Frequently Asked Questions (MTP/MTU)
- The child is referred to CCS,
- The parent submits a signed CCS application,
- The hospital or doctor submits medical records to CCS which the CCS Medical Director reviews to determine medical eligibility for the MTP,
- If eligible, the parent attends an initial Program Service appointment for introduction to the CCS program and completion of all documentation,
- Child is scheduled for therapy evaluation and Medical Therapy Clinic appointment,
- PT and/or OT evaluate your child and make recommendations about the type and frequency of therapy that your child will need.
Each child starts with an initial physical and/or occupational therapy evaluation to determine the type and frequency of therapy the child will need. The physical therapist (PT) focuses on the large movements of the body, such as rolling, crawling and walking. The occupational therapist (OT) concentrates on fine muscle movements required in Activities of Daily Living (ADL) such as grooming, bathing, or feeding. The CCS therapist(s) then work with the parent to develop a treatment plan, including a home exercise program, which meets the needs of the child and family and the requirements of the CCS program. Therapist(s) monitor the child for the progress of their physical development over time. The frequency and specifics of treatment activities depend upon identification of achievable functional goals by the rehabilitation team.
Children will receive either active or monitor level of therapy services at the MTU. A child on active therapy receives therapy services one time per month or more. A child receiving active therapy must make continuing measurable progress towards his or her functional goals. The child on active therapy will be reassessed every six months in the Medical Therapy Clinic (MTC) by a CCS physician who will oversee the therapy treatment plan and monitor the child’s progress.
A child on a monitor level of therapy means the child is receiving therapy services less than one time per month. This level of therapy includes monitoring of the child’s equipment and bracing and his or her home exercise program.
Functional goals are developed specifically for the child by his or her occupational and/or physical therapist, with parent input, in order to objectively measure the child’s progress in therapy over a period of time. These goals are based on functional motor skills which are appropriate for the child’s development and chronological age.
A child is eligible for the MTP until they are 21 if they meet CCS MTP medical eligibility requirements. They may not, however, be eligible for active therapy services until they are 21. It is a State requirement for the CCS therapy program that a child must continue to make measurable progress towards his or her functional goals in order to receive active therapy services. Therapist(s) will monitor a child’s progress and once goals are achieved, or a child’s developmental progress has reached a plateau, therapy frequency will be decreased to a monitor level.
Therapy provided through the schools is educationally based. The goals are developed by school staff to directly address improving access to the child’s school curriculum. The goals are written into the child’s Individual Education Plan (IEP) by the IEP team.
Therapy provided at the MTU is medically based. The child is assessed in a collaborative effort by a rehabilitation team including parents, PT, OT, Medical Therapy Clinic (MTC) physician and case managers. Therapy treatment plan and goals are developed and recommended by the rehab team. Goals are functionally based and address independence in skills of gross motor movement and fine motor skills required in Activities of Daily Living. A signed therapy prescription by the MTC physician is required for the child to receive therapy treatment.