Office of Educational Services & Support

Service Coordinator/Provider Information

Frequently Asked Questions

Available Documents

• Birth to 3 Workshop Cover Letter
• Service Coordinator and Provider Training Agenda
• Reauthorization of IDEA of 2004 for Part C
  • Summary of Changes Made to Part C by IDEA of 2004
  • Statute:  Part C Infant and Toddlers with Disabilities
• Technical Assistance Documents for Providers
  • Request for Payment - #001-06
  • Travel Time Reimbursement Tips - #002-06
  • Timely Service - #003-06
  • Provision of Services #004-07
• Map of Birth to 3 Connections Service Coordinators
• Parent Rights Document
• Primary Service Model
• Considerations for the IFSP Team

Available Forms (state suggested)

• Inactive File Notification Form
• Individualized Family Service Plan
• Informed Clinical Opinion Form
• Intake Form | Word version
• Parental Prior Notice/Consent Form
• Payor of Last Resort Form
• Record of Access Form
• Referral Status Form
• Release of Information Form
• Request for Payment Part C
• Screening Results Form
• Surrogate Parent: Determination of Need
• Surrogate Parent, Eligibility Verification Form
• Transition Referral Form
• Waiver of 45 Day IFSP Timeline Form

• Birth to 3 Listserv - This listserv is designed to enhance communication between Birth to 3 (Part C) providers and the Birth to 3 Connections state office. This is a moderated listserv, which means you may send a message to the administrator to be posted for all to see.