Multi-Discipline Prescription Templates
Multi-Discipline Medicaid-Compliant Prescription Templates for SERVICES:
2026-27 Blank Template (all options are manually entered), click here. 2025-26 Template (Will be removed from the Knowledge Base.) click here.
Multi-Discipline Medicaid-Compliant Prescription Template for EVALUATIONS: 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 requiring that all prescriptions show the specific frequency, duration and class designation (I/G).
Article ID: 266, Created: 5/13/2021 at 9:45 AM, Modified: 8/31/2026 at 4:09 PM