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North Central Early Steps

Department of Pediatrics in the College of Medicine

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For Professionals Overview
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Early Intervention Provider Toolkit

For Early Intervention Providers

  • UF NCES Provider Manual, 2020
  • UF NCES Provider MOA, 2020-21
  • Provider Meeting Presentation
  • UF NCES – Demonstration Site
  • UF NCES – IFSP Form
  • UF NCES Provider List
  • Exhibit A – Service Initiation Form
  • Exhibit B – Monthly Progress Note
  • Exhibit C – Discharge Summary Form
  • Exhibit D – Procedural Safeguard
  • Exhibit E – Statement of Understanding
  • Exhibit F – Service Fee Schedule
  • Exhibit G – El Claims Form
  • Exhibit G – Therapy Claims From
  • Exhibit H – In-State Travel Form – Community Providers
  • Exhibit H – In-State Travel Form – Example Only
  • Exhibit I – Consultation Form
  • Exhibit J – Homeland Security Statement
  • Exhibit K – MMA Plan Enrollment Summary
  • Exhibit L – TPIN Plan Enrollment Summary
  • AT Activity Based Assessment
  • AT Request
  • AT Receipt Form
  • Plan of Care

For Interpreters

  • UF NCES Interpreter MOA, 2020
  • Business Associate Agreement, 2020-21
  • Exhibit A – Procedural Safeguards
  • Exhibit B – Statement of Understanding
  • Exhibit C – Homeland Security Statement
  • Exhibit D – Interpreter Claims Form
  • Exhibit E – In-Sate Travel From
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North Central Early Steps

Department of Pediatrics in the College of Medicine

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Physical Address
1701 SW 16th Ave., Building B
Gainesville, FL 32608
Phone
(352) 273-8555
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