HomeMy WebLinkAboutConnections Therapy Centersildaho Falls
School District 91
A World. Class EdLtcatiott
690 fohn Adams ParkwaY
Idaho Falls, Idaho 83401
Phone: (208) SZS'7500 FAX: (2OB) 525'7596
Web Address: www.d91.k12.id'us
IDAHO FALLS SCHOOLDISTRICT 91
System ofCare Protocol for Independent Contractors
L Protocol for I nde De ndent Cont racto rs Providins EECH LANGU AGE
The purpose of the System ofCare is to establhh a procedual protocol to assist Idaho Falls School
Disrict'gl in collaborating for the delivery of rehted servbes provided by Independent
Contactors in accordance with an eligible student's Indivitiral Education Plan (IEP) developed
pursuant to ldaho Special Education Manual 2018 and the McdicairC Billing Polby for
Spe eclr/Audiological Therapy and Evaluation in a school setting (IDAPA 16.03.09)
This protocol provides guidelhes for the ldaho Falls School District 9l and independent
contractors to implement Speech/Language Pathology (SLP) services that are delivered to etgible
students with an individua I Educational Phn (IEP) on file in the school dbtrict. In order to provide
SLP servbes, the independent conhactor must be approved tlrouglr the Dhector of Student
Services' offpe and provide the following docunentation:
1. A copy of your current certificate of liabilhy irsurance with Idaho Falls School
District 9l namcd as an additional insured on the polby.
2. Proof of workers' compensation coverage for independent contractor personnel
3. A copy of the contractor p€rsonnel current criminal backgound check prior to
having contact with students pursuant to Idaho Code Section 33-130'
4. A copy of the contractor persomel credentials pertinent to the service being provided
prior to working with students
5. i copy of the service/task plan the student is working on in non-school settings,
The school will be the lead agency for any student enrolled while that student is in school. Before
the Independent contractor nray work with the student, a contractual Agreement must be
completei with the Contractor, bui6ing principal and Director of Student Sewices.
Idaho Falls School District must follow rhe privacy provisions set forth by FERPA, HIPAA, and
Idaho Special Education Manual 2018. ihe tdaho Falls School Dishict will need written
authori;tion from the parent/guardian prior to sharing information with lndependent Contractors,
PATHOLOGIST:
Contractor: ConnedionsTherapy Centers
School: Assigncd Scech &udenls
Dale: August 9,20?2 I
Contractori conncdionsTherapy Conler6
&hoolr Assigncd $.cch guderts
Independent Contractor means a persor\ 8roup, agency' or organizatkrn that rn€ets the
following two conditions:
a. Is no-t an employee of Idaho Falls School Distrbt 9l or a public agency with legal
jwbdicfion over the circumstances related to their invohement with the student,
and
u. Is paid or reimbursed for services provided to the student tbrough the established
billing policy.
Independent Contractor may do the following in Idaho Falls School District 9l:
a. Submit evaluation reports to a school's Evahration teams for 999gig[91@ related
to an cvahration being conducted.
b. Be invited to an evahBtion team meeting by either *re school or parent'
i The determination of eligibility for special education and the provision of a
Free Approprhte Public Education (FAPE) are the responsibility ofthe IEP
teanB and cannot be prescrbed by any other entity
ii. All educational decisions regarding educational methodolory, materials,
and personnel are the responsbility of the school district'
c. Provrde services in the schools to students under the terns of a contract with the
school district. (See Independent Contractors Agreement)
i. Contracis are esdblished when the school district is paying for the services
and describes the services, the role and responsib ities of the Independent
Contractor with the evah:ation team and school adminishation, and the
fiequency and drration of services; inchdes documentation of
licenstreicertifrcation to perform the prescribed services; addresses issues
related to liability, terms of payment; and states the provisi:ns for changes
or termination of the
"ont
a"t' (Example: Distrht conhacts for physic al
theraPY services)
ii.Contractedservicestoastudentwithadisabilityshallbeincludedonthe
students IEP.
d. Provide services to students on school grouds rmder the terms of Sumnury of
Services with the school disrict. (See Surrrnary of Services Form)
i Summary of Services is establhhed to allow the services to take place on
school property to benefit the student's progress in the general education
curricuLum. T'he Summary of Services shall descnte the specifrc services
provided, the respoosibilities of the school and independent contractor'
procedures for background check and insuance, and the provisions for
lpace, time, equbment, and materials proviled by the school djsuict fie
s'chool district nny tenninate the Summary of Services at any time '
2Dde: August 9,20?,
IL Ove rview for IndeDe ndent Contractors Workinq with Students
l.
