Classic View: Student Information > Special Ed > General > Documents
Search Terms: Special Ed Document
The Service Plan for Private and Homeschool Students is used to document a student's plan for services related to their private or homeschool education. This document describes each editor, the section(s) of the print format that include the entered information, a description of each field on the editor, and any special considerations and instructions.
Editor Home
Editor Home
The Editor Home lists the editors available, their status, and Modification and Completion information.
| Header | Description |
|---|
| Name | The name of the editor. |
| Status | The state of the editor. Statuses can be: - In Progress indicates a user has entered and saved data in that editor.
- Not Started is the default status for all editors.
- Complete indicates a user has clicked the Complete button on the editor, and the editor is read-only. This does not lock the editor from further editing but indicates the user considers the editor finished.
- Not Needed indicates a user has clicked the Not Needed button on the editor. This is usually done for editors that do not apply to the student.
The following statuses are only available for certain state-specific documents: - ESign indicates that the editor has functionality related to the eSignature process. See the following articles for your state's eSignature information:
- Complete Pending eSignature indicates the plan has been entered and sent via the Campus Parent portal to the student's guardian for eSignature.
|
| Modified By | The date and the user by whom the editor was last edited. |
| Completed By | The date and the user who clicked the Complete button for that editor. |
General Information
The following table lists the actions available for the editors. When resizing the window, certain buttons are condensed into a single Action button.
| Button | Description |
|---|
| Save | Different editors have different save options. Click the arrow next to the Save & Stay button to view all saving options for any given editor. - Save captures progress and navigates the user to the Editor Home or to the List Screen for List editors. See the Editor Types section for additional information.
- Save & Stay captures progress and keeps the user on the current editor. This save button is the default save option and is usually found within the detail screen or list editors, such as Goals and Objectives.
- Save & Next captures progress and navigates the user to the next editor.
- Save & New captures progress and creates a new record. This save button is usually found within the detail screen of a list editor, such as Goals and Objectives. See the Editor Type section for additional information.
|
| Refresh | Retrieves a new copy of data from the student's record. This includes enrollment, student, parent/guardian, and team member information. This also returns any accidentally deleted records. Manually entered fields do not change when the refresh button is clicked. The user must Save after clicking Refresh to capture changes.
A side panel displays a listing of all the student's applicable enrollment records. See the Enrollments tool documentation for additional information. |
| Cancel | Navigates the user to the Editor Home screen or the List Screen for List editors. |
Status | Changes the status of the editor. - Complete indicates the editor is finished. This makes the editor read-only. However, this does not lock the editor from further editing. The user must click In Progress to further edit after an editor is marked Complete.
- Not Needed indicates the editor does not apply to the student's plan or evaluation. This makes the editor read-only. However, this does not lock the editor from further editing. Click the In Progress button to further edit after an editor is marked Not Needed.
- In Progress only displays when the editor is in the Complete or Not Needed status and allows additional edits to be made.
The following status is only available for the Nevada IEP: - Complete Pending eSignature only displays for certain editors. This button marks the editor as complete until the parent/guardian electronically signs those plan sections via the Campus Parent Portal. See the Special Ed eSignature Process articles for additional information.
|
| Print | Prints the entire document. |
| Editors | Opens a side panel listing all the available editors and their status. Select an editor from this list to navigate to that editor or click Close to collapse the side panel. |
| Previous | Navigates the user to the previous editor. |
| Next | Navigates the user to the next editor. |
Editor Types
There are two types of editors available: List or Basic editors. When navigating to a Basic editor, the list of fields within the editor is displayed. List editors display a list of all records within that editor. Clicking an existing record or the New button opens the detail view for an individual record.
Editor Lock Out and Release Logic
Only one user at a time can actively work on an editor. A person with a padlock icon (
) displays in the Editors side panel, Editor Home, and List Screen of list editors indicating which editors currently have users working on them. Hovering over the icon displays the name of the user who has checked out the editor, including the current user (you).
Editors that are currently being edited are read-only for all other users. The name of the person working on the editor displays in the header.
To release an editor, the user must:
- navigate to the next editor by clicking Save and Next or the Editors button and selecting the next editor from the side panel.
- click the Cancel button to return to the Editor Home screen.
- log out of the Campus application.
- navigate to a different tool in the Campus application.
