441—77.44 (249A) Local education agency services providers. School districts accredited by the department of education pursuant to 281—Chapter 12, the Iowa Braille and Sight Saving School governed by the state board of regents pursuant to Iowa Code section 262.7(4), and the State School for the Deaf governed by the state board of regents pursuant to Iowa Code section 262.7(5) are eligible to participate in the medical assistance program as providers of local education agency (LEA) services under rule 441—78.50(249A) if the following conditions are met.
	 77.44(1) Licensure. Covered services shall be provided by personnel who are licensed, endorsed, registered, recognized, or qualified as provided in this subrule and shall be within the scope of the applicable license, endorsement, registration, recognition, or qualification.
	  a.   	 Personnel providing audiological or speech-language services shall be licensed by the Iowa board of speech pathology and audiology as a speech pathologist or audiologist pursuant to 645—Chapters 299, 300 and 303 through 305.
	  b.   	 Personnel providing physical therapy shall be licensed by the Iowa board of physical and occupational therapy as a physical therapist pursuant to 645—Chapters 199 through 204.
	  c.   	 Personnel providing occupational therapy shall be licensed by the Iowa board of physical and occupational therapy as an occupational therapist pursuant to 645—Chapters 205 through 210.
	  d.   	 Personnel providing psychological evaluations and counseling or psychotherapy services shall be:
	 (1) 	 Endorsed by the Iowa board of educational examiners as a school psychologist pursuant to rule 282—15.11(272);
	 (2) 	 Licensed by the Iowa board of psychology as a psychologist pursuant to 645—Chapters 239 through 243;
	 (3) 	 Licensed by the Iowa board of social work as a social worker pursuant to 645—Chapters 279 through 284;
	 (4) 	 Licensed by the Iowa board of medicine as a physician pursuant to 653—Chapters 9 through 11; or
	 (5) 	 Registered by the Iowa nursing board as an advanced registered nurse practitioner pursuant to 655—Chapter 7.
	  e.   	 Personnel providing nursing services shall be licensed by the Iowa nursing board as a registered or licensed practical nurse pursuant to 655—Chapters 3 through 6.
	  f.   	 Personnel providing vision services shall be:
	 (1) 	 Licensed by the Iowa nursing board as a registered or licensed practical nurse pursuant to 655—Chapters 3 through 6;
	 (2) 	 Licensed by the Iowa board of medicine as a physician pursuant to 653—Chapters 9 through 11; or
	 (3) 	 Licensed by the Iowa board of optometry as an optometrist pursuant to 645—Chapter 180.
	  g.   	 Developmental services shall be provided by personnel who meet standards established pursuant to department of education rule 281—120.19(34CFR303).
	  h.   	 Medical transportation shall be provided by licensed drivers.
	  i.   	 Other services shall be provided by staff who are:
	 (1) 	 Recognized as a special education paraprofessional pursuant to department of education rule 281—41.403(256B);
	 (2) 	 Endorsed by the Iowa board of educational examiners as a school psychologist pursuant to rule 282—15.11(272);
	 (3) 	 Endorsed by the Iowa board of educational examiners as a speech-language pathologist pursuant to rule 282—15.12(272);
	 (4) 	 Endorsed by the Iowa board of educational examiners as an orientation and mobility specialist pursuant to rule 282—15.15(272);
	 (5) 	 Endorsed by the Iowa board of educational examiners as a school occupational therapist pursuant to rule 282—15.16(272);
	 (6) 	 Endorsed by the Iowa board of educational examiners as a school physical therapist pursuant to rule 282—15.17(272);
	 (7) 	 Endorsed by the Iowa board of educational examiners as a special education nurse pursuant to rule 282—15.18(272);
	 (8) 	 Endorsed by the Iowa board of educational examiners as a school social worker pursuant to rule 282—15.19(272);
	 (9) 	 Licensed by the Iowa nursing board as a registered or licensed practical nurse pursuant to 655—Chapters 3 through 6; or
	 (10) 	 Licensed by the Iowa board of medicine as a physician pursuant to 653—Chapters 9 through 11.
	 77.44(2) Documentation requirements. As a condition of participation, the provider shall be responsible for maintaining accurate and current documentation in the child’s record. Documentation of all services performed is required and must include:
	  a.   	 Date, time, duration, location, and description of each service delivered and identification of the individual rendering the service by name and professional or paraprofessional designation.
	  b.   	 An assessment and response to interventions and services.
	  c.   	 Progress toward goals in the individual education plan (IEP) or individual health plan (IHP) pursuant to 281—Chapter 41, Division VIII, or 281—subrule 41.96(1).
This rule is intended to implement Iowa Code section 249A.4.