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Orientation for New Teachers Special Education / ABA Teachers
WELCOME!
You are joining a great company that is GROWING!
1. Long Island - 1995
2. NYC - 1997 Queens, Brooklyn, Bronx and Staten Island
3. Hudson Valley - 2005
4. California - 2005
5. Virginia – 2010 6. Maryland - 2011
Programs
Early Intervention ProgramChildren ages 0-3 years
CPSE Program(Committee on Preschool
Special Education) Children ages 3-5 years
CSE Program (Committee on
Special Education) Children ages 5-21 years
Funded by Nassau/Suffolk Department of
Health
Funded by respective School
District (private contract)
Funded by Nassau/Suffolk
Department of Health & respective School
District
Services authorized by
EIOD (Early Intervention Official Designee)
Services authorized by
CPSE Chairperson
Services authorized by
CSE Chairperson
General Information
• Universal Precautions • Professional Behaviors
• Arrive on time • Cell Phone turned off • Some one over 18 has to be home and sign log notes. Cannot be
left home alone with child. • Professional Relationship with Families • Transporting the child/family isn’t recommended
• Confidentiality • Mandated reporter for Child Abuse and Neglect
Compliance – Your File • Annual Medical/PPD/Recommended Vaccinations
– Your medical/PPD must be updated anually – Medicals missing the required information will be considered incomplete and will need to be
re-submitted with the requested information. ALL changes made to the form when resubmitted MUST be initialed by doctor to be accepted as valid. NO forms with WHITEOUT will be accepted.
– Recommended Vaccinations include: Tetanus, Influenza, Pertusis, Varecilla, HepB & Diphtheria (Proof of immunity OR refusal of vaccinations MUST be on file) • If a refusal is not on file for Tetanus and/or Influenza and the proof of immunity
expires, you will not be able to be staffed.
• State Child Abuse Registry (SCR): Ensures no reported child abuse records
– NASSAU CPSE ONLY – Annually updated
• National Provider Identifier (NPI): Used for billing instead of your SSN
• License/Certification: This must be UP-TO-DATE. If this expires your cases will be restaffed and you will not be able to be staffed again until an update is received.
• Trainings: – Nassau County:
• EI ONLY: EI Best Practice & Journey from EI to CPSE • CPSE ONLY: Nassau 2013 Preschool Manual Training
– Suffolk County (All Programs): Ethics Training – CPSE/CSE: Medicaid Phase III – EI EVALS: Intro. & Adv. Eval Training (provided by Early Learning Network)
Other Requirements Other documents needed for FULL compliance with Achieve Beyond
• Compliance Training : This is updated on an annual basis to ensure providers are aware of how to spot, report and avoid fraud both within our company and the NYS EI, CPSE & CSE programs.
• Compliance Agreement: States you agree to keep all records up-to-date and/or submit newly required documents in accordance to Company, State and or County requirements
• Health & Safety: States Policies/Requirements for providing services with Achieve Beyond
• Trainings/Workshops: – Early Intervention:
• 10hrs/calendar year – CPSE/CSE:
• 4 Trainings/ school year
• 1099 Providers ONLY: – Malpractice Insurance – Workers’ Comp Policy or Waiver – FOR EI ONLY:
• DOH Letter • W2 Providers ONLY
– ALL HR Documents need to remain up-to-date at all times
Web Resources
• Through the public folder in your achieve beyond email account you can access – Policy & Procedures Manual – Services Forms – Invoice Forms – Report Formats – ABA Forms
• Workshops www.achievebeyondusa.com/workshops
Achieve Beyond’s IT Department will contact you to set up an email account Purpose – maintain confidentiality according to NYS standards Email Address - [email protected]
Therapist Email Account
ABA Program Overview
• Clinical Supervisors, BCBA Level – Responsible for clinical quality of ABA
services – Attend team meetings, CPSE & CSE
Meetings – Run trainings / workshops – Provide Parent Training & Consultation
• Ongoing Training • EI ABA Competency Program
– Tier 1 – Tier 2
Clinical Supervisors
Eileen Cristiano
Hillary Reinke
Team Leader
Team Member
New Cases • We are trying to utilize a minimal amount of providers per ABA calendar. The
staffing coordinator will obtain your availability and then determine what will work best based on the family’s requests. If your availability works with the calendar the staffing coordinator will be back in touch.
