimbursement?
A: The Vermont Agency of Education has published a specific list that schools should be aware of.
 School-Based Health Services Program Manual, p. 26 (9/16). The validity period extends forward until the student’s legal guardian changes, the student’s name changes, or the original consent is revoked.
 School-Based Health Services Program Manual, pp. 13,26 (9/16)
 School-Based Health Services Program Manual, pp. 26, 27 (9/16). Extensive guidance is provided in the manual as to who needs to sign the form as parent/guardian dependent on the circumstances.
 School-Based Health Services Program Manual, p. 28 (9/16)Additionally, other information must be added to this form: The date the form is added to the student’s Medicaid file, the student’s Medicaid ID and the student’s Date of Birth. The form is only valid for the period the child is in DCF custody and is not valid after the child’s 18th birthday.
 School-Based Health Services Program Manual, p. 28 (9/16).
 School-Based Health Services Program Manual, pp. 28, 29 (9/16)
 School-Based Health Services Program Manual, pp. 13, 14, 36 (9/16)
 School-Based Health Services Program Manual, p. 36 (9/16)
 School-Based Health Services Program Manual, pp. 14,37 (9/16)
 School-Based Health Services Program Manual, p. 36 (9/16)
 School-Based Health Services Program Manual, p. 37 (9/16)
 School-Based Health Services Program Manual, p. 14 (9/16)
 School-Based Health Services Program Manual, p. 42, (9/16)
 Id., 42 CFR §440.130(d) provides this context: “Rehabilitative services,” except as otherwise provided under this subpart, includes any medical or remedial services recommended by a physician or other licensed practitioner of the healing arts, within the scope of his practice under State law, for maximum reduction of physical or mental disability and restoration of a beneficiary to his best possible functional level.
 School-Based Health Services Program Manual, p. 42 (9/16)
 School-Based Health Services Program Manual, p. 43 (9/16)
 School-Based Health Services Program Manual, p.42 (9/16)
 School-Based Health Services Program Manual, p. 43 (9/16)
 School-Based Health Services Program Manual, pp. 43, 44 (9/16)
 School-Based Health Services Program Manual, p. 42 (9/15)
 The federal regulation that formerly required AOTA has been amended. 42 CFR §440.110(b)(2) now incorporates by reference the qualification requirements of 42 CFR §484.4: A properly qualified Occupational Therapist is a person who-
(1) Is licensed or otherwise regulated, if applicable, as an occupational therapist by the State in which practicing, unless licensure does not apply;
(2) Graduated after successful completion of an occupational therapist education program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) of the American Occupational Therapy Association, Inc. (AOTA), or successor organizations of ACOTE; and
(3) Is eligible to take, or has successfully completed the entry-level certification examination for occupational therapists developed and administered by the National Board for Certification in Occupational Therapy, Inc. (NBCOT).
Our understanding is that an Occupational Therapist cannot even obtain an AOTA certification as such certification no longer exists. We suggest that, in compliance with federal regulation, Occupational Therapists obtain and maintain their NBCOT certification so that the certification can be produced for Medicaid audits.
 School-Based Health Services Program Manual, p. 44 (9/16)
 School-Based Health Services Program Manual, p. 44 (9/16)
 School-Based Health Services Program Manual, p. 45 (9/16)
 School-Based Health Services Program Manual, p. 45 (9/16); http://fcsuvt.org/download/fcsu_assets/procedures_and_forms/Admin%20Guides/Endorsement%20Codes.pdf
 School-Based Health Services Program Manual, pp. 45, 46 (9/16)
 School-Based Health Services Program Manual, p.46 (9/16)
 School-Based Health Services Program Manual, p. 54 (9/16)
 School-Based Health Services Program Manual, p. 55 (9/16)
 School-Based Health Services Program Manual, p. 14 (9/16)
 School-Based Health Services Program Manual, p. 14 (9/16)
 School-Based Health Services Program Manual, p. 60 (9/16)
 School-Based Health Services Program Manual, pp. 60, 61 (9/16)
 School-Based Health Services Program Manual, pp. 61, 62 (9/16)
 School-Based Health Services Program Manual, pp. 62-64 (9/16)
 School-Based Health Services Program Manual, pp. 64, 65 (9/16)
 School-Based Health Services Program Manual, pp. 65, 66 (9/16)
 School-Based Health Services Program Manual, p. 15 (9/16)
 School-Based Health Services Program Manual, p. 13 (9/16)
 School-Based Health Services Program Manual , p. 11 (9/16); 16 V.S.A. §2959a(e)
 School-Based Health Services Program Manual, pp. 16, 17 (9/16)
 School-Based Health Services Program Manual, p. 86 (9/16)
 School-Based Health Services Program Manual, p. 17 (9/16)
 School-Based Health Services Program Manual, p. 49 (9/16)
 School-Based Health Services Program Manual, p. 50 (9/16)
 School-Based Health Services Program Manual, p. 87 (9/16)