LCTS PUBLIC SCHOOLS Activity Code Selection Flow Chart

What is the purpose of the activity you were performing at the time of the random moment?
"Health/Medical" services include medical, dental, mental health and chemical health

Health / Medical Child Welfare Academic and General

IEP / IFSP / IIIP Activity Related Activity (Non-Medical) Other Services Admin

Was the activity "face to face" with the child?
YES
• Observing the child
• Performing non-health related
assessments and testing
(pre-IEP)
Code J
• Providing mental health
services, nursing, speech/audiology,
occupational/physical therapy
and other MA billable activities
• Performing health related
assessments and testing
Code I
• Counseling or Therapy and
Treatment for a student
who is currently in foster care or
has been identified
as a Title IV-E Candidate
Code F
• Counseling or Therapy and
Treatment for a student
who is not currently in foster
care or has not been
identified as a Title IV-E Candidate
Code J
• Other face to face
IEP / IFSP / IIIP activities
Code J
NO
• Evaluating test results
• Meeting with parents
and colleagues
• Collecting data
(pre-IEP)
Code J
• Developing (or assisting),
monitoring, reviewing or
evaluating the outcomes of
ACADEMIC goals
in the IEP / IFSP / IIIP
Code J
• Accessing…
• Arranging…
• Coordinating…
• Referring…
• Monitoring…
• Evaluating the effectiveness of…
HEALTH / MEDICAL
services within the IEP / IFSP / IIIP
Code H
• Service coordination for a student
who is currently in foster care
or has been identified as a
Title IV-E Candidate
Code B
• Other non-face to face
IEP / IFSP / IIIP activities
Code J
• Determination of Risk
• Contacting pregnant and Code A • Classroom instruction • General
parenting teenagers to Code J staff meetings
discuss MA prenatal or Other Child Welfare Code K
well baby care services • General meetings on child welfare topics
• Referring a student • Providing info for approval of • General education
or family to the county to foster/adoptive parents activities • Completing
apply for MA benefits Code C - Part 1 Code J time sheets
• Assisting with MA Code K
eligibility determination • Staff training on issues related to students
Code G who are currently in foster care or have • On-going charting and
been identified as Title IV-E Candidates documentation of a • Providing
• Making referrals for Code D student's education or receiving
Child & Teen Check-ups performance LCTS activity
• Making referrals to • Training Foster/Adoptive Parents Code J code training
family planning services Code E Code K
• Arranging for health/
medical screenings STOP… • Contacting parents to • No School
• Accessing, arranging, You can only select the following codes discuss their child's • At Lunch
coordinating, referring, if the student is currently in foster care academic needs, • On a Break
monitoring, evaluating --OR-- discipline issues or to • On Vacation
HEALTH / MEDICAL the student must have already been obtain parental sign-off • Out Sick
services determined as a Title IV-E Candidate or data sharing forms • On Leave
• Program planning related by county human services Code J Code K
to health/medical services
Code H • Service coordination of the services • Not working
necessary to prevent the student • Contacting parents to at the time of
• Providing speech, from being removed from the home discuss available special random moment
occupational, physical, Code B ed services, the Free Code K
and other therapies; or & Reduced Lunch program
MA billable services Court Related or to discuss vocational & • Completing the LCTS
Code I • Provide info for a student's court hearing educational programs Title IV-E Candidacy
• Assisting with a truancy petition Code J Determination Form
• Services billed Code C - Part 2 Code K
directly to an
insurance company • Counseling or Therapeutic Treatment DHS Financial Operations
Code J Code F March 17, 2006

See "LCTS Activity Code Table" and "LCTS Activity Code Reference Guide" for more detailed examples if at any time you are uncertain.