2.
3
4
5
ii. Services proviled under a Summary of Services to a studcnt with a
disability shall be included on the student's Individual Education Plan
(IEP).
The district has no obligation to enter into a contract with an independent contractor or
to allow an independeni conhactor access to school dishict property, space, materials,
or equipment.
School district records are only accessiblc to Independent Contractor rmder contract
with the school district and with written consent from the student's parent or guardian,
or the adult student (18 years oH or older). Request for records may be subject to a fee
to cover costs of copying and mailing.
Nothing in this System of Care protocol shall be constnred to limit or impinge in any
way oriservices parents may acqube for theh child that are not provided at the school
Issues related to the amount of time students are removed from school for any purpose
fall under the terrns of other school district policbs.
Conlrador: Co nnect io ns Thcrapy Centers
School: Assigrcd Specch Sidents
3Dale: Auglst 9,2022
Contractor: ComectionsTherapy Centors
Scbool: AssiSnc-d Sccch Sui.rts
Idaho Falls School District 91
INDPE,{DTT{T CONTRACTOR CONTRACTAL AGRWIENT :
Speec uase Patho losv (SLP)rvlce s
This ContBchral AgreenEnt is entercd into between ldaho Falls School District 91 Oerein afler refencd to as
"District") and Con-nections TherapyCenters (hercinafte rrcfered to as "Conb:actoi)'
W herea s, the Dis trict provides s pcial ed u cat ional and Ie Isted s €rvices to as sisl s tudeots attending s chool in
the Disidct iniheneducat'ionaIdevelopnrnt, as identificd on Ihe studen$'individuatiu d educatiol progrdrn
(EP) plao; and
Whereas, th e Contr& tor is duly licensed or qualifred and able to providerelatedservices to the District's
stud€nb;
It is hereby agreed byboth partics tha:
DT]RATION OF AGRTEME{T:
The oeriod of th is Conhactual A greE[Ent will corm€nce o[ the @ -
"r"J,lrtir il" ii; "i r"rry zoz5. This ConradualAgrecnErt isc-oDting€otupoathe availability offunds-of
i["Dt"t,i"r"ThlrC".tt.1""lAg*errrntshal]note:rccidtwelvc(12)calendarrlDnths At th€ d is cretion oftbe
District.lhe Crn tractual Agreareat nay be renewe d annu ally.
R.U-ATIONS HIP OF PARTIES:
i" *rfor-r, t arui"es under this Contsactual Agrcentsnq Co ntrattor is a,,d s hall at all tires b e an independcnt
;;;;;.-" fih;-ni; G"i lro tf, ing r, er" in i" to b-e co nstrued a s eslablis hin g an e nployer-euplo ye c rclatio nship.
SMVICES TO BER.E{DBO:
ra, ia
"i
J"u .".a", th e proGssio nal s cwices en u[Erated on su rlrrBry ofservicis , attacbed b ereto and nade a
part o fthis Contractual Agrc€fiEDlss sd forth fully herein'
RECORD KEDINC:-diti"[,
r rr rU u" r.sponsible forn.intsining cooplete andaccurate records doc,rEnting the-professional.
;;il;;;il;G;^tio tr,i, c"nt""t .t"Agrcenrcntandshallprcvidecopies oftherecords to the.Disrict
ll.itui" nie ol *oa.ing days ofthe date requescd. Addirionally, upon reasonable notice, thc Distict shallhave
tli ,igfri," ['"i"* rrcir reiords at any tinr'd u rin g business houn.
-
A ppropriate Medicaid billing shee6 will be
conpleted each nnnthforrhe studen(s) s €rved.
