My MAA Codes: Administrator
Code 1: Direct 1‐1 Student Services
School Related Activities
Educational Activities
•Enrolling students
•Supervision of children (playground, lunchroom,
breaks)
•Applying discipline activities
•Conferring with students or parents about discipline,
academic matters, or other school‐related issues
•Attending IEP and completing the meeting process,
obtaining signatures as well as all educational or academic discussions
•Participating in or presenting training related to curriculum
or instruction
•Compiling, preparing, and reviewing reports on textbooks
or attendance
•Evaluating curriculum and instructional services, policies,
and procedures
•Reviewing educational records
*Include all time devoted to paperwork, clerical activities, and staff travel necessary to perform this activity.
Code 4:
Initial
efforts getting individuals to Medi‐Cal (Health) Services
*Remember, any service that can be covered by Medi‐Cal in the private sector is a Medi‐Cal service, including those provided in the school setting.
*Include all time devoted to paperwork, clerical activities, and staff travel necessary to perform this activity including initiating and responding to e‐mail and voicemail.
*These activities must be a normal part of your job duties and not performed only during time survey weeks.
Outreach
Referral
• Informs and links eligible or potentially eligible
individuals to Medi‐Cal programs and services
• Assists individuals in accessing these programs • Examples of Medi‐Cal services
o Medi‐Cal/Healthy Families Program
o CHDP Program
o Clinics & Hospitals
o Camp & Sports Physicals (Medically Necessary Interperiodic Health Assessment – MNIHA)
o Resource guides that list Doctors, Dentists, etc.
o Substance Abuse Services
o Family Planning
o EPSDT Program
o Pre‐natal and Well Baby Care
o Family Planning health education outreach program or campaign (specific to Medi‐Cal services)
o PACT – Family Planning, Access, Care and Treatment Program (family planning reproductive health clinical services program)
o Outreach trainings that improve delivery of Medi‐Cal services
• Directly referring individuals to Medi‐Cal (health) providers
o These referrals have substance behind them and are not for routine first aid or other general health care issues
• Examples of Medi‐Cal providers (either within the school
system or outside)
o Psychologists/Counselors
o Speech Therapists, Audiologists
o Nurse, Health Clerks/Assistants
o OT’s and PT’s
o Doctors, Surgeons, Internists
o Dentists, Orthodontists
o Personal Care Service Providers
o Pharmacies, Pharmacists
o Social Workers with appropriate credentials/licenses
• Referrals are based on each new referral to a Medi‐Cal
provider not to an individual being referred
o A student receiving mental counseling services and then being referred to a speech therapist would be a new referral
o It is based on each new service
• Referrals can be direct (1‐1 referral), indirect (1‐1‐1), verbal
or written, formal or informal, as well as individual or in group settings (such as IEP, SST or SARB meetings). You do not have to know the result/outcome of the referral in order for it to be code 4.
My MAA Codes: Administrator
Code 4 Questions to ask in order to capture all of your MAA time
Did I make an initial referral of a student to receive any health services such as speech therapy, mental health counseling, occupational therapy, school nursing, medical or dental services?
Did I make an initial referral of a student to any other type of (Medi‐Cal) health provider for other (Medi‐Cal) health services? Did I participate in or coordinate outreach trainings to improve the delivery of Medi‐Cal services?
Did I consult with any other staff members regarding a student's initial health or mental health referral?
Did I refer a student to a health care provider for a sport related physical, Pre Natal/Well babies, Family Planning, Access, Care & Treatment (PACT) program or to a substance abuse program?
Did I attend or participate in any school meetings, such as SST, IEP or SARB, where an initial health or mental health referral was made?
Did I provide any written/oral/ formal or informal Medi‐Cal outreach information to parents or the school community about the Medi‐Cal Program or Medi‐Cal covered health services?
Code 4 Examples of Good Samples
1. I made an initial referral for a student to the speech therapist for a speech evaluation.
2. I provided a student and the student’s family information about the Medi‐Cal/Healthy Families program. 3. I provided Medi‐Cal outreach information to parents about local Medi‐Cal providers and services available in our
area.
4. I worked on including Medi‐Cal resource information about available health services to our families in our school bulletin.
5. I made an initial referral for a student to see a Medi‐Cal providing dentist for severe dental needs.
6. I made an initial referral for parents/students to a local Medi‐Cal mental health facility in our area for a mental health evaluation.
