Homebound services are provided for a medical reason or serious mental health
issue, per physician or mental health professional determination that the
student is unable to be at school. A child cannot be both homebound and
enrolled in a school setting since that would be a duplicative enrollment.
Placing authority: A physician’s determination for health related issues, a mental
health professional’s determination for mental health related issues, and a court-appointed
authority’s determination for other (MN Rule 3525.2325 Subpart 1/ Care and
Treatment). The written statement must
include a diagnosis and a statement certifying that the child is unable to
attend school but is able to receive instruction in the home, hospital, or
community site, and must be signed by the prescribing physician, mental health
professional or court-appointed authority. In addition a mental disorder
requires a psychiatric evaluation, mental health diagnosis and a treatment
plan. Statement must include a start
date for services.
The general education K-12 student is predicted (by the placing authority) to
be absent 15 consecutive days from the normal school site. HOME-BASED SERVICES
Home-based services arise from decisions made by an IEP team to serve a child
in that capacity. A child could be enrolled in a part-day school
situation and a part day home-based situation.
Placing Authority: IEP/IFSP team. Not determined
by a physician or mental health professional.
Not bound by number of days
in attendance or absent.
Home-based services may also
be offered as an option to non-disabled students who are suspended or expelled,
according to the requirements of the MN Pupil Fair Dismissal Act.
Homebound vs. home-based is an important
distinction, as our obligation to provide educational services to the student
and corresponding reimbursement rates vary for each of these two areas.