COMIDENTIALITY:
Provideraerees that all infonnation regard ing s€,vices provided pusuatrl to this ContractualAgrEErrnl
;ilil;i;;;1;,j;i;., it "'r,ua"'"";
iairt ity an d ihe nanre ofs ervices rendered. shall be confidentiaI
,,,,*u,,,,iio tl"familv Educat ional Records and irivacyAct (FERPA)' Contractor is prohibited tom
it*;;;;;;;ri;*tion obtained as a res ult o frcn d erin g s erv ices pursuant to this contradual A grcenEnt to
;'"ffi;id;i;;ild,;;;;;il;;Juvtu"oi.t'i"t, tt'out parent/su'diatr consent or consent ofthe
st;de{ttifl8 years ofsge orolder.
RPORTTNG OFAB[SE, ABANDONMUYT' OR Nffi-DCT:
contra"to,a"kno*I"dg€sitsobligationtocorplywithlds}oCodescctionl6160t,€rs€4.andrepon,withinii'i"ri, i"v ,*p"ct;iub*e,
"b'"ndonr,*nr,
orne glect ofa ch itd to rhe lawenforcement agency or Id aho
;ffi;;;lidil;;;w;ii"* anr."ro, "r"i"gros
to informthe Dis trict, within ?4hou6, ofsuch
suspicion.
4Dd€: Augun 9,2022
SIR\/ICE DtrLMMY flN4E AIID PLACE
Contractorshallpcrformscrvices set fofth in Sununary ofServices, unless the palties lrutually agreeto a
ntodification ofthe tirrc and placeofservice delivery'
COORDINATION OF SMVICES:
To facil.itate delivery ofservices, the Dis trict will provide: l) rcas oDable aDd PIotrpt notification ofsEetings
and otherappoinhrnb itl ],h ich the Contractor it elpectedto participate;2) signedparental co n sent forrs, as
neces sary; 3) id en tify ing in fonmtioo regard hg the c licn t artd th c parent/guard ian; and, 4) reas omble assis tance
in facilitatin! corrrunGtion betu,ieen the Contsactor and clients, parvrts/guard iar; and othel providers and
agencles.
PRIOR APPROVAL OF S RVICES :
A[ services rendsedby Coni:actorunder the tem5 ofthis Contactual AgreenEntsballrequire priorapprcval
by the District in accordance with federal and s tate lauls and regulations,local policies and procedures, and
professional cod6s of conducl.
CONSBIVAUTIIORTZATTON TO ACCESS TDUCATIONAL RECORD INTORM{TION OR
PROTECTU) HMLTH INTIORMATION:
District and Contmc,t or s hall at all tilEs requLc thc q/Titten consent or authori.a tion ofthe parenVguodian/or
adult student ifage ofl S years ofage orolder, forrhe disclosure ofaccess to educalional infomBtiou pursunt
to FERpA orproGctedhealth in fornation pursuant to theHealth Infonrntion Portability and Accountability
Act (HIPA A) reg ard ing thestudent, and shall nBintain thc confid€ntiality ofthat inforEBtion consistentwith
the stateand federal lawand regulations.
PROFES SIONAL S RVICES;
The servic€s rendercd pusualtt to this ConEach.nl AgreenEnt will be providedby individuals who are duly
licetrsed ro perfom thJ sewices or supervisedby a ticcns ed/ceti.6ed provider in acco rdancc with applicable
profes sionals tandards. Contractor agre€s that all work pursrlaDt to this Cont.actr,Lal Agreeffpnt will be
perfornrcd in accordarcewith the highestprofcssional standards. WrittenassEanccs 'rill beprovidedto the
bistrict attesting thar all enployees who coIIE into conta d with su.rdents s hall have been s ubiect tll criminal .
backgmundchik at least ai stingeot as thatrequircd by Idahocode 33 - 130 and policies ofthe District and
have been determined to not have a criminal background inconsistent with working with ch ildren- The District
shallhBve the right to observeservic€s beiB providcdto the clients.
