Technical Assistance, Guidance Letters and Memos
If you have any guidance-related questions, please send an e-mail to webreplyspeco@dese.mo.gov, and they will be addressed.
Technical Assistance Documents
Assistive Technology (pdf) (July 2006)
Informed Clinical Opinion (pdf) (July 2006)
Nursing and Nutrition (pdf) (July 2006)
Guidance Letters
General Supervision/Monitoring of providers and service coordinators (pdf) (May 2005)
Documentation of Referrals to First Steps (pdf) (March 2005)
"No Provider Available” Documentation (pdf) (April 2004)
Eligibility Determination Procedures (pdf) (April 2004)
Determining Service Needs, Including Assistive Technology Devices, Near the Time of the Child's Transition from First Steps (pdf) (April 2004)
Substitute Personnel Procedures (pdf) (February 2003)
Memos
IFSP Meetings (pdf) (REVISED January 2008)
Family Child Care Assistance (FCCA) (pdf) (November 2005)
Assistive Technology (October 2003)