7. I made an initial referral for a student to the mental health counselor for a mental health evaluation and possible Medi‐Cal covered mental health counseling services.
8. I referred a student for initial mental health evaluation/services.
9. I made an initial referral for a student to the school psychologist for a mental health evaluation. 10. I made an initial referral for a student to the school nurse for a physical examination.
11. I made an initial referral for a student to an internist for a sport related physical. 12. I made an initial referral for a student to the dietician for a health evaluation. 13. I referred my high school student to a Medi‐Cal family planning clinic.
14. I made an initial referral for a student to a Medi‐Cal covered substance abuse program for intervention and immediate drug and alcohol counseling services.
15. I attended a meeting where new speech therapy services were added to a student’s plan.
16. During an IEP meeting, I referred a student to the school psychologist for an initial mental health evaluation. 17. During an SST meeting, I made an initial referral for a family to the doctor for health concerns and a possible Medi‐
Cal referral.
18. During an IEP meeting, I referred a student to the school psychologist for mental health concerns and an initial mental health evaluation.
19. During an SST meeting, I made an initial referral for a student to the mental health counselor for a mental health evaluation and possible Medi‐Cal covered counseling services.
20. During a SARB meeting, I made an initial referral for a student/parents to the County Mental Health Department due to severe mental health issues.
21. I contacted a teenager and made an initial referral to Medi‐Cal prenatal and well‐baby care services. 22. I conducted Medi‐Cal outreach trainings to help schools improve the delivery of Medi‐Cal covered services.
23. I attended an SST meeting where the Medi‐Cal covered health issues and concerns of a student were discussed with the speech therapist, nurse, and psychologist and initial referrals were made for Medi‐Cal health services.
24. I provided information to a family of the California Children’s Services (CCS) to access Medi‐Cal.
25. While writing a newsletter, I provided Medi‐Cal outreach information to parents about local Medi‐Cal providers and health services available in our area.
Note: The Examples of Good Samples sections are designed to provide you with "examples" of samples that are written in a way that would be acceptable for the respective MAA codes. Please DO NOT COPY these samples word for word for use on your MAA time survey form. Your samples should be in your words and NOT an exact replication of the "examples" provided within this document.
My MAA Codes: Administrator
Code 8: Managing
known
Medi‐Cal/health issues, concerns and services (
student
specific
)
Ongoing Referrals
Coordination and Monitoring
• Follow‐up to any referral made for health services
o Steps taken to make sure that referral process is being met:
• Includes additional paperwork or
information
• Includes follow‐up phone calls or
emails
• Includes follow‐up meetings such as:
a. Follow‐up to initial SST’s b. Annual IEP meetings c. Parent conferences
• Follow‐up to any health outreach that was
provided
• Providing follow‐up contact to ensure that a child
has received the prescribed medical/dental/mental health service
• Coordinating the completion of the prescribed
services, termination of services and the referral of the child to other Medi‐Cal service providers as may be required to provide continuity of care
• Follow‐up to an initial referral made from a
mandated service
o Steps taken to make sure that you are outside of the mandated services:
• The mandated service must be
administered first and completed
• The first referral from the mandated
service must have already been made
• Any and all subsequent referrals made
after this point are reimbursable through code 8 (See Mandates Chart in My MAA Manual)
Please also use this code for managing health concerns of your students, including coordinating with case managers when dealing with mental health/physical health/dental health/and substance abuse issues.
•Assisting case managers (special education teachers, nurses,
counselors, etc.) by:
o Gathering materials related to a Medi‐Cal/ health referral
o Providing information to other staff on the child’s related medical/dental/mental health services and plans, such as IEPs and/or IFSPs.