Editors are automatically released when the in-application timeout limit has been exceeded. This is a back-end process and is usually around 30-60 minutes.
Template Banks
Certain fields within several editors have an Add Template icon that displays next to their name. Clicking this button displays a side panel with the available library of predetermined text for that field. Template Banks are managed in System Administration.
Template Bank Side PanelClick the plus (+) icons next to the category to view the available template values.
Expanded Category and Values SelectedTemplate Bank Categories display on the left and the selected text displays on the right. Click the Add button to add the template value. This adds the template to the queue of values on the right. The red X removes selected templates while the sequence field can be used to reorder the templates. Another option is to use the up and down arrows next to the sequence field to reorder values.
Click Cancel to go back to the document. The Clear Selected Template(s) button removes all selected template values from the right selection screen.
Once selections are finalized, click the Insert Selected Template(s) button to add the values to the field within the document in the selected order. Template values are separated by carriage returns.
Example Template Bank Selections in the Document
Text Editors
Images should not be inserted into text fields.
Editors
The following section lists each editor and describes each field on the editor.
Service Plan
The Service Plan editor stores plan information as well as related dates.
This editor must be saved before entering data into other editors. This editor cannot be placed in a Not Needed status.
Service Plan Editor
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Field Name | Description | Validation |
|---|
Meeting Type Required
| Indicates the purpose of the meeting. The purpose for the meeting should correspond to the purpose set forth in the written notice of the plan meeting. Options include: - Service Plan - Homeschool
- Service Plan - Private School
| N/A |
Service Plan Meeting Date Required
| The date of the meeting. | N/A |
Start Date Required | The date on which the plan begins. | N/A |
Service Plan Review Date Required
| The date of the plan review. | This field calculates to be one year minus one day from the Start Date.
The original End Date is retained when the plan is amended. |
| Eligibility Information |
Eligibility Date Required
| The eligibility date of the most recent eligibility determination. | This date auto-populates with the date of the most recent Eligibility. |
Anticipated 3-Yr Reevaluation Required | The anticipated date of the reevaluation 3 years from the most recent eligibility determination. | This date auto-populates to three years minus one day from the Eligibility Date. |
| Comments | The Comment field is used to record any additional information related to the plan, i.e. the meeting was conducted via phone, the parents could not attend etc. | This field is limited to 650 characters. |
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Student Information
The Student Information editor populates information about the student such as demographic data, address and school information.
Student Information Editor
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Field Name | Description | Database and UI Location
(when Refresh is clicked) |
|---|
Last Name | The student's last name. | Census > People > Demographics > Last Name
identity.lastName |
| First Name | The student's first name. | Census > People > Demographics > First Name
identity.firstName |
| Middle Name | The student's middle name. | Census > People > Demographics > Middle Name
identity.middleName |
| Suffix | The student's suffix. | Census > People > Demographics > Suffix Name
identity.suffix |
| Gender | The student's gender. | Census > People > Demographics > Gender
identity.gender |
| Birthdate | The student's birthdate. | Census > People > Demographics > Birth Date
identity.birthDate |
| Student Number | The student's ID number. | Census > People > Demographics >Student Number
identity.studentNumber |
| SUID | The student's state ID. | Census > People > Demographics > State ID
person.stateID |
| Race, Ethnicity (state) | The student's state designated race/ethnicity. | Census > People > Demographics > Race/Ethnicity > Race/Ethnicity
identity.raceEthnicity |
| Federal Student Ethnicity Code | The student's federal designated ethnicity code. | Census > People > Demographics > Race/Ethnicity > Federal Designation
identity.federalRaces |
| Race(s) | The student's race(s). | Census > People > Demographics > Race/Ethnicity > Race(s)
identity.raceEthnicity1-5 |
| Student Primary Language | The student's home primary language. | Census > People > Demographics > First Language
identity.homePrimaryLanguage |
| Address | The student's address. | Census > Households > Address Info
address.number; address.street; address.tag; address.prefix; address.dir; address.apt; address.city; address.state; address.zip |
Zoned School
Required
| The school within which the student's address is zoned. | System Administration > Resources > School > School > School Detail
planstudent.zonedSchool |
Other Zoned School
*Required | *This option is only available and required when Other is selected on the Zoned School field. | System Administration > Resources > School > School > School Detail
planstudent.otherZonedSchool |
| Emergency Contact Name | A text field used to enter an emergency contact for the student. | N/A |
| Emergency Contact Number | A text field used to enter the phone number for an emergency contact for the student. | N/A |
| Case Manager |
| Name | The first and last name of the team member. | Student Information > Special Ed > General > Team Members |
| Title | The role of the team member. | Student Information > Special Ed > General > Team Members |
| Phone | The phone number of the team member. | Student Information > Special Ed > General > Team Members |
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The Parent/Guardian Information editor populates based on the established student/guardian relationships created on the student's Relationships tool or indicated by the guardian checkbox on the Households tool. The editor includes Demographics information for the student's guardian.
