1. General Education Homebound (GEH)
McAllen ISD
Adalia Del Bosque
Comprehensive School Health Department
January 12, 2017

2. Who Qualifies for GEH?
Any student to be considered for GEH instructional services must meet the following criteria:
Is expected to be confined at home or hospital bedside for a minimum of 4 weeks;
For medical reasons only; and
Medical condition is documented by a licensed U.S. physician.
5/5/2019

3. Who Makes the Decision on GEH Eligibility?
Decisions regarding GEH placement must be made by a
designated GEH campus committee
Members should include:
Campus administrator
Teacher(s) of student
School nurse
Academic counselor of student
Parent or legal guardian (their input must be considered)
Note: The physician’s note/information IS NOT the sole determining factor in eligibility determination.
5/5/2019

4. GEH FORMS
Med-1 Child Find, Medical Related Conditions, Temporary Disabilities and/or GEH (school nurse)
Med -3 Medical Individual Accommodation Plan (school nurse
Med- 4 Physician Eligibility Form (school nurse)
Med- 5 Campus Committee Review (GEH Committee)
Med-6 Notification to classroom teacher/s (504 Coordinator)
Med-8 Parent/guardian receipt of GEH Instruction (504 Coordinator)
Med8.1 Parent/guardian/or adult student rejection of GEH Services(504 Coordinator)
Med-9 GEH Instructional Log Documentation (GEH teacher)
Med-10 Physician Medical Release or extension of GEH Services (school nurse)
Med-11 Notification of GEH Requiring Bench Mark and or State Assessment (504 Coordinator)
Med-12 GEH PEIMS Coding Entry (PEIMS Clerk)
Med-13 GEH PEIMS Exit Form (PEIMS Clerk)
Med-14 Individual Intervention Plan and 3 week Progress Monitor Log (GEH Committee)
Med- 15 Release of Confidential Information (school nurse)
Med -16 GEH folder Checklist (504 Coordinator)
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5. What Actions Must be Completed by the GEH Committee?
Within 4 school days of receipt of parent request for
GEH services, the 504 Campus Coordinator shall:
Gather additional information on student – includes attendance, grades, health records, etc.
Eligibility for GEH is NOT based solely on doctor’s note or request
Schedule a “staffing” for consideration of GEH services.
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6. What Actions Must be Completed by the GEH Committee?
Determine eligibility for GEH
Complete Committee review
If eligible for GEH services, develop written plan documenting:
Type of instruction to be provided
Amount of time per week that instruction will be provided
Start and stop dates for services to be provided
Students found not eligible for GEH services should be referred to RtI for consideration of appropriate services
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7. School Nurse Role Within 24 hours of receipt of notice of need, school
nurse will:
Notify the 504 Campus Administrator (Med-1)
Doctor Verification Form to parent (Med-4)
Obtain Medical Release Consent (Med-15)
Medical Clearance required before student returns to school
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8. 5/5/2019

9. GEH Doctor Verification Continued
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10. GEH Doctor Verification Continued
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11. Campus Administrator and Committee Members
Provide and explain:
Parent Notification and Home Instruction Guidelines (Med-8)
Parent/guardian/adult student rejection of GEH Services (Med-8.1)
If §504 services are required, school nurse shall initiate referral to campus §504 coordinator (Med-3)
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12. What Actions Must be Completed after Determination Has Been Made?
GEH Committee shall:
Notify parent of decision of eligibility
Obtain written parent agreement to terms of delivery for GEH services
Notify GEH teacher and schedule services
Monitor student on a regular basis and make changes to plan as determined appropriate
Receive all documentation from GEH provider
Campus 504 Coordinator retains student GEH folder with all supporting data
5/5/2019

13. What Actions Must be Completed after Determination Has Been Made?
GEH Certified Teacher shall:
Facilitate GEH services
Complete teacher daily log (Med-9)
Name of homebound teacher
Student name and student ID# or SS#
Date that homebound teacher visited the homebound student
Actual time per visit that the student was served
Provide ongoing feedback to 504 Campus Coordinator
Submit student attendance log weekly to attendance office
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14. What Actions Must be Completed after Determination Has Been Made?
PEIMS Coordinator shall:
Ensure accurate coding into attendance system (Skyward)
Enroll student in GEH
Exit student from GEH services once doctor has provided written documentation of dismissal for need
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15. GEH Funding Chart Amount of Time Served per Week
Eligible Days Present Earned per Week
1 hour
1 day present
2 hours
2 day present
3 hours
3 day present
4 hours
4 day present (if the week is a 4-day week
5 days present (if the week is a 5-day week
More than 4 days
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16. How is §504 Involved in GEH?
A §504 referral is appropriate for students who because of a “mental or physical impairment…” will be out of school for an extended period of time (more than 4 weeks for GEH / 6 months for §504).
The decision to serve a GEH student through §504 depends on whether the student’s medical condition rises to the level of a disability and creates a substantial limitation in one of life’s major functions due to the lengthy absence.
Decision must be made on a case by case situation.
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17. How is §504 Involved in GEH? Considerations:
Duration of the impairment – must be more than “transitory” (6 months or more)
Evaluate the nature of the impairment – does the impairment rise to the level of a disability?
Avoid one-size-fits-all plans
Cobb County (GA) School District
51 IDELR 54 (OCR 2008)
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18. Resources 2016-2017 Student Attendance Accounting Handbook
Texas Education Attendance Requirements
Attendance Accounting and Documentation
( GEH Committee Documentation
Responsibilities)
Mary Durheim (2010 consultant)
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