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(1)

My
MAA
Codes:
Adaptive
P.E.
Teacher

Code
1:
Direct
1‐1
School
Related/Educational
Activities


Delivering
assessments


Delivering
treatment


• Attending
IEP
and
completing
the
meeting
process,
 obtaining
signatures
as
well
as
all
educational
or
 academic
discussions


• Writing
assessment
results
and
reporting
them
at
IEP



•Performing
routine
or
mandated
screenings
 •Providing
therapy/lessons


•Providing
direct
clinical
or
treatment
services
 •Includes
preparing
related
reports

*Even
though
you
work
in
the
health
field
and
deal
with
the
health
issues
of
students,
your
credentialing
is
that
of
a
regular
teacher,
not
restrictive.


*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
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
Assessments
–
MNIHA)


o Resource
guides
that
list
Doctors,
Dentists,
 ENT’s,
OT’s,
PT’s,
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


• 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/Mental
Health
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
provider


not
to
an
individual
being
referred:


o A
student
receiving
mental
health
counseling
 services
and
then
is
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
and
can
be


individually
made
or
made
in
a
team
setting
such
as
IEP
or
 SST.

It
is
not
necessary
for
you
to
know
the


(2)

My
MAA
Codes:
Adaptive
P.E.
Teacher

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
receiving
adaptive
PE
services
to
the
OT/PT
for
further
testing
due
to
noted


physical
changes
during
therapy.


2. I
referred
a
student
to
an
orthopedist
for
an
initial
examination
for
noted
physical
changes
during
therapy.


3. I
distributed
information
about
Medi‐Cal/Healthy
Families
during
an
SST
meeting
to
a
family.


4. I
distributed
information
on
non‐mandated
CHDP
physicals
and
providers
to
students
for
possible
Medi‐Cal
referral.


5. I
distributed
flyers
to
students
that
included
a
list
of
local
health
clinics
that
accept
Medi‐Cal.


6. I
referred
a
family
to
an
orthopedic
surgeon
for
an
initial
evaluation
of
an
injured
student.


7. I
distributed
initial
local
information
on
how
to
access
Medi‐Cal
health
providers
and
resources
in
our
area
to
assist


parents
with
medical
help.


8. I
informed
families
on
how
to
effectively
access,
use,
and
maintain
participation
in
all
health
services
resources
under


the
Medi‐Cal/Healthy
Families
program.


9. I
coordinated
trainings
to
help
schools
improve
the
delivery
of
Medi‐Cal
covered
services.


10. I
referred
a
student/family
to
Medi‐Cal
programs
for
initial
health
services
to
properly
identify
a
medical
condition.


11. I
referred
a
student
to
an
internist
for
an
initial
sport
related
physical.


12. I
made
an
initial
referral
for
a
student
to
the
dietician
for
a
health
evaluation.


13. I
made
an
initial
referral
to
the
doctor
for
a
student’s
physical
health
concerns
and
a
possible
Medi‐Cal
referral.


14. I
referred
a
student
to
doctor
for
an
initial
physical
examination
due
to
difficulties
noted
in
the
student.


15. I
made
an
initial
student
referral
to
a
Medi‐Cal
covered
substance
abuse
program
for
intervention
and
treatment.


16. I
made
an
initial
student
referral
to
Medi‐Cal
services
through
the
EPSDT
program
to
evaluate
health
concerns.


17. I
referred
a
student
with
a
severe
injury
to
a
medical
clinic
for
initial
evaluation
and
a
possible



Medi‐Cal/Healthy
Families
referral.


18. I
gathered
health
information
for
a
meeting
to
discuss
health
concerns
noted
in
a
student
with
a
referral
for
Medi‐

Cal/Healthy
Families.


19. I
participated
in
a
training
that
enhanced
the
early
identification,
intervention,
screening,
and
referral
of
students


with
special
health
needs
to
Medi‐Cal
services.


20. I
coordinated
a
training
that
enhanced
the
early
identification,
intervention,
screening,
and
referral
of
students
with


special
health
needs
to
Medi‐Cal
services.


21. I
attended
a
meeting
where
new
OT
services
were
added
to
a
student’s
plan.


22. I
attended
a
meeting
where
new
PT
services
were
added
to
a
student’s
plan.


23. During
an
SST
meeting,
I
made
an
initial
referral
for
a
family
to
the
doctor
for
health
concerns
and
a
possible
Medi‐

Cal
referral.