• When given a case, contact information will be given to you Child: DOB: Address: Phone: Parent Info: Frequency/Duration
• Call family ASAP, introduce yourself and confirm schedule • Notify Staffing Coordinator of the schedule you arranged within 24 hours • Staffing will pass the case over to the Case Manager • Do not start servicing the child until you have authorization from the
Case Manager
Early Intervention Program
• Services can be provided 365 days per year • Service funded by Nassau / Suffolk County Departments of
Health • EIOD (Early Intervention Official Designee) determines
child’s eligibility for services • IFSP (Individualized Family Service Plan) is written • IFSP written for 6-12 months or until the child ages out
Early Intervention Make Up Policy All Make ups:
• Must be clearly indicated as such on session notes • Cannot be completed on the same day of the regular session • Child is not permitted to have more than 3 different individual sessions in a day • Sessions may never be combines with a regular session, to be made longer • Can never be done in advance • Cannot be done for family vacations • Cannot carry over into a new IFSP period
County Specific Make-Ups
Suffolk County • Suffolk County allows you the entire length of the IFSP to make up a missed session. NYEIS
sometimes limits the number of make-up sessions allowed. Please refer to your services cover letter for the individual case details.
Nassau County • Make up sessions must be done within two weeks of the missed session.
EI ABA Make Up Policy
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Mary Nancy Mary Nancy Mary
OPEN 10:00am - 11:30am 9:00am - 10:30am 10:00am - 11:30am 9:00am - 10:30am 10:00am - 11:30am OPEN
Authorization A Authorization A Authorization A Authorization A Authorization A
Sue Becky Sue Becky Sue
OPEN 12:00pm - 1:30pm 2:00pm - 3:30pm 12:00pm - 1:30pm 2:00pm - 3:30pm 12:00pm - 1:30pm OPEN
Authorization B Authorization B Authorization B Authorization B Authorization B
Suffolk County: • If child receives more than 5 sessions in a week (5x90), there usually will
be more than one authorization number. • You can only provide services on a day that no other therapist is scheduled
for a regular session with the same authorization number that you are using.
Nassau County: Consult Case Manager prior to a make-up as one auth # is shared amongst the team and each child has a specific amount of services in which can take
place in one day.
Early Intervention Progress Reports
• General • Goals must be written verbatim from
IFSP • Documentation of team interaction and
parent involvement needed. • Explanation of child’s current
functioning level • Report must be typed and written in
the 3rd person
• 3 Month Report • Progress to date Independent of time provider has been seeing child
• 6 Month Report • Progress to date • Formal assessment Date of assessment must be noted (done by one team member)
• New goals
• Before submitting a report, make sure the following are correct…
• Child’s Name • DOB • Gender • Recommendations must
be consistent with the scores
QA Checklist
Early Intervention
• Legal documents • Parents must sign AFTER written note • Must be written in black ink • Cross out and initial mistakes, no white-out • Cross out open spaces • Use appropriate log note forms provided to
you by the Case Manager – With correct IFSP period – That match authorization number on
calendar • Sign log notes with your credentials +
license/certification # • Only the parent/guardian or individual
authorized on the IFSP may sign the log notes unless authorization to change is received.
• Log Note content must be unique, for each session
Dates on Log Notes • The following 2 dates on Nassau EI log notes for
provided sessions must be the same and coincide in occurrence :
• -Date of Session • -Date Note written • The following 3 dates on Suffolk EI log notes for
provided sessions must be the dame and coincide in occurrence:
• -Date of Session • -Date Note Written • -Date of Parent Signature • *Any session notes received with discrepancies cannot be
accepted or paid by Achieve Beyond. • *Please be sure all session notes are written and signed at
the time the session occurs. • *Please review all paperwork prior to submitting to the
Achieve Beyond Billing Department to ensure compliance with all EI regulations in order to ensure timely reimbursement for services rendered.
• *This regulation would not apply to any type of absence or vacation.