INSURANCE AND LIABILITY:
Contractorshallbcliableforanylossesordarnag€sresultingfromCoDtractor'sperfoffrlanceofanysewices.
covered bythis AgreenpnL Contractor shaU obtain lisbility insurance and submit proofofsuch ins urance to tbe
District within ten1l0) days ofthe date ofthis AgreenEnt Contrador s hall indennifu and hold h arn ess thc
District from any liability, in"luding but not [inited to. costs, eryeoses andattomey fces lesulting from
contmcto/s pafomanoe ofservices provid€d under this Agreellpnt. District s tEll indenrniff and hold ..
harmhss Coatraaor Aomany tiabiliti, including but n ot tirnited to, costs, e;pens€s and sttomsy fees resulting
from Dislrict's rccklcss orwillirl misconductrelated to this AgreenEnt
ASSIG{ME{T:
This contracual Agre€rrEnt s hall not be s ubject to assignnEnt, in whole orin part, by contractrcrotby
operation oflaw, sJas to authoriE any person other than Contrador,.orContraclor's enployees, to assufiE the
d;ties subjcct to this Contractusl A greenE nt without the District's priorwritten consent
AME{DMENT;
ftris Contmctual ngree{rEn t nEy be anEndedat any tinre with the prior written cons€nt ofboih parties. Any
and all antnduEntsto this Con bachlal A greqrEn t s hall be in writing.
5Dde: August 9,202Contrador: ConnadionsThcr.Py C€nt.rs
Shool: As.iSned $ccch Sd.nts
TERMINAION:.if, i.-C"1i*.t" a a g
"enBnt
.*y b e t.rmirated without cause by either pafiy with in th irty (30) days afrer
providing writteu notice ofthe intelt to termirate to the otb(rparty'
Additionally, the District nny iruxEdiat€ly terminate this Con tractral Agrc€trEn t' upon wittennotice, in the
even t funditrg for the Dis trici's programis n o longcr 8va ilab le or the sP€cific s ery ices to th is CoD u"acnlal
Agree nEn t are nDd ified or termin ated for a s tu dort
DE'AT]LT:
ilf,., iJf"rt Uy "i trer pafty, th c nondefault ing party nEy can c€l this_ Contractua I A greenEnt irrr'di8tely,
uion ooti". "nd*v
punue anyandall available lcgal, equitable, andother renedies. The defarlting paty
ifiiUilf,"df.i"i"tivrrrlallepensesthatareincuncdbythenondefaultingpartyasaresuhthqpof,. .
irr" f, Ji"i, U, t , Jfiri,i cd to, procuring s ubstitutc p erfonmncq legal fees , and other los s€s incured due to the
default.
TIME OF PMTORMANCE
iior i" oi rn.
"$"n"e
in this Contmctu al A grecnpnq thcrefore, all tirres for perfornance ofthe obligations, as
statedhcrein, shallbe strictly conplied with by theparties.
NON-WAVITR BREACE:
ftr" gifr." ofContractororthe District to insis t uPon s tric t p€rfoIlrEnce ofany ofthe tcnr ofthis Contractual
AsreerEnt. or to e)crcise any option herein coofencd in any orallinstances, s hall not constilute a u?iver or
;;"lh;;;;;;;;i-t*t iit,i,ur, tt
"
tane shall bc and rpnrain in tull force and effect' unless such waivcr is
evidence by the prior*ritteo eonsent of Conlractor or the DistricL
NON.DISCRTMINATION:
The Dattie6 herebv acreethattro persotr shatl on the grounds ofrace, color, cree4 national orig in, se4 age'or
ii"itifi
".L" "*iiUia ftomordinied participaion in, or otherwise subjectedto, dis6imi,ation urd'r'ny
act iv ity ;erforflEd p ursu ant to t h is Co nt-acnral A gree nEnt
GOVBNANCE
lrJC"rt".n a e,greerEnt s hall be gov erned by rhe laws ofthe srare ofldaho. contac tor s hall at all ti*s,
iorrD-tu ,ri tt
"na
oU-, erre all fedcraL siate, and locallaws, regulations' and ordinances which are in effect and
applicible duringthe p€riod ofthis Contractual A SrcarEnt
ATTORNEY FEES:
ii
"itf,",
prtt, a. f"rfs in any rmnner or fails to fu lfll an y 8nd/or all prov is ions o fth is Conlractual Agree*nt'
",
J if in'"
"o'"A"f"rftin
g p aly hires an attomey to exc rc is e _its rigb ts upon s uch defau lt or ftilurc, or if the
;;;i;;;";;i" "ii ritleut,ttti""l rdinganv proceedings in bsnkuptcv), the prevailiog psltv shall be. .