•Coordinating health services or needs of students:
o IEP meetings, SST meetings, SARB meetings, suspension or expulsion meetings, parent conferences, probation hearings or meetings, or any other meetings that deal with ongoing Medi‐Cal (health) covered services or needs of students. Only the parts of the meeting that deal with Medi‐Cal (health) services including discussions,
implementation, monitoring and coordination. (See code 1 IEP activities to distinguish between these two codes).
o 504 plans and meetings are not reimbursable activities through MAA
o Meetings or conversations with health providers (psychologists, counselors, nurse, etc.) that coordinate the health needs of students
o Coordinating the Medi‐Cal (health) services of students as prescribed in their IEP
•Monitoring health concerns of students in coordination with
health providers:
o Monitoring and evaluating the Medi‐Cal covered service components of the IEP
o Mental health service plans (behavior plans) with mental health counselors or psychologists
o Managed care plans (health plans) with nurses or health aides
o Speech services with speech therapist
o Counseling services with mental health counselors
o On task ADD behaviors with psychologist
o Autistic behaviors with speech therapist
o Noted reactions or side effects with school nurse on medical issues of students
o
Non‐mandated vision and hearing needs with school nurse*Include all time devoted to paperwork, training, clerical activities, or staff travel necessary to perform these activities, including initiating and responding to e‐mail and voicemail.
*These activities must be a normal part of your job duties and not performed only during time survey weeks.
Code 8 Questions to ask in order to capture all of your MAA time
Did I follow‐up on a student's ongoing medical health, mental health, substance abuse, speech therapy, occupational therapy, dental or school nursing services with a Medi‐Cal health or mental health provider?
My MAA Codes: Administrator
Did I provide any follow up contact to ensure that a child received their Medi‐Cal/Mental Health services?
Did I coordinate or monitor ongoing medical health, mental health, substance abuse, speech therapy, occupational therapy, dental or school nursing services?
Did I follow‐up on any referrals made to direct health care or mental health care practitioners?
Did I participate in the coordination of any ongoing health services including, but not limited to, medical health, mental health, substance abuse, speech therapy, occupational therapy, dental or school nursing, which were discussed during (SST, IEP, or SARB) or other school meetings?
Did I arrange or schedule any Medi‐Cal covered CHDP screens, interperiodic screens, non‐mandated immunization or sports physicals that do not include the mandated health services (See My MAA Tips)?
Code 8 Examples of Good Samples
1. I followed up with the speech therapist about the ongoing referral made for Medi‐Cal covered speech services. 2. I followed up with the dietician on the referral made for a complete health evaluation for a student.
3. I followed up with the mental health counselor for an ongoing Medi‐Cal mental health referral for a student with severe mental health issues.
4. I followed up with probation about the ongoing Medi‐Cal covered mental health counseling services for a student in coordination with the County Mental Health Department.
5. I followed up with a pregnant teen on her pre‐natal and well baby care she is receiving through Medi‐Cal.
6. I followed up with a teen about the Medi‐Cal covered substance abuse program being attended for intervention and drug and alcohol counseling services to help ensure that the services are effectively meeting the student’s imminent challenges.
7. I followed up with our SRO to coordinate the mental health service plan for a student put in place by the mental health counselor to help maintain consistency of the services being delivered through the IEP.
8. I followed up with Campus Security on the mental health service plan for a student and included the mental health counselor to ensure that the plan is effectively meeting the student’s mental health needs.
9. I followed up with a teen to help coordinate the mental health services being delivered for grief counseling to ensure that the services are adequately meeting the student’s mental health needs.
10. I gathered medical materials necessary for the referral made to a physician for a health evaluation for a student. 11. I gathered mental health materials necessary for the referral made to Mental Health for a mental health evaluation
for a student.
12. I consulted with the mental health counselor to discuss the progress of student to ensure the effectiveness of the Medi‐Cal covered care and treatment plan.
13. I met with the nurse to follow up on the health services being delivered to a student. 14. I met with the school psychologist and teacher to discuss a student’s mental health progress. 15. A group met to review a student’s speech therapy for next year.
16. I spoke with a parent to coordinate information requested by the physician to provide Medi‐Cal covered health services to a student.
17. I met with the mental health counselor and other mental health staff to coordinated ongoing mental health services for a student.
18. I coordinated the ongoing Medi‐Cal mental health counseling services of a student with the school psychologist. 19. I collaborated with the speech therapist, behaviorist and school nurse about the ongoing mental health needs of a
student.
20. I followed up with parents about the identified reactions of a student’s medical condition per the student’s individualized health care plan in coordination with the school nurse.
21. I followed up on a student’s Medi‐Cal related health services during an IEP meeting with the school psychologist, school nurse, and speech therapist.
22.
During an IEP meeting, I coordinated a student’s Medi‐Cal covered mental health services in coordination
with a mental health counselor.
23.
During an IEP meeting, Medi‐Cal covered speech and health services were coordinated with the parents,
speech therapist, and school nurse.