Parent/Guardian Information Editor
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Field Name | Description | Database and UI Location
(when Refresh is clicked) |
|---|
| Last Name | The last name of the parent/guardian. | Census > People > Demographics > Last Name
identity.lastName |
| First Name | The first name of the parent/guardian. | Census > People > Demographics > First Name
identity.firstName |
| Middle Name | The middle name of the parent/guardian. | Census > People > Demographics > Middle Name
identity.middleName |
| Suffix | The suffix of the parent/guardian. | Census > People > Demographics > Suffix Name
identity.suffix |
| Relationship | The relation of the parent/guardian to the student. | Census > People > Relationships
planGuardian.relationship |
| Print Sequence | The print order of the parent/guardian(s) on the plan.
When no Sequence is selected, parent/guardian(s) print in the order displayed in the UI. When any Sequences are selected, parent/guardian(s) with a sequence number prints in the order defined. Un-sequenced guardians display at the bottom. | N/A |
| Address | The address of the guardian's home.
When more than one address exists, this field becomes a dropdown. | Census > Households > Address Info
address.number; address.street; address.tag; address.prefix; address.dir; address.apt; address.city; address.state; address.zip |
| Home Phone | The home phone number of the guardian. | Census > People > Households > Household Phone & Address(es) > Phone
contact.homePhone |
| Work Phone | The work phone number of the guardian. | Census > People > Demographics > Personal Contact Information > Work Phone
contact.workPhone |
| Cell Phone | The cell phone number of the guardian. | Census > People > Demographics > Personal Contact Information > Cell Phone
contact.cellPhone |
| Email | The email address of the guardian. | Census > People > Demographics > Personal Contact Information > Email
contact.email |
| Primary Language Spoken at Home | The language spoken at the guardian's home. | Census > People > Demographics > Person Information > Home Language
identity.homePrimaryLanguage |
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Meeting Participants
The Meeting Participants editor is used to record team meetings and participants for the student.
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Meeting Participants List Screen
Meeting Participants List Screen
| Column Name | Description |
|---|
| Padlock Icon | The user currently working on the record. |
| Meeting Date | The day of the meeting. |
| Meeting Description | A description of the meeting purpose. |
| Print in Plan | Indicates this record prints on the plan. |
Meeting Participants Detail Screen
Click an existing record or New to view the detail screen.
Meeting Participants Detail Screen
| Field Name | Descriptions | Validation |
|---|
| Meeting Participants List |
| Print In Plan | This checkbox is used to mark when this information should print in the student's plan. | This is marked by default.
Only one team meeting can be marked as Print in Plan = Yes. |
Meeting Date
Required | The day of the team meeting. | N/A |
| Meeting Description | Any information regarding the meeting can be entered into the Meeting Description text box. | N/A |
| Attendance |
First Name
Required | The team member's first name. | This field pulls from the student's Team Members tool, but allows for manual entry. |
Last Name
Required | The team member's last name. | This field pulls from the student's Team Members tool, but allows for manual entry. |
Role
Required | The role of this team member. Options include: - Parent/Guardian/Surrogate*
- Student**
- LEA Representative*
- Special Education Teacher*
- Regular Education Teacher***
- School Psychologist
- Speech/Language Therapist/Pathologist/Specialist
- School Nurse
- Interpreter
- Other - 1
- Other - 2
- Other - 3
| Values in this dropdown are based on a locked Attribute/Dictionary (Plan > Team Member Title State Defined) and an unlocked Attribute/Dictionary (Plan > Team Member Title District Defined).
The required roles of Parent/Guardian/Surrogate, LEA Representative, Special Education Teacher, and Regular Education Teacher must be entered before this editor can be saved. When the Title field on the Team Member tool matches the name, the role defaults in this editor.