intitled to recoverreasonable ittomry fecs ani cois fromthe otherparty. This pangraphsballbe enforceable
Uv ti. p"rtiii r"wlrhsunding any rei cis s ion, forfeiturc, or o th€r terrdnation ofthis corbactual AgreffinL
DISPUTE R.ES OLUTIONT
All DaniciDatins aacncres age€ to resoke s ystemic dis putes that arise in the pmvision o fspecial educaion and
;;Jp;;d,;;;#;;ieruT".s in
"
non-.dre.ariaIrmnnerand lo enswe that usingthe following process to
res oire intengatcy d isputes does rot disrupt s erv ices to s tud('l 6 an d families :
l. An individualoragency with a concern will fint use the ag€ncy's internal proccdues to addrEss the
concom.
Z. if,ci oiriio n ir not achiev€d ar the previo us levc l, t he is s ue and all re lev an t infornalion $'ill low be
foruardedtotheDircctorofstudcnrservicesofthetdahoFallsschoolDistrict9lslrdco[hrctor's
admin is trator.
L if-"Lrr"** i,
"ot
rcached at thcprevious lcvel the Directorofstudent Services will forward the issueand
all rctevant hfomtionto thesrpc.itrtqdqf ofldahoFalls SchoolDistrict 9l '
6Conir&ctor: ConncctionsThcrapy Cooters
s.hool: Assignrd $eech $uddnG
Dde: Augu n 9,2022
4. If a con cem is identified that is re lated to the quality o fs ervice or bea hh an d s afdy is su es, s choo ls s hou ld
refer concems abouta conaactor, their s crv ices, or qual.ity ofservices tothe DirectorofstudentServices
and contrrtor's ad min is t'a tor to address these concerl$,
5. If thes e co ncems arE not res olved in the d ia logue wilh s choo I ad minis tator (Directo r o fstu dent Services
and/orsupe.intendent) andthe cont'actor's ad min is t"ator, the DHW rcgional licensingentity nny be
contactedto investiSate the situdiorl.
COMPASATION/BILLING:
Contractor will submit to the Dfectorofstudent Services, bythe endofeach npntlL an Invoice(staterrEntof
s ervices rendered) for that rpnth and the conpleted district's Medicaid rePorting forms. Th ese coEp leted
forgs nust be accurateand rcady to submit to the district's billing sewice. Crncrally, the district will iss ue
checks once eac.h month, after Board approval, ifstat€nrnt and Pap€Iwo* is corIPleted and in th€ Distdct
Office by the end ofthe previous nDnth hch rnonthly statenEtrtrmst include the followinginfonrntion for
each student receiving services: a) student's nanr; b) descriplion orserviccsprovided; c)totalnunrberofhours
spent in providingprofessioral services; andd) costofsen'ices pmvidsd. Additioml documentation lllay be
riquirediy the Oiitricr and rust be p mvid ed with in frve (5) wolking days ofthe date tbc wlitten request for 6e
docunEntationis nBde.
The district agrees to pay the Contractor at a rate of $Z!qg per hour for
Snecch./Lane e Patholosv Se rvices. testine.and DaDerwork for the duration ofthe
contract. $QQ[per hour for ParaDrofe s s ional services. theraDvand Dape rwork forthe
duration ofthe contract. This contract is not to exceed $I2,600 based on the number of
days worked (approximately 172 days at 2 days p€rweek when school is in session).
COMPLEIf, STATTME{T OF TERIVIS:
Th is Contractual AgrcenEnt constituEs the cntirB agrcefiEnt between theparties hetdo, and shall supasede all
previous oralorwrhten proposals, negotiations. conrniturnts, and allothercormuDications between ths
parties. This Conkactual A greenEn t nBy not be released, discharged, or nodified cxcept by an instrurncnt in
writin g s igned by the duly a u thofized rep resen lativ es o fth c paIt ies.
