Medical Homebound Services

Medical homebound instruction is provided for students who are unable to attend school because of illness, accident or pregnancy even with the assistance of transportation. In order to be eligible for homebound instruction, a student must have a licensed physician certify that the student is medically unable to attend school and that the student would profit from homebound instruction. An application for homebound instruction originates from the school. For additional information consult Greenville County Schools Medical Homebound information.

When considering the need for Medical Homebound Services, the following steps will be followed:

• The school’s Homebound Contact submits the Medical Homebound Instruction Form to the Office of Homebound Services for approval. If the homebound request is approved by the Office of Homebound Services for a student with an IEP then a meeting is conducted as described below.


• The Case Manager will be notified and will schedule an IEP meeting. The Case Manager will notify the Special Education Specialist of the scheduled meeting. The IEP team will convene to make an individualized determination of the Special Education and Related Services the student should receive while on medical homebound.


• This IEP meeting will most likely be a Special Review meeting. In Enrich IEP, users will follow the IEP amendment process. Typically, users would not change the “Next Review Due By” date in the Dates section of the IEP when amending an IEP. However, in the case of amendments to address Medical Homebound Services, users will adjust the “Next Review Due By” date in the Dates section of the IEP to reflect the projected end date of Medical Homebound Services as indicated on the Medical Homebound Instruction form completed by the physician. The new end date of the IEP cannot exceed the original end date of the IEP. The Notice of Meeting form will reflect that this is a special review meeting.
  
  
• During the IEP meeting the team considers the impact of the student’s medical condition on participating in instruction, and the amount of instruction necessary for the student to continue to progress in the general education curriculum. The team will amend all parts of the IEP that may be impacted during the time the student is receiving medical homebound instruction. Sections impacted may include:
  
  
  • Present Levels of Performance –The statement provided by the physician indicating how the medical condition impacts educational performance from the Medical Homebound Instruction Form will be included in the student’s current Health needs.
    
    
  • IEP Goals and Objectives – Some goals and/or objectives may need to be deleted or changed while student is receiving homebound instruction.
  
  
  • Accommodations, Modifications and Supplementary Services – Changes may be required during homebound instruction (ex. individualized rather than small group assessments). If changes are made to classroom accommodations, similar changes will be needed for state assessments (see bullet “Participation in Statewide and District Testing”).
  
  
  • Special Education and Related Services – Complete the Services section to specify the Special Education and Related Services that will be provided during homebound instruction to allow the student to continue to access the general curriculum and to progress towards the student’s individualized IEP goals including: Amount of Service, Begin Date, and End Date. During Medical Homebound instruction, the location of services will be “Home”.
    
    
    
    
    ***Enter a detailed description of all services to be provided, INCLUDING GENERAL EDUCATION SERVICES, in the “Describe any specific directions, considerations, or delivery methods for special education, other related services, and supplementary aids and services” text box.
    
    
    
  
  
  • Participation in Statewide and District Testing – If state and/or district testing will take place during the time that the student is receiving homebound instruction will the student be able to come into the school for the testing or will the student require home administration? Will the test sessions need to be broken down into shorter or multiple sessions?
  
  
  • Least Restrictive Environment - Amend Least Restrictive Environment to reflect all classes to be missed during the homebound instruction.
    
    
    
    
    The “Justification of Removal” statement will include the brief summary provided by the physician on the Medical Homebound Instruction Form.
    
    
    
    
    Users will then select “Homebound/Hospital-Medical Homebound” as the placement option for the current school year for students receiving medical homebound services.
    
    
    
  
  


• NOTE: Upon the student’s return to school the team may need to discuss the need for Extended School Year


• After the IEP meeting, should the number of homebound hours exceed 5 hours weekly, the Case Manager notifies the Homebound Contact at the school of the number of homebound instruction hours to be provided to the student. The Homebound Contact then forwards the information from the IEP meeting to the Office of Homebound Services to be processed.


• If Medical Homebound Services are being considered, it is the responsibility of the school to secure the medical homebound instructor. Homebound instruction cannot begin until the school receives the approved homebound packet with an assigned case number.


• The Prior Written Notice (PWN) will reflect the IEP team’s proposal(s)/refusal(s) for the following items:
  
  
  • Identify the proposed educational placement of Medical Homebound and the beginning and ending dates of the placement.
  • Discussion of the amount of services considered and how the IEP team determined the amount of services to be provided while the student is in the Medical Homebound setting?
  • What are the beginning and end dates of the services?
  • How will the IEP team ensure goals and services identified in the IEP continue to be implemented and provided during homebound instruction?
  • How were individual determinations made regarding the hours necessary to support the student in meeting designated goals for academic, functional, and related services?
  • How will the goals/services identified in the IEP be met during homebound instruction?
  
  
  • What amendments will be required to the IEP?
  • What services may be needed for transition when student re-enters school from Medical Homebound?
  
  
• Once the IEP meeting is conducted and services determined, the school must secure the homebound teacher(s).


• If the student’s physician indicates that Medical Homebound Services should extend for more than 45 days, a Special Review IEP meeting must be held prior to the 45th day to review progress, additional medical information and determine the student needs and placement. In the event that the previous meeting was a special review meeting, when the team reconvenes to return the student to the school setting the original end date of annual review must be retained.

To continue to the next section Intermittent Medical Homebound, click Next below.