24. I attended an IEP meeting where we discussed the ongoing physical health issues of a student with the social worker, school psychologist, and school nurse to help coordinate all of the Medi‐Cal mental health and health services being delivered at school.
My MAA Codes: Administrator
Code 8 Examples of Good Samples
continued
25. I attended an IEP meeting where Medi‐Cal covered mental health, speech and health services were coordinated with the school psychologist, speech therapist, school nurse, and special education teacher.
26. During a SARB meeting, we coordinated the on‐going mental health counseling services for a student and suggested necessary changes to better meet the student’s challenges in hopes of providing mental health services that will effectively initiate a positive change in the student’s well being.
27. I monitored the mental health needs of a student in coordination with the mental health counselor.
28. I monitored the individualized health care plan for a student’s health services in coordination with the school nurse to maintain the effectiveness of their Medi‐Cal covered care and treatment as prescribed by their physician. 29. I monitored the mental health service plan for a student in coordination with the school psychologist and mental
health counselor to maintain consistency of all mental health services being delivered through the IEP.
30. I monitored the Medi‐Cal covered speech services of a student in coordination with the speech therapist to help maintain a carryover of good speech habits into the classroom and home.
31. I monitored the mental health concerns of a student in coordination with the psychologist and mental health counselor to maintain consistency with the Medi‐Cal mental health services received in the IEP.
32. I assisted a student in medical crisis to maintain access to Medi‐Cal programs and services.
33. I assisted a family in crisis to help them maintain their access to ongoing Medi‐Cal programs and services.
Note: The Examples of Good Samples sections are designed to provide you with "examples" of samples that are written in a way that would be acceptable for the respective MAA codes. Please DO NOT COPY these samples word for word for use on your MAA time survey form. Your samples should be in your words and NOT an exact replication of the "examples" provided within this document.
Code 10: Activities that deal with the arrangement of transportation
Scheduling and Arranging Transportation
Services at school
Scheduling and Arranging Transportation
Services outside of school
• Must be delivered in a specialized van or bus • Student must receive a health service
• Appointments to a Doctor, Dentist, etc. • Appointments to Mental Health
*Not transporting – arranging only
*Include all time devoted to paperwork, training, clerical activities, or staff travel necessary to perform these activities, including initiating and responding to e‐mail and voicemail.
*These activities must be a normal part of your job duties and not performed only during time survey weeks.
Code 10 Questions to ask in order to capture all of your MAA time
Did I arrange for any transportation for a student to receive health services in school or to an outside health services provider?
Did I schedule transportation for a student to receive health services in school or to an outside health services provider?
Code 10 Examples of Good Samples
1. During an IEP meeting, I arranged for the transportation of a student to receive Medi‐Cal occupational therapy services provided off campus.
2. During an IEP meeting, I arranged for the transportation of a student to receive Medi‐Cal physical therapy services provided off campus.
3. After an IEP meeting, I scheduled transportation services for a student to access Medi‐Cal mental health services at the County Mental Health Department.
4. I went over the specialized transportation needs of students with the transportation director to make sure they are receiving their IEP covered Medi‐Cal health services at school.
5. I arranged for the specialized transportation needs of a student to access Medi‐Cal speech therapy services being delivered at school as part of their IEP.
My MAA Codes: Administrator
Code 10 Examples of Good Samples
continued
6. I arranged for the transportation of a student to receive Medi‐Cal physical therapy services provided off campus. 7. I scheduled transportation for students to access Medi‐Cal occupational therapy covered services off campus.
Note: The Examples of Good Samples sections are designed to provide you with "examples" of samples that are written in a way that would be acceptable for the respective MAA codes. Please DO NOT COPY these samples word for word for use on your MAA time survey form. Your samples should be in your words and NOT an exact replication of the "examples" provided within this document.
Code 12: Activities that deal with the arrangement and actual translation
Arranging or Scheduling for Translation Services
Providing Translation Services
•Translation can be oral and written, including sign
language
•Translation needs to be for Medi‐Cal (health)
services
•Translator must be paid
•Requires that three parties be present •Document could be the third party
•If you translate for yourself it is communication not
translation
*Include all time devoted to paperwork, training, clerical activities, or staff travel necessary to perform these activities, including initiating and responding to e‐mail and voicemail.