Log Notes
CPSE & CSE Programs • Services can only be provided on school days when that particular district
is open. – No weekends – No school breaks – CSE Children – cannot receive after school services if child is absent from
school during the day
• CPSE Service funded by Nassau / Suffolk County Departments of Health • CSE Service funded by respective school district • CPSE/CSE Chairperson determines child’s eligibility for services • IEP (Individualized Education Plan) is written • IEP written once a year, usually in the spring for following fall
SEIT Supervision • NYSED requires that all CPSE SEITs are observed a minimum of 1
time per school year by an individual holding a School District Administrators Certificate. Achieve Beyond will continue to maintain our commitment to providing high quality SEIT services therefore in addition to this NYSED requirement, all SEIT teachers will also be observed by one of our Behavioral Supervisors to ensure all children are receiving the appropriate level services.
• Supervision of CSE Teachers will be determined on an individual basis: There will be a minimum of 1 direct site observation from one of our Behavior Supervisors.
Coordinator of Services • If a child’s IEP includes SEIT services, and one or more related services, as
the SEIT provider, you are always designated as Coordinator of Services (Section 200.16 of the Regulations of the Commissioner of Education).
• As Coordinator of Services, you must maintain adequate records to
document direct and/or indirect service hours provided, as well as time spent on all other activities related to each student served. (See Section 200.9(f)(2)(ix)(c) of the Regulations of the Commissioner of Education.) In order to do so, you must document any service coordination activities on log/session notes (Nassau County) of SEIT time logs (Suffolk County) that are submitted to Achieve Beyond.
CPSE & CSE Programs Frequency & Duration
• The NYSED mandates that SEIT services be provided for a minimum of two weekly sessions and each session can be no less than 60 minutes in length.
• Once the appropriate frequency & duration is determined by the CPSE and written on the IEP, it cannot be arbitrarily changed (increased or decreased) by any agency or by the parent. There must be a written agreement letter between the parent and the CPSE and the IEP must be amended.
• Frequency & duration must be specific and delivery of services must match what is listed on the IEP. – Days per week x minutes per session. Ex: 5x120 weekly must be delivered as
5 days per week for 2 hrs. per day. – Total hours per week (10hrs/weekly) is no longer acceptable.
Calendar
• Services may NOT be scheduled or made-up on weekends, legal holidays or school breaks. – Legal Holidays Include:
New Years Day July 4th Veteran’s Day Martin Luther King Day Labor Day Thanksgiving Memorial Day Columbus Day Christmas
– School District/Program breaks vary in their dates, so please be sure to follow the calendar closely.
• Services MAY be provided on Superintendent’s conference days since they count as one of the 180 mandated days of the school year.
• If a school district closes unexpectedly due to inclement weather conditions or other emergency/unplanned event, services CAN be provided even if the school district calendar is being followed.
• If you are still able to service the child at the location approved on the IEP (home, preschool, etc.) then you may do so.
• At the child’s CPSE meeting, it is determined whether the child’s services should follow the school district calendar, program or provider calendar.
• The calendar should be written on the child’s IEP. If not, it is assumed that the school
district calendar is to be followed. • Each provider is responsible for obtaining a copy of the school districts/programs calendar.
Child Absences When sessions are missed due to a child’s absence, the log note must indicate an explanation for the child’s absence and be signed by the parent or their designee (designee must be listed on Alternate Signature Consent Form). The SEIT should always attempt to make up the missed session unless the parent objects. Verification of Absence and Make-Up Session form must be completed. If a child is habitually missing sessions, the SEIT should immediately notify the agency.
Teacher Absences When sessions are missed due to a SEIT’s absence, the SEIT must make up the session if the parent(s) agrees to reschedule and when possible the SEIT must inform the parent and their agency at least twenty-four hours in advance if the SEIT is going to be absent. A request for a substitute teacher must be made by assigned SEIT at least 24 hrs. in advance. Verification of Absence and Make-Up Session form must be completed for CPSE services. In addition, the log note must indicate an explanation for the therapist’s absence and be signed by the parent or their designee (designee must be listed on Alternate Signature Consent Form).
Prolonged Teacher Absences • In the case of a prolonged teacher absence SEIT’s must notify their agency in
advance of impending extended absences, so that a qualified replacement teacher can be assigned to the child in a timely fashion.
• SEIT must also inform the parent of the impending absence. • Absence notes must be completed and signed for each missed session.
Examples
• You regularly see a child 3x60 weekly on M, W & F’s. Monday is Martin Luther King Jr. Day. You can reschedule your Monday session for Tuesday or Thursday of that same week. You are still fulfilling the 3x60 weekly IEP mandate.
