(a) In the educational setting, the physical therapist
conducts appropriate screenings, evaluations, and assessments to determine
needed services to fulfill educational goals. When a student is determined
by the physical therapist to be eligible for physical therapy as a
related service under Part B of the Individuals with Disabilities
Education Act (IDEA), 20 USC §1414, or Section 504 of the Americans
with Disabilities Act, as Amended, the physical therapist provides
written recommendations to the Admissions Review and Dismissal Committee
or the Section 504 Committee as to the amount of specific services
needed by the student (i.e., direct and/or indirect services, as well
as the frequency, duration, and location of services).
(b) The physical therapist implements physical therapy
services in accordance with the decisions of the school committee
members and as reflected in the student's Admission Review and Dismissal
Committee or Section 504 Committee reports. The physical therapist
may implement services by delegating treatment to a PTA under their
supervision.
(c) The physical therapist may provide general consultation,
coaching, professional development, or other physical therapy program
services for school administrators, educators, assistants, parents
and others to address district, campus, classroom or student-centered
issues. For the student who is eligible to receive physical therapy
as a related service, the physical therapist will also provide the
direct and/or indirect types of specific services needed to implement
specially designed goals and objectives included in the student's
Individualized Education Program or the 504 Plan.
(d) The types of services which may require a physician's
referral in the educational setting include direct physical modeling
or hands-on demonstration of activities with a student who has been
determined eligible to receive physical therapy as a related service
under the IDEA or under Section 504. Additionally, they may include
the direct provision of activities which are of such a nature that
they are only conducted with the eligible student by a physical therapist
or physical therapist assistant. The physical therapist should refer
to §322.1 of this title (relating to Provision of Services).
(e) Evaluation and reevaluation in the educational
setting will be conducted in accordance with federal mandates under
Part B of the Individuals with Disabilities Education Act (IDEA),
20 USC §1414, or under Section 504 when warranted by a change
in the child's condition, and include reexamination of the child.
The Plan of Care (Individual Education Program or Section 504 Plan)
must be reviewed by the PT at least every 60 school days, or concurrent
with every visit if the student is seen at intervals greater than
60 school days, to determine if revisions are necessary prior to continuation
of treatment by a physical therapist assistant.
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Source Note: The provisions of this §346.1 adopted to be effective November 11, 1993, 18 TexReg 7555; amended to be effective November 6, 1995, 20 TexReg 8794; amended to be effective April 28, 1997, 22 TexReg 3589; amended to be effective November 29, 2004, 29 TexReg 11032; amended to be effective March 5, 2007, 32 TexReg 1075; amended to be effective February 13, 2012, 37 TexReg 690; amended to be effective September 29, 2013, 38 TexReg 6203; amended to be effective May 15, 2024, 49 TexReg 3287 |