*These activities must be a normal part of your job duties and not performed only during time survey weeks.
Code 12 Questions to ask in order to capture all of your MAA time
Did I arrange for any translation services regarding health or mental health issues covered by Medi‐Cal? Did I provide any
translation services for any health or mental health services provider covered by Medi‐Cal?
Code 12 Examples of Good Samples
1. I arranged for a translator to call a parent about a student’s non‐mandated vision screening.
2. I arranged for a translator to inform a parent about a referral made for Medi‐Cal covered speech services.
3. I arranged for a translator for a parent conference to discuss a student’s progress in Medi‐Cal covered mental health counseling.
4. I arranged for a translator to assist in creating a Medi‐Cal resource guide of local health care providers. 5. I arranged for a translator to inform schools about Medi‐Cal resources and health services.
6. I arranged for the translator to develop lists of Medi‐Cal providers, including phone numbers and addresses, for students and their families.
7. During IEP meeting, I arranged for a translator to inform a parent about a referral made for mental health counseling.
8. I provided translation to a parent for the school nurse on the individualized health care plan and health services being provided for a student.
9. I provided translation to a parent during an IEP meeting for the school psychologist on the mental health services being delivered to the student.
10. I provided translation to a parent during a SST meeting for the school nurse on the health options and health services being delivered at school.
Note: The Examples of Good Samples sections are designed to provide you with "examples" of samples that are written in a way that would be acceptable for the respective MAA codes. Please DO NOT COPY these samples word for word for use on your MAA time survey form. Your samples should be in your words and NOT an exact replication of the "examples" provided within this document.
My MAA Codes: Administrator
Code 14: Meetings that help to develop new Medi‐Cal/health services for district
(
non‐student specific
)
Program Planning, Policy Development
Interagency Coordination
• Developing advisory or interagency work groups to provide
consultation and advice regarding delivery of Medi‐Cal services to school populations.
• Participating in or coordinating training that enhances early
identification, intervention, screening and referral of students with special needs to Medi‐Cal services. (This is distinguished from IDEA child find programs)
• Interagency collaborations that coordinate and
develop new health services in schools.
• Working with other agencies providing Medi‐Cal
services, to expand access to specific populations of Medi‐Cal eligible, and to improve collaboration around the early identification of medical problems.
• Looking at gaps in services and attempting to close
those gaps.
*Include all time devoted to paperwork, clerical activities, training, or staff travel necessary to perform these activities, including initiating and responding to e‐mail and voicemail.
*These activities must be a normal part of your job duties and not performed only during time survey weeks.
Code 14 Questions to ask in order to capture all of your MAA time
Did I attend any meetings where Medi‐Cal health services were discussed or gaps were identified to improve or increase the delivery and or coordination of medical health, mental health, substance abuse, speech therapy, occupational therapy, dental, school nursing or other health services?
Did I work with any practitioners or outside agencies to provide or improve Medi‐Cal covered services?
Did I participate in any interagency committees to identify, promote, develop and/or coordinate Medi‐Cal health services? Did I participate in activities that included identifying the need for Medi‐Cal services in relation to specific population or geographical areas?
Did I work with other agencies to expand access to Medi‐Cal health services for specialized groups?
Did I work with other agencies to improve collaboration around the early identification of medical problems?
Code 14 Examples of Good Samples
1. I attended an interagency work group of health professionals to provide an overview of Medi‐Cal services being provided at school and to discuss potential community Medi‐Cal services for students.
2. I attended a work group to coordinate and develop strategies to increase Medi‐Cal covered mental health services in schools.
3. I attended a Principal’s meeting to explain the new site‐based system of dental services we’re able to offer this year. 4. At the LEA Collaborative meeting we discussed how to use Medi‐Cal revenue to expand Medi‐Cal covered health
services for student and families.
5. I met with Medi‐Cal providers to determine their availability to ensure our district’s students will have access to Medi‐Cal services.
6. I worked with the health center discussing available medical programs that we can offer to students and families that may not have medical insurance.
7. During a planning meeting, we identified new Medi‐Cal resources to make a good faith effort to locate and develop health service referrals.
8. I attended a coordination meeting with different health care agencies that provide Medi‐Cal services to expand access to and improve collaboration around student referrals and Medi‐Cal services.
9. During an interagency meeting, we developed medical referral sources, including directories of Medi‐Cal providers for parents.