• If the student receives services 5x60 weekly, a session missed due to a
Holiday cannot be rescheduled or made-up. In this situation, you must document the session on your log notes as Canceled due to Holiday.
Sessions Missed Due To Holidays
• SEIT make-up sessions must be provided in accordance with the NYS policy. You have the entire length of the IEP to make up a missed session. Make-Ups must always be offered and documented! Make-ups for SEIT can be provided on the same day as a regularly scheduled session.
• SEIT ONLY – Child absences are only billable when family has been offered a make-up and they decline – Substitute teachers must be offer for all therapist absences.
CPSE Make up Sessions
• Formal educational assessments must be conducted by the CPSE SEIT for students who are not attending a center based program.
• Formal educational assessments used should be one of the following:
» PES-2 » DayC-2
• Informal educational assessments must be conducted for any student being formally assessed by their center based program or another SEIT agency.
• Informal educational assessments used should be one of the following:
» HELP Checklist 3-6 Year » VBMAPP » ABLLS-R
• CSE annual testing will be completed by the child’s school program.
Formal Vs. Informal Testing
CSE Progress Report Due Dates • Quarterly Reports - Due every 3 months This is a guide, reports might be requested earlier
Due Time Period Reporting On • November 1 9/1 – 10/31 • *March 1 / April 15 11/1 – to date / services beginning after 1/1 • June 20 4/1 – 6/30 • August 20 7/1 – 8/31
• *Annual Review Report
• Report due date is subject to change based on when the district schedules the Annual Review meeting
• Choose goals for next IEP from that district’s goal bank (will be sent to you)
CPSE Progress Report Due Dates
• November 1st: Written Quarterly Reports due with print out of updated progress towards IEP goals from IEP Direct • January 31st: Print out of quarterly progress towards goals from IEP
direct (no written report due) • March 1st: Written annual review report with print out of draft IEP goals for 15‐16 school year from IEP Direct • April 31st: Print out of quarterly progress towards goals from IEP
direct (no written report due) • June 20th: Written Quarterly Reports due with print out of updated progress towards IEP goals from IEP Direct
IEP Direct- CPSE Services
• CPSE Therapists are required to update quarterly progress towards annual goals in the child’s current IEP.
• CPSE Therapists are required to update goals for the following IEP period on IEP Direct.
• Passwords will be distributed accordingly after a confidentiality agreement is signed.
CPSE & CSE Log Notes • Legal documents • Parents must sign AFTER written note • Must be written in black ink • Cross out and initial mistakes, no white-out • Cross out open spaces • Only use log note form provided to you by Case Manager • The IEP goals that are addressed in each session must be documented on the
log note form. • CSE Log Notes
– Includes a separate signature sheet – Only include cancellations on the log note form, not the signature sheet
• Sign log notes with your credentials + license/certification # • Only the parent/guardian or individual authorized on the IFSP may
sign the log notes unless authorization to change is received. • Log Note content must be unique, for each session
Things to Know for ABA Therapists • Educational Testing for Progress Reports
– EI: DAYC (Developmental Assessment of Young Children) – CPSE: PES-2 (Preschool Evaluation Scale) Home or School Edition – CSE: usually tested at school
• Monthly Team Meetings – Not billable – Clinical supervisor usually attends – Usually in evening at the child’s home
• Team Leaders – Tier II / Module 2 – assigned to each case – responsible for program book and moving programs along – usually provides Parent Training service – run team meetings – liaison between clinical supervisor and team members
• Changes in schedule must be reported to Case Manager • 30 days notice to re-staff a case • Partial sessions
– EI - aren’t billable – CPSE & CSE - check with Case Manager before dividing sessions.
• Must provide services as mandated on IFSP / IEP – Sp. Ed. 2 x 60
• Leave time during your session to complete paperwork, log notes, program book, communication book, etc.
2015 Billing Due Dates and Pay Schedule
• Billing follows the Semi-Monthly Billing Due Dates Calendar located to the left.
How to submit billing: W2 • Hand-deliver or mail all your session notes,
invoices and other required billing documents to the Melville office:
Achieve Beyond 538 Broadhollow Road Suite 202 Melville, New York 11747 • All envelopes mailed must be postmarked by the
due dates specified on the left. • All session notes must be submitted with an
invoice on the top,. • The later your notes are received in our billing
department, the less time there is for corrections to be made, which makes it less likely that you will receive payment in the same billing cycle.
