assisant
Determining Special
Education Eligibility - Other
Health Impairment
Department of Education, Office of Special Education
JANUARY 2021 1
This guidance document is advisory in nature but is binding on an agency until amended by such agency. A guidance
document does not include internal procedural documents that only affect the internal operations of the agency and
does not impose additional requirements or penalties on regulated parties or include confidential information or rules
and regulations made in accordance with the Administrative Procedure Act. If you believe that this guidance
document imposes additional requirements or penalties on regulated parties, you may request a review of the
document. For comments regarding this document contact [email protected]
It is the policy of the Nebraska Department of Education not to discriminate on the basis of gender, disability, race,
color, religion, marital status, age, national origin or genetic information in its education programs, administration,
policies, employment or other agency programs.
Introduction
This technical assistance document was written to provide parents, teachers, special
education personnel, administrators, and other professionals with information on the
identiHcation and determination of eligibility for special education services for children with
other health impairment.
This disability category has been deHned by both federal and state regulations. A three- part
eligibility requirement for a child to be identiHed as a child with other health impairment is as
follows:
• Meet eligibility criteria (92 NAC 51.006);
• Documentation of adverse effect on educational performance; and
• Determination that a need for special education is evident.
State De5nition
Other Health Impairment- To qualify for special education services in the category of other
health impairment, the child must have: limited strength, vitality or alertness, including a
heightened alertness to environmental stimuli, that results in limited alertness with respect to
the educational environment, that is due to chronic or acute health problems which adversely
affects the child’s educational, or in the case of a child below age Hve, a child’s
developmental performance such as: asthma, attention deHcit disorder or attention deHcit
hyperactivity disorder, diabetes, epilepsy, a heart condition, hemophilia, lead poisoning,
leukemia, nephritis, rheumatic fever, sickle cell anemia, Tourette syndrome.
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Section 1: MULTIDISCIPLINARY EVALUATION (MDT)
CONSIDERATIONS
The Multidisciplinary Team (MDT) should include at least:
• The child’s parent(s);
• For a school age child, the child’s regular teacher(s) or a regular classroom
teacher qualiHed to teach a child of that age;
◦ For a child below age Hve, a teacher qualiHed to teach a child below age
Hve;
• Special educator with knowledge of the child;
• A school district administrator or a designated representative; and
• At least one person qualiHed to conduct individual diagnostic examinations of
children in their speciHc area of training (i.e., school psychologist, speech
language pathologist, or other instructional specialist).
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