1
Contrador: ConneltionsTherapy Ccnlcrs
School: Assigncd Seech $rients
Datc: Augusl 9,2022
SUMMARYOFSERVICES
Itrd€Petrdent Contrector/Idrho Fells School Distrlct 9l Protocol
This Summary of Servkes is to be used only aftel the District and Contractor has signed lhe confact,
lndependenl Contractor Contractual Agreement.
Independent Contractor Agency: Connection Therapy Centers
Administrator: Michelle Dahherg and Anna Bidwell
Ehsiness Address: 1225 S. tlghline Drive, Idaho Falls, ID 83404
Telephone Number: 208-535- I290
Supervisor: Michelle Dahherg E-Mail: mich connectionsther .com
Certificaley'LiceDsure Number: SLP- l 14? Expiration Date: 02- l I -2021
Review of Service: Indicate when each review willbe done and who will do the review:
First Review: Septembc! 27,2021
Second Review: November 15,2021
Third Review: Febn:arY 14,2022
Fourth Review: A$n 25,2022
Other: lJpon the request of either party
Service(s) to be provide: Speech/knguage Services
When service(s) will be provided:
Day(s): Monday - Friday (when school is in session)
Time:6hoursaday
Location (ie. classioom, playground, etc...): Assigned SLP Students
Duration ofservices (each day): As required by the assigned sfudents' IEPS'
Contr6olor: Conncd ion6 Thcrapy Cenlcrs
$hool: Assiged $..ch $uJents
8Ddci Augun 9,2022
contrector rrlll comply with the dlstrlct/school op€retlonrl procedures and will fulfill the fouowing
r€sPonslbllitl€3:' . Sign in and out of school offrce each visit - provide proper idcntification'
. Mist wear a picture identfication and/or obiain a visitor's identification badge from the
school at the time ofthe each visit'
. Must wear appropriate clothing for a school setting
. Adhere to set scheduh - anive and leave on time'
.Notifybuitdingadministratolifyouwillbeabsent(onedaynoticeifpossible).
. Student must-be picked up frorn and returned to an appropriatc school staffpersoneach visit
if applicable.
o Remain in assigned location.
. Be knowledgeable about emergency procedures ofthe school'
. Do not violaie the right of priricy of any student b,y using any informatiol 'Tdotly. -- --,,
obtained by observiig other students as service reftrence to make contact wrth palents to seu
or contract them to services from your agency'
.ThesPecialeducationteacherand/orgeneraleducationteacheristheinstructionalleadelin
the classroom. At no time should a service provider assume that theirjudgment for
bstructionalimplementationofsupen.isionofanindividuaVclasscansupersedetheteacher
or school staffmember.
.Notifythedistrict/schoolofanystaffmgchangeswithintheagencythatrelatestotheseTvic€s
trdicated on this agreement.
. Be cooperative when resolving cotlflicts with schooydistrict staff'
. Provide testing nraterials and technology devices (laptop, iPad, headphones) for personaluse
and to work w h srudents.
SchooUDistrict resPonshilltles includ€ :
. Respe.t the rights ofcontractor.
. Provided infomration regarding the procedurals and schedule ofthe school'
o Provide information on emergency procedures'
. When appropriate, invite service prot'ider to specific student's MDT and/or IEP team
meetings, wilh Parental aPProval.
. Accommodate. within reason, Contractor's needs to fulfrll the service review plan'
.Provideapositiveclimateandbuildingenvironmetrttofacilitatemufualassistance.
. Be cooperative when resolving conflicts between contractrrr and school staff,
The above items are not to be conscribed as all inclusive. Any concems will be addressed according to
the Dispute Resolution item in the Contractual Agreement
IN MTNESS WHEREOF, the parties have exccuted this Contractual Agteement'
v rI
Signature of Disaict 91 Superintendent/De e
atc
al wln
c)
Contrador: Conncdions Therapy C€nters
School: AseiSncd Sccch gudeot3
Dde: Augt'st 9,2022
Date