When the student is age 14 or older, the attendance record also must include an entry with the Role of Student**. |
Specify Other
*Required | The role of the team member (manually entered). | *This field is available and required when one of the three "Other" options is selected in the Role dropdown. |
| Invited | Indicates the person was invited to the meeting. | N/A |
| Attended | Indicates the person was present at the meeting. This determines which participants print on the plan. | N/A |
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Present Levels PLAAFP
The Present Levels (PLAAFP) editor includes the student's present levels of academic achievement and functional performance, including the assessment conducted to determine level, resulting skills determined, and needs identified.
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Present Levels (PLAAFP) List Screen
Present Levels List Screen
| Column Name | Description |
|---|
| Padlock Icon | The user currently working on the record. |
| Sequence | The order in which the records display and print. |
| Assessment Conducted | The name of the assessment. |
Present Levels (PLAAFP) Detail Screen
Select an existing record or click New to view the detail screen.
Present Levels of Academic Achievement and Functional Performance Detail Screen
Field Name | Description | Validation |
|---|
Sequence # Required | The sequence in which the PLAAFP records display in the editor and on the printed version of the plan. | This field is limited to 4 numbers. |
Assessment Conducted Required | The name of the assessment that provided pertinent information for the development of the plan. This could include formal or informal methods, classroom observations, student work samples, teacher-created or other achievement tests, recent evaluations, behavior rating scales, performance data from regular education teachers, parental input, etc. | N/A |
Assessment Results Required | The results of the assessment corresponding to the assessment conducted. | N/A |
Effect on Student's involvement and progress in General Education curriculum or, for Early Childhood students, involvement in development activities Required | A text field used to describe the effect of the assessment results on the student's involvement and progress in general education curriculum. For early childhood students, this field is used to describe the impact of the assessment results on the involvement in student's developmental activities. | N/A |
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Strengths, Concerns, Interests, and Preferences
The Strengths, Concerns, Interests, and Preferences editor records observed student strengths, the parents' educational concerns, the student's preferences and interests, and how these preferences and interest were considered. 
Strengths , Concerns, Interests, and Preferences Editor
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| Field Name | Description | Validation |
|---|
Statement of Student Strengths Required | A text box used to describe the student's strengths to capture information that can be utilized in developing goals and objectives. | N/A |
Statement of Parent Educational Concerns Required | A text box used to describe the parent's concerns regarding the student's education. | N/A |
Statement of Student's Preferences and Interests *Required | A text box used to describe the student's preferences and interests when transition services are discussed. | *This field is required when the student is 14 years old or older. |
| If student was not in attendance, describe the steps taken to ensure that the student's preferences and interests were considered | A text box used to describe the steps taken to ensure that the student's preferences and interests were considered at the meeting. | N/A |
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Goals and Objectives
The Goals and Objectives editor describes annual goals set for the student as well as how that goal is measured and whether the goal relates to an existing post-secondary goal or an Extended School Year program.
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Goals and Objectives List Screen
Goals and Objectives List Screen
| Column Name | Description |
|---|
| Padlock Icon | The user currently working on the record. |
| Sequence | The order in which the goal displays and prints. |
| Goal | The student's goal. |
Goals and Objectives Detail Screen
Select and existing record or click New to view the detail screen.
Goals and Objectives Detail Screen
| Field Name | Description | Validation |
|---|
Sequence Required | The sequence in which the goals displays in the goals and objectives editor and the printed plan. | Numbers are limited to two characters between 0 and 999. Sequences must be unique. |
Measurable Annual Goal Required | A text field used to describe the student's measurable annual goals and how progress toward the annual goal is measured. | N/A |
| Check here if this goal supports the student's postsecondary goal(s) | This checkbox is used to designate that the goal related to one of the student's postsecondary goals. The second set of checkboxes is used to specify to which area, Training/Education, Employment, Independent Living Skills, or Other, the goal pertains. | N/A |
Identify the goal(s) to which it relates
*Required
| The are to which this goal relates. Options include: - Training/Education
- Employment
- Independent Living Skills
- Other
| *This field is required when the above checkbox is marked. |
| Objectives |
Sequence Required
| The sequence in which the objective displays in the goals and objectives editor and the printed plan. | Numbers are limited to three characters between 0 and 999.
|
Benchmark or Short-Term Objective
Required | A benchmark or short-term objective is used to gauge the student is progressing toward achieving the annual goal. | N/A |
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Methods for Reporting Progress
The Method for Reporting Progress editor describes the document(s) that is used to report student progress and how often that document is produced.
