NEW FL HB 1279 plus school Medicaid expansion. Both effective July 1, 2026. MyTherapyWizard is built for it. Read more →
For School-Based Teams

School-based OT, PT, and speech therapy software built for district oversight, compliance, and clinical consistency.

You have therapists across 10 schools, or 300. Each writes evaluations a little differently. Each tracks service delivery a little differently. Your veteran knows when to qualify a student; your new grad is not sure. A parent just asked for last quarter's IEP service log, and you have 15 school days to produce it. MyTherapyWizard was built so school-based therapy teams stop running on heroics.

Book a demo → See how it works →

MyTherapyWizard handles the full school-based therapy workflow in one platform: structured IEP evaluations that produce educational and medical-necessity reports from the same data, FL HB 1279-ready attendance logs generated from the notes your team already writes, school Medicaid billing without third-party vendor fees, and the documentation pipeline that reduces therapist burnout. One capture, every downstream workflow.

FL HB 1279 compliance

Florida HB 1279 IEP service log compliance, effective July 1, 2026.

Florida HB 1279 takes effect July 1, 2026. School districts must:

If your tracking is paper logs or therapist spreadsheets, you are already behind. MyTherapyWizard captures service delivery, missed sessions, and signed attendance logs as one workflow, and produces the artifact your district will be required to share.

A MyTherapyWizard Therapy Attendance Report. FL HB 1279 compliant. Generated in seconds from the session notes your team already writes.

School Medicaid documentation

School Medicaid billing for OT, PT, and speech therapy: how to document medical necessity for IEP services in 2026.

Since the 2014 federal "free care" rule reversal and the 2023 CMS school-based services guide, school districts can bill Medicaid for medically necessary services delivered to any Medicaid-enrolled student, not just services in an IEP. States must amend their Medicaid plans by July 1, 2026 to comply with the federal guidance.

States that have already expanded school Medicaid (partial list)

California, Connecticut, Florida, Georgia, Illinois, Indiana, Kentucky, Louisiana, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Mexico, North Carolina, North Dakota, Oregon, South Carolina, Tennessee, Virginia. Approximately 26 states have expanded as of late 2023 and more are in process. Expanding nationally.

The medical necessity documentation gap nobody trained school therapists for:

School-based therapists write IEP evaluations in educational necessity language: access, participation, the IDEA framework. Medicaid auditors require medical necessity language: skilled intervention, functional impact, deficit-driven justification. Same student, same evaluation, two different audiences.

MyTherapyWizard produces both reports from the same guided evaluation. The therapist picks the audience at report generation. The underlying assessment data does not change. The framing does.

Educational audience

IEP Team / Annual Review

Sample demonstrates emerging strengths in classroom routines with continued need for support in fine-motor tasks that impact access to grade-level curriculum. Recommended services support full participation in the school environment and align with state DPI guidance for occupational therapy in educational settings…
Medical-necessity audience

Medicaid Submission / Audit

Sample presents with functional deficits in fine-motor coordination and visual-motor integration that require skilled occupational therapy intervention. Without this medically necessary service, the patient demonstrates measurable functional impairment in age-expected daily activities…

One guided evaluation. Two audience-tuned reports. The educational report goes to the IEP team. The medical-necessity report goes to the Medicaid payer. Same student, same data, same therapist. No rewriting.

IEP and Medicaid reports translated into up to 17 languages

MyTherapyWizard auto-translates evaluation reports, attendance logs, and progress reports into up to 17 languages, so parents receive documentation in the language they read. Supports FERPA and IDEA parent communication requirements. Title VI compliant.

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Billing economics

School Medicaid billing without third-party vendor fees: how districts and charter schools keep more of their reimbursements.

Most school districts and charter schools contract with third-party Medicaid billing vendors because the fee-for-service claiming process is administratively complex. Vendor fees commonly run 10 to 50 percent of reimbursements, depending on scope and contract terms. For a district with meaningful Medicaid claim volume, that is six figures a year going to a vendor whose primary value is the documentation system, the clearinghouse relationship, and the regulatory workflow.

