Eligibility & Medical Documentation: Students with Attention Deficit/Hyperactivity Disorder
The expanded spectrum of health care providers referenced in Minn. Stat. § 125A.08 does not apply to the eligibility process for students with a diagnosis of Attention Deficit/Hyperactivity Disorder (AD/HD). As before, there must be signed documentation of a medical diagnosis by a physician, advanced practice registered nurse (APRN), or licensed psychologist (LP). The diagnosis of AD/HD must include appropriate documentation using DSM criteria that items A to E have been met. DSM criteria documentation must be provided by either a licensed physician or mental health or medical professional licensed to diagnose the condition. Some examples of health care providers whose professional scope of practice may include the provision of DSM documentation are licensed psychologists (LP) and licensed independent clinical social workers (LICSW).
DSM Documentation Requirements for AD/HD
MN Rule 3525.1335 Other Health Disabilities refers to the Diagnostic and Statistical Manual of Mental Disorders (DSM) criteria as opposed to a specific DSM version as the required documentation source for AD/HD. Although DSM-IV documentation is sufficient in determining continued eligibility for students with ADHD who were previously qualified under the OHD category using DSM-IV criteria, schools should only accept diagnostic documentation based on current DSM-5 criteria for newly referred students.
The diagnosis of Attention Deficit/Hyperactivity Disorder must include “appropriate documentation using DSM criteria that items A to E have been met” (MN Rule 3525.1335). However, MN Rule 3525.1335 does not explicitly require the provider to identify the items and accompanying symptoms for items A (1) or A (2) in the DSM that have been met. The only requirement is that ‘appropriate documentation’ must be provided.
DSM Documentation Guidelines
- The health care provider states as part of the written documentation that items A-E in the current DSM have been met, either in narrative form or a checklist from the provider’s office; or
- The health care provider completes a checklist that the district has provided, which indicates that items A-E in the current DSM have been met.
In the event that the health care provider does not specify which DSM items under A (1) or A (2) have been met, the school district may ask the provider to include this information, indicating that this would be helpful in planning for the student’s educational needs in the school setting. However, providing this level of detail is not required of the provider.
DSM- Type of Presentation
The type of presentation (combined, predominantly inattentive, predominantly hyperactive/impulsive) is a required component of an AD/HD diagnosis and should be listed as such, since, as part of DSM diagnostic requirements and coding purposes, the provider must specify the type of presentation, as well as current severity and remission status. The presentation type also has significant implications for educational programming, and should always be part of the provider’s written documentation.