1099 • Early Intervention notes must be copies – please
fax them to 631-385-7795 or e-mail them to [email protected] no later than the due date outlined on the left.
• CPSE/CSE Session notes: Hand-deliver or mail all your session notes, invoices and other required billing documents to the Melville office:
Achieve Beyond 538 Broadhollow Road Suite 202 Melville, New York 11747 • All envelopes mailed must be postmarked by the
due dates specified on the following page.
Billing Service Period Notes Due Dates Pay Date
12/01/14 - 12/15/14 12/18/14 01/08/15 12/16/14 - 12/31/14 01/05/15 01/22/15 01/01/15 - 01/15/15 01/19/15 02/06/15 01/16/15 - 01/31/15 02/04/15 02/20/15 02/01/15 - 02/15/15 02/19/15 03/06/15 02/16/15 - 02/28/15 03/04/15 03/20/15 03/01/15 - 03/15/15 03/19/15 04/07/15 03/16/15 - 03/31/15 04/06/15 04/22/15 04/01/15 - 04/15/15 04/20/15 05/07/15 04/16/15 - 04/30/15 05/04/15 05/22/15 05/01/15 - 05/15/15 05/19/15 06/05/15 05/16/15 - 05/31/15 06/04/15 06/22/15 06/01/15 - 06/15/15 06/19/15 07/08/15 06/16/15 - 06/30/15 07/06/15 07/22/15 07/01/15 - 07/15/15 07/20/15 08/07/15 07/16/15 - 07/31/15 08/04/15 08/21/15 08/01/15 - 08/15/15 08/19/15 09/08/15 08/16/15 - 08/31/15 09/04/15 09/22/15 09/01/15 - 09/15/15 09/18/15 10/07/15 09/16/15 - 09/30/15 10/05/15 10/22/15 10/01/15 - 10/15/15 10/19/15 11/06/15 10/16/15 - 10/31/15 11/04/15 11/20/15 11/01/15 - 11/15/15 11/18/15 12/07/15 11/16/15 - 11/30/15 12/04/15 12/22/15 12/01/15 - 12/15/15 12/18/15 01/08/16 12/16/15 - 12/31/15 01/05/16 01/22/16
Session Note Requirements Session notes are written documents describing the
therapy session that you provided for a child. Session notes are official documents that are archived in the child’s file.
Your session notes are used to bill NYS, Medicaid, or Insurance for the services that you provided.
Valid CPT Codes are required! Be sure the full time of the session is covered with a CPT Code.
Parents/caregivers must review your session note, verify that the written information on the document is accurate, and then sign the session note.
Once billed, each session note is linked to the provider’s NPI number and license or certification.
Accuracy of Time & Date Real Time vs. Schedule Time: Time & Date must always be documented according to the actual session time, not the scheduled time.
Example: Services started at 3:08pm, must be documented as 3:08pm.
Documenting actual time of session, is required by Early Intervention and vital to avoiding overlapping issues.
Always double check start and end times, & dates of services.
Following these procedures will avoid potential session overlaps or false overlaps!
Time Overlap with another provider with an outside
agency.
Which ever agency bills first- gets paid regardless of who is billing the correct
time. These overlaps are more difficult to
resolve!
Time Overlap Concerns
Time overlap with another provider at
Achieve Beyond.
If an agreement cannot be reached, therapist who is on
the calendar for that scheduled
time will be paid.
Time overlap with “self.” Within Achieve Beyond & with other agencies- Easy fix- caught before it is billed to NYS once
second session note is entered into the AB
system.
Issue #1 Issue #2 Issue #3
When sessions overlap….
Session note processed by Billing Dept.
Session Note Denied for Payment
Corrected note will be requested and will be processed for payment
All services are monitored New York State, and may be up for
consideration for fraud by auditing agencies
Payments will not be made for sessions denied. Payments made will be recouped from a provider if the agency is unable to rebill for denied sessions. Second session entered will be denied regardless if that is the correct session and the first session billed was the incorrect session time.