10. During an interagency planning meeting, we developed strategies to increase Medi‐Cal covered mental health services in schools.
11. During a meeting, we identified Medi‐Cal service gaps provided to students and developed strategies to improve the delivery and coordination of these health services.
12. We monitored the medical/mental health delivery systems in schools to determine if our Medi‐Cal services needed to be expanded with County medical and mental health agencies.
My MAA Codes: Administrator
Code 14 Examples of Good Samples
continued
13. During an interagency planning meeting, we developed procedures for tracking families’ requests for assistance with Medi‐Cal‐covered services and providers.
14. We evaluated the need for Medi‐Cal data related to our specific program, population, and geographic area to help determine if we have gaps in Medi‐Cal services in our area with other outside agencies.
Note: The Examples of Good Samples sections are designed to provide you with "examples" of samples that are written in a way that would be acceptable for the respective MAA codes. Please DO NOT COPY these samples word for word for use on your MAA time survey form. Your samples should be in your words and NOT an exact replication of the "examples" provided within this document.
Code 16: Other activities related to duties that could be replicated at any job site
Paid Time Off/MAA form completion
General Administrative Activities
• Sick leave • Maternity leave • Jury duty
• Personal necessity • Paid vacation days
• Time spent filling out MAA forms online • Time spent reading materials to help fill out
MAA forms
• The purpose of this code is to capture administrative duties
that are more specific to general administrative/clerical activities related to facilities, district functions, and
operations. These activities exist in any job in any setting and are not exclusive to schools (those activities would be code 1). Include here:
oGeneral supervision of staff, including supervision of student teachers or classroom volunteers
oEvaluation of employees performance (including person being evaluated)
oCoordinating, participating in or presenting training necessary to clarify site and district policy, procedures or issues related to employees
oSupervision of facilities for oversight and management
oReviewing non‐instructional school policies, procedures, or rules
oReviewing district policies, procedures and rules
oAttending or facilitating school or unit staff meetings, board meetings, or required in‐service trainings and events (not related to curriculum, instruction or students)
oCompleting personal mileage and expense claims
oPerforming administrative activities that relate to general functions or operations
*Include all time devoted to paperwork, clerical activities, training, or staff travel necessary to perform these activities, including initiating and responding to e‐mail and voicemail.
*These activities must be a normal part of your job duties and not performed only during time survey weeks.
Code 16 Questions to ask in order to capture all of your MAA time
Did I complete my MAA time survey form?
Did I ask questions to assist me in completing my MAA time survey form?
Did I review training materials for the purpose of assisting with the completion of my MAA time survey form? Did I take any paid time off today such as vacation, sick leave, jury duty and/or disability?
Did I supervise staff or complete staff performance and/or evaluations reviews today? Did I complete personal mileage, professional development and/or expense claims? Did I prepare for or attend a board meeting?
Did I review school policies, procedures or rules?
Did I coordinate, participate in or present training necessary to clarify site and district policy, procedures or issues related to employees?
My MAA Codes: Administrator
Did I review any technical literature and/or research articles related to general operations that may have included fiscal, legal or administrative issues?
Code 16 Examples of Good Samples
1. Each day, I filled out my MAA time survey and reviewed my training materials. 2. I reviewed MAA related activities and how to code for them on my time survey form. 3. I met with the MAA Coordinator to go over my time survey form.
4. During a staff meeting, we reviewed MAA related activities and how to code for them on time survey forms. 5. I was out all for day for paid sick leave.
6. I was out all day for paid jury duty. 7. I was off for a paid personal day.
8. I supervised a teacher, including performance reviews.
9. I supervised the use of facilities in order to provide oversight and management. 10. During a staff meeting, we reviewed school policies and procedures.
11. I prepared for a staff meeting to review school policies and procedures. 12. I attended a board meeting to gain knowledge in district procedures.
13. I coordinated a training to help clarify district policies and procedures for staff 14. I presented a training to help clarify employment issues to staff
15. I prepared school policies and procedures for an upcoming board meeting. 16. I completed necessary mileage and expense claims.
Note: The Examples of Good Samples sections are designed to provide you with "examples" of samples that are written in a way that would be acceptable for the respective MAA codes. Please DO NOT COPY these samples word for word for use on your MAA time survey form. Your samples should be in your words and NOT an exact replication of the "examples" provided within this document.