Method for Reporting Progress Editor
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| Field Name | Description | Validation |
|---|
Method for Reporting the Student's Progress Toward Meeting Annual Goals | This section is used to mark all the options used to report the student's progress toward meeting their annual goals to the student's parents. All options that apply should be marked. Options include: - Service Plan Goals Pages
- District Report Card
- Specialized Progress Report
- Parent Conferences
- Other
| Mark all methods that apply. |
Specify Other
*Required | A description of the other method for reporting student progress. | *This field is available and required when Other is selected above. |
Projected Frequency of Reports | This section is used to mark how frequently reports are made in measuring the student's progress towards their annual goals. Options include: - Quarterly
- Semester
- Trimester
- Other
| Only one option can be selected. |
Specify Other
*Required | A description of the other frequency. | *This field is available and required when Other is selected above. |
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Specially Designed Instruction
The Specially Designed Instruction editor lists services provided to the student in a Special Education setting.
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Specially Designed Instruction List Screen
Specially Designed Instruction List Screen
| Column Name | Description |
|---|
| Padlock Icon | The user currently working on the record. |
| Sequence | The order in which the records display and print. |
| Service Provided | The name of the service. |
| Frequency | The frequency of service. |
| Start Date | The first day of service. |
| End Date | The last day of service. |
Specially Designed Instruction Detail Screen
Select an existing record or click New to view the detail screen.
Specially Designed Instruction Detail Screen
| Field Name | Description | Validation |
|---|
| Sequence | The sort order in which the Services display both in the UI and on the print format. | Numbers are limited to two characters between 0 and 99. Sequences must be unique. |
Services Required | A text field used to describe the special ed services being provided to the student in the areas for which annual goals have been written. | N/A |
Location of Service Required | A text field used to describe the location where the student receives services. | N/A |
| Duration and Frequency |
Start Date Required | The start date of the service. | This field auto-populates to the Start Date of the plan, but can be manually changed. |
End Date Required | The end date of the service. | This field auto-populates to the End Date of the plan, but can be manually changed. |
Service Minutes Required | The number of service minutes that corresponds with the frequency of the services that are provided. | This field is limited to four characters. Only whole numbers allowed. |
Frequency Required | The frequency of service to be provided for the student. Options include: | N/A |
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Supplementary Aids and Services
The Supplementary Aids and Services editor lists the accommodations and modifications made to assist the student in participating in regular education.
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Supplementary Aids and Services List Screen
Supplementary Aids and Services List Screen
| Column Name | Description |
|---|
| Padlock Icon | The user currently working on the record. |
| Sequence | The order in which the records display and print. |
| Service Provided | The name of the service. |
| Frequency | The frequency of service. |
| Start Date | The first day of service. |
| End Date | The last day of service. |
Supplementary Aids and Services Detail Screen
Select an existing record or click New to view the detail screen.
Supplementary Aids and Services Detail Screen
| Field Name | Description | Validation |
|---|
| Sequence | The sort order in which the Supplementary Aids display both in the UI and on the print format. | Numbers are limited to two characters between 0 and 99. Sequences must be unique. |
Modifications, Accommodations, or Supports for Student or Personnel Required | A text field used to describe the modifications, accommodations, or supports being provided to the student or personnel. | N/A |
Location of Services Required | A text filed used to describe the location where the services are provided. | N/A |
| Duration and Frequency |
Start Date Required | The start date of the services. | This field auto-populates as the Start Date of the plan, but it can be modified as needed. |
End Date Required | The end date of the services. | This field auto-populates as the End Date of the plan, but it can be modified as needed. |
Frequency Required | A text field used to describe the frequency of the service. | N/A |
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Related Services
The Related Services editor lists developmental, corrective or other supportive services required to assist the student with a disability.
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Related Services List Screen
Related Services List Screen
| Column Name | Description |
|---|
| Padlock Icon | The user currently working on the record. |
| Sequence | The order in which the records display and print. |
| Service Provided | The name of the service. |
| Frequency | The frequency of service. |
| Start Date | The first day of service. |
| End Date | The last day of service. |
Related Services Detail Screen
Select an existing record or click New to view the detail screen.