MyTherapyWizard provides all three. Documentation system, ClaimMD clearinghouse integration, structured medical-necessity output, and a billing workflow with built-in flags that guide a new biller through the process step by step. With MTW Teams plus the $99/month billing add-on, your district can hire an internal Medicaid coordinator and keep what the vendor was taking.

Illustrative math: a district with 1,000 Medicaid-eligible IEP students

Assumes ~40 sessions per student per year at an average $30 reimbursement rate, totaling ~$1.2M in annual Medicaid claim revenue.

Outsourced model

Third-party billing vendor takes 30% of reimbursements

Annual Medicaid claims$1,200,000
Vendor fee (30%)$360,000 out
Documentation systemincluded
Coordinator salary$0
District keeps →$840,000

Internal model with MyTherapyWizard

In-house Medicaid coordinator plus MTW Teams plus billing add-on

Annual Medicaid claims$1,200,000
Vendor fee$0
MTW Teams (15 clinicians) + billing$8,200 out
Internal coordinator (loaded)$80,000 out
District keeps →$1,111,800

At this volume, the district keeps $271,800 more per year, and gains full oversight of documentation, audit defense, and clinical quality.

+$271,800

Charter schools: oversight gain, not just savings

Charter schools typically contract out for each therapy service: one contract per discipline, sometimes one per provider. Each contracted group uses whatever documentation method they prefer, then uploads evaluations to the charter's IEP system. The charter has no real oversight of how the work gets done, only the end-product PDF.

A charter school that subscribes to MTW Teams and requires its contracted OT, PT, and SLP groups to document inside it gets standardized evaluation quality, structured service logs, FL HB 1279-ready attendance records, audit-defensible medical necessity language for Medicaid billing, and full visibility across every contracted provider in real time. Oversight tightens. Documentation quality stops varying by vendor. The charter owns the data, not the contractors.

Illustrative scenario. Actual numbers depend on state Medicaid rates, claim approval rates, eligible student counts, contract terms, and salary structures. MyTherapyWizard provides the EMR and billing infrastructure; the operating decision to bill internally vs. via a vendor remains the district's.

1
One source of truth. Session, log, IEP minutes, progress: one data spine.
~15s
Per goal to document a session. By the time the student leaves, the note is done.
10 to 50%
Vendor cut typical school Medicaid billing fees. MTW costs $99/mo flat.
17
Languages for auto-translated parent reports. FERPA, IDEA, Title VI ready.
Platform features

School-based therapy software with team coordination, IEP compliance, and clinical intelligence in one platform.

District-wide IEP caseload visibility for special education leadership

Every therapist, every school, every caseload in one view. Filter by discipline, school, exceptionality, service minutes. Forecast HR needs from evaluation pipeline data.

FL HB 1279 service logs for parent access within 15 school days

MyTherapyWizard generates a complete, electronically signed Therapy Attendance Report on demand for any student, any date range.

Missed IEP session tracking with structured reason codes

Cancelled sessions capture structured reasons inline: client absent, therapist unavailable, weather. The therapist adds the makeup plan to the report and sends to the parent.

School Medicaid billing software with guided submission flags

Inline flags walk a new biller through eligibility, claim assembly, and submission step by step. ClaimMD clearinghouse integration handles the rest. Denial analytics surface patterns by payer and CPT.

Guided IEP evaluations with educational and medical necessity reports

Your new graduate writes the same defensible evaluation as your 20-year veteran. Generate an educational report for the IEP team and a medical-necessity report for Medicaid from the same assessment data.

Clinical intelligence: Evaluations →

Exceptionality trend analytics for ESE administrators

Why did autism referrals spike this year? Are qualification rates shifting? Which schools have the highest service minutes per student? Roll up the work your team is already doing.

Every educational narrative report is written in a strength-based, participation-focused lens and aligns with state DPI guidance. Every medical-necessity report uses the deficit-driven, skilled-intervention framing Medicaid auditors require. Both compose from the same structured assessment data. No double documentation.

Exit from services

Defensible IEP exit recommendations backed by longitudinal therapy outcome data.