24. I
attended
an
SST
meeting
where
the
Medi‐Cal
covered
health
issue
and
concerns
of
a
student
were
discussed
with


the
speech
therapist,
nurse
and
school
psychologist
and
initial
referrals
were
made
for
Medi‐Cal
health
services.


25.

I
provided
information
to
a
family
of
the
California
Children’s
Services
(CCS)
to
access
Medi‐Cal.


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.

(3)

My
MAA
Codes:
Adaptive
P.E.
Teacher

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
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


o Providing
follow‐up
contact
to
ensure
that
a
child
 has
received
the
prescribed
medical/dental/mental
 health
service


o 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


o Follow‐up
to
any
health
outreach
that
was
provided
 • Follow‐up
to
an
initial
referral
made
from
a
mandated


service


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

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.

These
activities
must
be
outside
of
and
not
linked
to
 your
direct
services.


Determining
needs:


o Gathering
information
related
to
student
issues
for
 determining
treatments


o Gathering
multi‐disciplinary
materials
to
determine
 treatments


o Reviewing
any
information
for
purpose
of
 determining
treatments


Coordinating
a
plan
for
providing
therapy
services:
 o Consultations
and
collaborations
with
teachers,


parents,
and
other
professionals



o Putting
accommodations
into
place
 • Reviewing
progress
of
students:


o Determining
if
current
plan
is
effective


o Making
changes
to
current
treatment
plan


o Reviewing
information
to
track
progress


o Evaluating
effectiveness
of
treatment/equipment,
 etc.


Meetings:


o IEP’s,
SST’s,
parent
conferences,
or
any
meeting
 that
deal
with
Medi‐Cal
(health)
services
of
the
 student.

Only
the
parts
of
the
meeting
that
deal
 with
Medi‐Cal
(health)
services
including
 discussions,
implementation,
monitoring
and
 coordination.

(See
code
2
IEP
activities
to
 distinguish
between
these
two
codes)


o

504
plans
and
meetings
are
not
reimbursable
 activities
through
MAA.

*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.


*“Case
Managers
participating
in
the
LEA
Medi‐Cal
Billing
Option
for
IEP
case
management
cannot
claim
MAA
Referral,
Coordination
and
Monitoring.

 Staff
should
claim
time
under
Code
2,
Direct
Medical
Services
as
TCM
billing
includes
Referral,
Coordination,
and
Monitoring."

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?


Did
I
gather
any
information
that
may
be
required
in
advance
of
a
referral?


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?


(4)

My
MAA
Codes:
Adaptive
P.E.
Teacher

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
OT/PT
about
the
ongoing
referral
made
for
OT/PT
treatment
services.


2. I
consulted
with
the
teacher
and
OT
about
Medi‐Cal
services
being
provided
to
a
student
to
help
coordinate
the


student’s
treatment
plan.


3. I
worked
with
the
OT
and
PT
on
the
physical
health
options
of
a
student
per
the
Medi‐Cal
services
received
in
the
IEP


in
order
to
ensure
the
effectiveness
of
the
treatment.


4. I
discussed
the
ongoing
OT/PT
services
being
provided
to
a
student
in
a
meeting
with
the
parents
and
teacher
in


order
to
coordinate
all
services
under
the
treatment
plan
in
the
IEP.


5. I
monitored
the
Medi‐Cal
related
physical
health
needs
of
a
student
and
followed
up
with
the
OT/PT
so
that
noted


changes
to
the
treatment
plan
could
be
made.


6. I
discussed
the
treatment
plan
of
a
student
with
the
OT/PT
to
coordinate
the
ongoing
health
services
being
delivered


to
the
student
through
the
IEP.


7. I
reviewed
the
progress
of
a
student’s
occupational/physical
therapy
and
followed
up
with
the
OT/PT
on
the
services


being
delivered.



8. I
coordinated
the
OT/PT
services
for
student
during
a
SST
meeting
and
followed
up
with
the
OT/PT
provider.



9. 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
Occupational
Therapist.


10. A
group
met
to
review
a
student’s
occupational
therapy
for
next
year.


11. I
attended
an
IEP
meeting,
where
we
discussed
the
ongoing
physical
therapy
services
for
a
student
with
the
OT,


speech
therapist,
school
psychologist,
and
school
nurse.



