EnrolledinMedicaidPsychologicalEvaluationsMedicalSpecialistEvaluationsListedon IEPPrior totreatmentNoOT andPT on thesame dayTwo DifferentPt Sessionsand One is aMakeupSessionSpeechTherapyServicesDiagnosticStatementand Purposeof TreatmentQualifiedMedicaidproviderGroup orIndividualOccupationalTherapySpecialTransportationServicesCoveredinMedicaidPlanMedicallyNecessaryPsychologicalCounselingDescriptionofProgressSignatureSupervisingClinicianDate andTime ofServiceSkilledNursingServicesPhysicalTherapyMedicaidTwo differentOT Sessionsand One is aMakeupSessionPhysician’sorderGroupSizeOrdered byan EnrolledPractitionerProviderRequirementsType ofServiceAudiologicalEvaluationsSupervisionRequirementsStudent’sNameFree ofChargeServices3-20yearsoldDocumentationRequirementsMedicalEvaluationsName, Title,Signature,andCredentialsof ClinicianEnrolledinMedicaidPsychologicalEvaluationsMedicalSpecialistEvaluationsListedon IEPPrior totreatmentNoOT andPT on thesame dayTwo DifferentPt Sessionsand One is aMakeupSessionSpeechTherapyServicesDiagnosticStatementand Purposeof TreatmentQualifiedMedicaidproviderGroup orIndividualOccupationalTherapySpecialTransportationServicesCoveredinMedicaidPlanMedicallyNecessaryPsychologicalCounselingDescriptionofProgressSignatureSupervisingClinicianDate andTime ofServiceSkilledNursingServicesPhysicalTherapyMedicaidTwo differentOT Sessionsand One is aMakeupSessionPhysician’sorderGroupSizeOrdered byan EnrolledPractitionerProviderRequirementsType ofServiceAudiologicalEvaluationsSupervisionRequirementsStudent’sNameFree ofChargeServices3-20yearsoldDocumentationRequirementsMedicalEvaluationsName, Title,Signature,andCredentialsof Clinician

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