Exiting a student from related services is one of the hardest conversations an IEP team has. Parents push back. Administrators ask for more data. Therapists are often left defending an exit recommendation with a single evaluation snapshot and clinical impression. MyTherapyWizard equips your team and your EC department with the structured data trail to defend exit recommendations on the merits.

Evaluation data

Initial, annual, and triennial scores across domains, with change scores calculated automatically.

Goal & session data

GPI and SPI trajectories per goal across every session linked to the Plan of Care.

Teacher questionnaire responses

Structured caregiver and teacher form responses captured over time, comparable across years.

Standardized assessments

All historical standardized assessment results stored, retrievable, and comparable longitudinally.

↓ ONE EXIT REPORT ↓

A single auto-composed Exit Recommendation Report merges all four data sources into one narrative: where the student started, what progress was measured at each interval, where they are now, and why continued direct therapy is no longer indicated. Audit defensible. Parent-readable. Translatable into 17 languages. The data is doing the arguing, not the therapist.

Clinician burnout

School-based therapist burnout reduction through automated evaluation and documentation.

School-based therapists leave the profession because evaluation reports take all weekend, IEP timelines collide, and there is no system that holds the cognitive load between sessions. MyTherapyWizard was built to put hours back where they belong.

3 to 5 hrs
Saved per evaluation. Guided administration with auto-composed narrative reports.
~15s
Per goal at session time. Progress note done before the student leaves.
0
Mental tracking required. Session count, minutes, and POC progress shown inline.

Every time a therapist logs a session, MyTherapyWizard shows them where the student is in their Plan of Care: sessions completed, sessions in progress, total minutes delivered.

📋 Add new session · Linked to Plan of Care
POC-202605-00025 | Educational | OT | Nov 3, 2025 to Nov 3, 2026
POC session count
Completed
12
Individual Therapy: 12
In progress
1
Individual Therapy: 1
Total Minutes: 360
Longitudinal student records

Longitudinal IEP and therapy records across schools, grade levels, and therapists.

School-based students move. Therapists rotate. The student you evaluate at age 5 is the student a different therapist re-evaluates at age 8, and again at age 11. MyTherapyWizard is the record. Every evaluation, every score, every standardized assessment response, every caregiver form, every quarterly progress note stays with the student across schools, grade levels, and therapists.

Age 5
Initial eval
Therapist A · Elementary
Age 8
Triennial
Therapist B · Elementary
Age 11
Triennial
Therapist C · Middle School

One click generates the Initial-to-Triennial Progress Report. All historical assessments, scores, and form responses merge automatically: strengths over time, areas of continued need, change scores across domains.

Structured measurement

GPI and SPI: structured therapy outcome measurement for IEP services.

When a session is documented against a Plan of Care, MyTherapyWizard captures correct-out-of-attempted, cue level, and assistance level per goal. From that capture, two metrics compose:

GPI: Goal Performance Index

A number per goal that combines accuracy with the support level required. A student at 70% with maximum assistance scores lower than a student at 70% independently, because those are clinically different events.

SPI: Session Performance Index

GPI averaged across goals addressed in a single session. Across sessions, both form longitudinal trajectories that drive auto-composed progress reports.

GPI and SPI compose from POC-linked sessions only. Ad-hoc sessions document delivery and minutes but do not produce measurement data. The goal structure is what makes the math possible.

Rasch-ready measurement architecture. Your team gets defensible numbers. Your district gets outcome data the state can verify.

Clinical intelligence: Measurement →

"Every feature survives the question: would a working therapist actually use this on Monday morning?"
Stephanie Wick, OT/L · Founder · MyTherapyWizard
Unified data spine

One session capture drives every IEP, Medicaid, and reporting workflow.

When a therapist documents a session, that single structured record drives:

One capture. Eight downstream workflows. No double-entry.

See MyTherapyWizard with your district's actual caseload data.

Book a 30-minute walkthrough. We will show you a Therapy Attendance Report, dual-audience evaluation output, and an Exit Recommendation Report from a sample caseload.