Related Services Detail Screen
| Field Name | Description | Validation |
|---|
| Sequence | The sort order in which the Services display both in the UI and on the print format. | Numbers are limited to two characters between 0 and 99. Sequences must be unique. |
Service Required | A dropdown used to select the related special ed service being provided to the student. Options include:- Assistive Technology
- Audiology
- Counseling
- Interpreting Services
- Medical Services for Diagnostic or Evaluation Purposes
- None Needed
- Occupational Therapy
- Orientation and Mobility
- Other
- Parent Counseling and Training
- Physical Therapy
- Psychological Services
- Recreation, including Therapeutic Recreation
- School Health Services and School Nurse Services
- Social Work Services
- Speech/Language
- Transportation
| District added values (System Administration > Special Ed > Plan Services) won't sync to state or DIS. |
Specify Other
*Required | A description of the Other service. | *This field is available and required when Other is selected above. |
Service Type Required | A dropdown used to select the type of service being provided to the student. Options include:- N/A
- A - Assessment
- C - Consultative
- D - Direct
| N/A |
| Service Type Description | A text field used to provide additional details concerning the service type selected. | N/A |
Location of Service Required | A text field used to describe the location where the student receives services. | N/A |
| Duration and Frequency |
Start Date Required | The start date of the service. | This field auto-populates as the Start Date of the plan, but it can be modified as needed. |
End Date Required | The end date of the service. This field auto-populates from the End Date field on the Service Plan editor, but it can be modified as needed. | This field auto-populates as the End Date of the plan, but it can be modified as needed. |
Service Minutes Required | The number of service minutes that correspond with the frequency of the services that are provided. | This field is limited to 4 characters. Only whole numbers are allowed. |
Frequency Required | The frequency of service to be provided for the student. Options include: | N/A |
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Service Plan Implementation
The Service Plan Implementation editor is used to document the parent/guardian's consent and understanding of the service plan.
Service Plan Implementation Editor
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| Field Name | Description | Validation |
|---|
Service Plan Implementation
*Required | Options include:- I understand that my child is eligible to receive services under a Service Plan but I am declining all services, including those offered under a Service Plan.
- I understand that the IEP contains more services than identified above but I have chosen to enroll my child in a private school or homeschool setting, therefore, only the services outlined above will be provided through the Service Plan. I am agreeing to the services outlined in the Service Plan above.
| *This field is required in order to Complete the editor. Only one checkbox can be marked. |
A copy of this Service Plan was provided to the student's parent on
*Required | Indicates a copy of the plan was provided to the student's parent/guardian. | *This field is required in order to Complete the editor. |
| Date Provided *Required | The date a copy of the Service Plan was provided to the parent/guardian. | *This field is available and required when the above checkbox is marked. |
Name of who Provided Service Plan
*Required
| The name of the person who provided the student's parent/guardian with a copy of the Service Plan. | *This field is available and required when the above checkbox is marked. |
Title of who Provided Service Plan
*Required | The title of the person who provided the student's parent/guardian with a copy of the Service Plan. | *This field is available and required when the above checkbox is marked. |
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Enrollment Information
The Enrollment Information editor stores basic information about the student's participation in special education, including disability, status, and setting.
Any information saved in this editor overwrites the special ed values on the student's Enrollment record.
When the most recent locked Evaluation for the student was created using the classic Campus style, the Refresh button retrieves information from the student's Enrollment record. When the most recent locked Evaluation for the student was created using the updated Campus style, the Refresh button retrieves the Eligibility Date(s) and Disability information from the Evaluation. All other fields still pull from the Enrollment record.
This editor cannot be placed in a Not Needed status.
Enrollment Information Editor
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| Field | Description | Validation |
|---|
Primary Disability
Required | The primary disability of the student. | This field is a locked attribute, Enrollment > Primary Disability (disability 1). |
| Secondary Disability | The second disability of the student, when applicable. | This field is a locked attribute, Enrollment > Secondary Disability (disability 2). |
Special Ed Status
Required | The student's special ed status. Option is either 1: Yes or 0: No. | This field is a locked attribute, Enrollment > Special Ed Status (specialEdStatus).
