Special Programs Arkansas

Office Use Only

This section captures the delivery method and delivery date as well as Medicaid consent parental responses. Upon finalization of the IEP, the system will create a Document Delivery profile. In addition, the Medicaid consent response and consent date (if applicable) will flow to the Medicaid profile.


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A detailed technical reference and explanation of all fields and data notations of this form is provided here.

Completing the Office Use Only section (Non-Amendment IEPs only)

  • From the flyout menu, Office Use Only.

  • Select the Mode of Delivery using the drop-down list

  • Enter Date of Delivery using the date-picker.

  • Select the Parent Consent for district medicaid Reimbursement consent response. When the user selects Granted, an additional field Consent Date is displayed and is required to be entered.

  • NOTE: The user cannot edit the Office Use Only section for amendment IEPs.