Multi-Discipline Prescription Template (ESY & 10-Month)
Multi-Discipline Medicaid-Compliant Prescription Template for SERVICES: CLICK HERE
Important Note: The Multi-Discipline Prescription Template with the "As per IEP" narrative has been removed from the Knowledge Base. Please discontinue using any "Per IEP" templates.
- All Full-Service Medicaid counties are no longer accepting prescriptions that reference the IEP for the frequency and duration.
- All 2025-26 prescriptions MUST show the specific frequency, duration and class designation (e.g., 2x30 Ind).
Multi-Discipline Medicaid-Compliant Prescription Template for EVALUATIONS: CLICK HERE
Article ID: 266, Created: 5/13/2021 at 9:45 AM, Modified: 8/12/2025 at 3:53 PM