Group orIndividualSpeechTherapyServicesDiagnosticStatementand Purposeof TreatmentMedicallyNecessaryPsychologicalEvaluations3-20yearsoldType ofServiceProviderRequirementsOrdered byan EnrolledPractitionerMedicalEvaluationsSupervisionRequirementsSkilledNursingServicesCoveredinMedicaidPlanMedicaidSpecialTransportationServicesDescriptionofProgressOT andPT on thesame dayAudiologicalEvaluationsQualifiedMedicaidproviderDate andTime ofServicePhysician’sorderDocumentationRequirementsNoSignatureSupervisingClinicianGroupSizeTwo differentOT Sessionsand One is aMakeupSessionPsychologicalCounselingName, Title,Signature,andCredentialsof ClinicianFree ofChargeServicesMedicalSpecialistEvaluationsTwo DifferentPt Sessionsand One is aMakeupSessionPhysicalTherapyStudent’sNamePrior totreatmentEnrolledinMedicaidListedon IEPOccupationalTherapyGroup orIndividualSpeechTherapyServicesDiagnosticStatementand Purposeof TreatmentMedicallyNecessaryPsychologicalEvaluations3-20yearsoldType ofServiceProviderRequirementsOrdered byan EnrolledPractitionerMedicalEvaluationsSupervisionRequirementsSkilledNursingServicesCoveredinMedicaidPlanMedicaidSpecialTransportationServicesDescriptionofProgressOT andPT on thesame dayAudiologicalEvaluationsQualifiedMedicaidproviderDate andTime ofServicePhysician’sorderDocumentationRequirementsNoSignatureSupervisingClinicianGroupSizeTwo differentOT Sessionsand One is aMakeupSessionPsychologicalCounselingName, Title,Signature,andCredentialsof ClinicianFree ofChargeServicesMedicalSpecialistEvaluationsTwo DifferentPt Sessionsand One is aMakeupSessionPhysicalTherapyStudent’sNamePrior totreatmentEnrolledinMedicaidListedon IEPOccupationalTherapy

Untitled Bingo - Call List

(Print) Use this randomly generated list as your call list when playing the game. There is no need to say the BINGO column name. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.


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  1. Group or Individual
  2. Speech Therapy Services
  3. Diagnostic Statement and Purpose of Treatment
  4. Medically Necessary
  5. Psychological Evaluations
  6. 3-20 years old
  7. Type of Service
  8. Provider Requirements
  9. Ordered by an Enrolled Practitioner
  10. Medical Evaluations
  11. Supervision Requirements
  12. Skilled Nursing Services
  13. Covered in Medicaid Plan
  14. Medicaid
  15. Special Transportation Services
  16. Description of Progress
  17. OT and PT on the same day
  18. Audiological Evaluations
  19. Qualified Medicaid provider
  20. Date and Time of Service
  21. Physician’s order
  22. Documentation Requirements
  23. No
  24. Signature Supervising Clinician
  25. Group Size
  26. Two different OT Sessions and One is a Makeup Session
  27. Psychological Counseling
  28. Name, Title, Signature, and Credentials of Clinician
  29. Free of Charge Services
  30. Medical Specialist Evaluations
  31. Two Different Pt Sessions and One is a Makeup Session
  32. Physical Therapy
  33. Student’s Name
  34. Prior to treatment
  35. Enrolled in Medicaid
  36. Listed on IEP
  37. Occupational Therapy