Type ofServiceListedon IEPMedicalEvaluationsMedicaidDocumentationRequirementsFree ofChargeServicesSignatureSupervisingClinicianOT andPT on thesame dayName, Title,Signature,andCredentialsof Clinician3-20yearsoldPsychologicalEvaluationsMedicallyNecessaryDescriptionofProgressNoSpecialTransportationServicesDiagnosticStatementand Purposeof TreatmentPhysicalTherapyCoveredinMedicaidPlanGroupSizeOccupationalTherapyProviderRequirementsTwo DifferentPt Sessionsand One is aMakeupSessionOrdered byan EnrolledPractitionerSpeechTherapyServicesAudiologicalEvaluationsPrior totreatmentEnrolledinMedicaidDate andTime ofServiceQualifiedMedicaidproviderPsychologicalCounselingSupervisionRequirementsMedicalSpecialistEvaluationsStudent’sNameGroup orIndividualPhysician’sorderSkilledNursingServicesTwo differentOT Sessionsand One is aMakeupSessionType ofServiceListedon IEPMedicalEvaluationsMedicaidDocumentationRequirementsFree ofChargeServicesSignatureSupervisingClinicianOT andPT on thesame dayName, Title,Signature,andCredentialsof Clinician3-20yearsoldPsychologicalEvaluationsMedicallyNecessaryDescriptionofProgressNoSpecialTransportationServicesDiagnosticStatementand Purposeof TreatmentPhysicalTherapyCoveredinMedicaidPlanGroupSizeOccupationalTherapyProviderRequirementsTwo DifferentPt Sessionsand One is aMakeupSessionOrdered byan EnrolledPractitionerSpeechTherapyServicesAudiologicalEvaluationsPrior totreatmentEnrolledinMedicaidDate andTime ofServiceQualifiedMedicaidproviderPsychologicalCounselingSupervisionRequirementsMedicalSpecialistEvaluationsStudent’sNameGroup orIndividualPhysician’sorderSkilledNursingServicesTwo differentOT Sessionsand One is aMakeupSession

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