|
Federal Placement Code Required | The student's federal placement. Options include: - E1: Reg EC Prog >= 10 hrs wk/srvs in Reg EC (Ages 3-5 (in PK))
- E2: Reg EC Prog >= 10 hrs wk/srvs in Other Loc (Ages 3-5 (in PK))
- E3: Reg EC Prog < 10 hrs wk/srvs in Reg EC (Ages 3-5 (in PK))
- E4: Reg EC Prog < 10 hrs wk/srvs in Other Loc (Ages 3-5 (in PK))
- E5: SPED in Separate Class (Ages 3-5 (in PK))
- E6: SPED in Separate School (Ages 3-5 (in PK))
- E7: SPED in Residential Facility (Ages 3-5 (in PK))
- E8: Home (Ages 3-5 (in PK))
- E9: Service Provider Location (Ages 3-5 (in PK))
- B16: Parentally placed in a private school (Ages 5(in KG) -21)
| Upon Refresh, when a setting comes in that is not one listed, the user receives the following error when trying to Complete the editor, "Special Ed Setting must not contain the following codes: B9, B10, B11, B12, B13, B14, B15."
This field is a locked attribute, Enrollment > Student Placement (specialEdSetting). |
| Grade | The student's grade. | N/A |
| LEP Status | The student's LEP Status. | This field auto-populates from Program Participation > English Learners when Service Plan Header is Saved and each time Refresh is clicked. |
| Resident District | The student's resident district. | N/A |
| School Information |
| Private School Name | The name of the student's private school. | N/A
|
| School Number | The school number. | System Administration > Resources > School > (School Name) > School Number |
| Address | The address of the school. | System Administration > Resources > School > (School Name) > Address |
| Phone | The phone number of the school. | System Administration > Resources > School > (School Name) > Phone |
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Medicaid Consent
The Medicaid Consent editor is used to document the parent/guardian's consent for the district to disclose the student's information in regards to seeking Medicaid funding.
Medicaid Consent Editor
Click here to expand...
| Field Name | Description | Validation |
|---|
| Print in Plan | Indicates this editor prints in the plan. | This defaults to unmarked. |
| Medicaid Consent | The parental consent indication. Options include: - Yes. As the parent/guardian of the student named above, I give consent to the District to disclose information from my child's education records to DHCFP only as necessary to allow the District to seek Medicaid funds to help cover the costs of the school health services provided to my child.
I understand that my consent will remain in effect until I withdraw it, and that I may withdraw my consent at any time by notifying the District. If I withdraw my consent, the District will continue to provide school health services to my child at no cost to me, the parent/guardian. No. As the parent/guardian of the student named above, I do not give consent to the District to disclose information from my child's education records to DHCFP. I understand that if I do not give my consent, the District will continue to provide necessary school health services to my child at no cost to me, the parent/guardian.
| Only one option can be marked. |
| Name of Parent/Guardian
| The name of the parent/guardian. | N/A |
| Signature of Parent/Guardian
| The signature of the parent/guardian. | N/A |
| Date Signed by Parent/Guardian
| The date the parent/guardian consented. | N/A |
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Previous Versions
Service Plan (Nevada) [.2223 - .2315]
Editor Home
) displays in the Editors side panel, Editor Home, and List Screen of list editors indicating which editors currently have users working on them. Hovering over the icon displays the name of the user who has checked out the editor, including the current user (you).
Template Bank Side PanelClick the plus (+) icons next to the category to view the available template values.
Expanded Category and Values SelectedTemplate Bank Categories display on the left and the selected text displays on the right. Click the Add button to add the template value. This adds the template to the queue of values on the right. The red X removes selected templates while the sequence field can be used to reorder the templates. Another option is to use the up and down arrows next to the sequence field to reorder values. 
Example Template Bank Selections in the Document
Service Plan Editor
Student Information Editor
Parent/Guardian Information Editor
Meeting Participants List Screen
Meeting Participants Detail Screen
Present Levels List Screen
Present Levels of Academic Achievement and Functional Performance Detail Screen
Strengths , Concerns, Interests, and Preferences Editor
Goals and Objectives List Screen
Goals and Objectives Detail Screen
Method for Reporting Progress Editor
Specially Designed Instruction List Screen
Specially Designed Instruction Detail Screen
Supplementary Aids and Services List Screen
Supplementary Aids and Services Detail Screen
Related Services List Screen
Related Services Detail Screen
Service Plan Implementation Editor
Enrollment Information Editor
Medicaid Consent Editor