Session Note Requirements
Session notes must be written in black ink
Parents must never be asked to sign a blank
session note
Providers & Parents must sign session note
at the end of each session provided
Parent must read each session note and then sign & date the note
Do not use white out. If you make a mistake
CROSS OUT the mistake, date and initial it, and have the parent initial the correction as
well. If you make a correction to the time or date, you must date the
alteration.
Month quality assurance calls are made to families
to ensure proper procedures are being
followed.
“On-Hold” Session Notes
2. Must be reviewed and
corrected immediately
3. Must be returned to
Achieve Beyond within one (1) week
of receipt
1. Will be returned to
you by Billing as soon as possible Session notes that
are placed “on hold” by our Billing Department:
** Sessions placed “On-Hold” will delay payment for services. If your corrections will be paid in a new billing cycle, please be sure to deduct the payment from your current invoice and add it onto a future invoice.**
Ongoing Service Coordinators
• Martha Acuna, Early Intervention Manager, ext. 646 [email protected] • Jessica Mendoza, Suffolk Service Coordinator
Supervisor, ext. 620 [email protected] • Jacqueline Lino, Suffolk Service Coordinator, ext. 623, [email protected] • Cynthia Cevallos, Suffolk Service Coordinator, ext. 637 [email protected] • Angelica Mejia, Nassau Service Coordinator, ext. 618, [email protected] • Bryant Ruidiaz, Nassau Service Coordinator, ext. 630 [email protected] • Rosemary Nunez, Nassau Service Coordinator, ext. 615 [email protected] • Georgina Olsen, Nassau Service Coordinator, ext. 640 [email protected] • Miguel Larreynaga, Suffolk Service Coordinator, ext.
624 [email protected] • Stephanie Zapata, Suffolk Service Coordinator, ext. 612 [email protected]
Case Managers Give you the authorized start dates, send you packet of information
(log notes and IFSP / IEP), progress report due dates, report any concern or problems with the case to the respective case manager.
Early Intervention • Ashley Virga, Nassau EI Case Manager, ext. 633 [email protected] • Shannon Butera, Suffolk EI Case Manager, ext. 621 [email protected] • Jacquelyn McCall, Nassau EI Case Coordinator, ext. 633 [email protected] • Janet Romero, Suffolk EI Case Coordinator, ext. 643 [email protected]
CPSE & CSE • Ashley Sansonia, IEP manager [email protected]
Staffing Department • Colleen Lam, Staffing Manager, ext. 611,
[email protected] • Cara Schlefman, Provider Relations/Staffing
Coordinator, ext. 622 [email protected] • General - [email protected]
Provider Relations Coordinator • Katie Caprariello, Provider Relations Coordinator,
ext. 627 [email protected]
Who’s Who?
Evaluations Early Intervention
• Alicia Naish-Chadwick, EI Evaluations Specialist Suffolk, ext. 616
[email protected] • Emily Domb, EI Evaluations Specialist Nassau ext. 635
[email protected] • Erica Hernandez, EI Evaluations Assistant, ext. 614 [email protected]
CPSE & CSE • Emily Girgenti, CPSE/CSE Eval Manager, ext. 632
[email protected] • Laura Edwards, Suffolk CPSE/CSE Eval Coordinator,
ext. 636 [email protected] • Wendy Scherer, Nassau CPSE/CSE Evaluation
Coordinator, ext. 632 [email protected] • Nicole Calautti, Nassau CPSE/CSE Eval Coordinator
[email protected] • Lora Ann Batorski, CPSE Eval Meeting Attendee
Go to with any clinical questions or concerns about your case, observe your case once a month,
holds trainings throughout the year.
Hillary Reinke, Clinical Supervisor. of Sp.Ed. Services, [email protected] Eileen Cristiano, Clinical Supervisor of Sp.Ed. Services, [email protected]
Clinical Supervisors
Billing Department 718-762-7633
• Jorge Antonio Perez, CPSE/CSE Billing Manager, ext. 327 , [email protected]
• Nathalie Zuniga, EI Billing Manager, ext. 317, [email protected]
• Felixabeth Gonzalez, CPSE Billing Coordinator, ext. 323, [email protected]
• Oneil Guerrero, CPSE/CSE Billing Coordinator, ext. 199, [email protected]
• Andrew Charlton, EI Billing Coordinator, ext. 329
[email protected] • Evelyn Guzman, EI Billing Coordinator,
ext.133, [email protected]