12. I
attended
an
IEP
meeting
where
Medi‐Cal
covered
services
were
discussed
and
coordinated
with
the
parents,


speech
therapist,
OT,
and
school
psychologist.



13. I
monitored
the
health
needs
of
a
physically
handicapped
student
in
coordination
with
OT/PT
per
the
Medi‐Cal


services
received
in
the
IEP.


14. I
monitored
a
student’s
physical
therapy
services
and
coordinated
with
the
OT/PT
provider.


15. I
monitored
the
student’s
health
services
in
coordination
with
the
special
education
teacher
and
followed
up
with


the
school
nurse.


16. I
met
with
the
school
nurse
and
followed
up
on
the
student
referral
to
health
services
to
address
ongoing
health


concerns.



17. I
followed
up
with
the
school
nurse
regarding
a
referral
for
the
evaluation
of
a
student
and
the
Medi‐Cal
covered


health
services
the
student
will
be
receiving.


18. I
met
with
the
school
nurse
to
follow
up
on
the
health
services
being
delivered
to
a
student.


19. I
spoke
with
the
parents
to
coordinate
information
requested
by
a
physician
to
provide
Medi‐Cal
covered
health


services
to
student.


20. I
followed
up
with
the
PT
regarding
a
student’s
Medi‐Cal
physical
therapy
services
being
delivered.



21. I
followed
up
with
the
parents
regarding
a
student’s
health
service
s
being
delivered
in
coordination
with
the
school


nurse.


22. I
followed
up
with
the
school
nurse
on
health
services
options
and
enhancements
for
the
Medi‐Cal
covered
services


of
a
student.


23. I
coordinated
with
the
OT/PT
to
maintain
Medi‐Cal
health
services
for
a
physically
handicapped
student
to
ensure
the


effectiveness
of
the
treatment.


24. I
assisted
a
student
in
medical
crisis
to
maintain
access
to
Medi‐Cal
programs
and
services.


25. I
assisted
a
family
in
crisis
to
maintain
access
to
their
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.

(5)

My
MAA
Codes:
Adaptive
P.E.
Teacher

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
duties
must
be
a
normal
part
of
your
job
duties
and
not
performed
only
during
time
survey
weeks.


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
hearing
aids.



2. I
arranged
for
a
translator
to
inform
a
parent
about
a
referral
made
for
adaptive
PE
and
OT/PT
services.


3. I
arranged
for
a
translator
to
assist
on
a
student’s
OT/PT
care
plan
at
an
IEP
meeting.


4. I
arranged
for
adaptive
PE
and
OT/PT
forms
to
be
translated
for
a
parent
conference.


5. I
arranged
for
a
translator
to
help
with
forms
for
a
student’s
individualized
health
care
plan
with
the
school
nurse.


6. I
helped
arrange
for
a
translator
during
parent
conferences
to
discuss
a
student’s
health
issues
and
concerns
and


how
they
relate
to
the
Medi‐Cal
covered
services.


7. I
translated
for
the
occupational
therapist
during
an
IEP
meeting
for
non‐English
speaking
parents.


8. I
translated
for
the
school
nurse
during
an
IEP
meeting
for
a
student’s
managed
care
plan.


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.

(6)

My
MAA
Codes:
Adaptive
P.E.
Teacher

Code
14:
Interagency
meetings
that
help
to
develop
or
assess
new
Medi‐Cal
services



for
district
(

Non‐student
specific,
group
efforts
not
individual
efforts

)


Program


Planning,
Policy
Development

Interagency


Coordination


• Developing
interagency
advisory
or
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


• Looking
at
gaps
in
services
and
attempting
to
close
 those
gaps


• Evaluating
the
need
for
Medi‐Cal
services
in
 relation
to
specific
populations
or
geographic
areas
 *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.

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. During
a
work
group,
we
developed
new
a
Medi‐Cal
resource
guide
to
make
a
good
faith
effort
to
locate
and
identify


health
services
resources.



2. I
attended
an
interagency
work
group
of
health
professionals
within
the
County
to
provide
an
overview
of
Medi‐Cal


care
services
being
delivered
in
schools
and
to
identify
addition
Medi‐Cal
health
services
resources.


3. I
attended
an
interagency
coordination
meeting
with
different
agencies
that
provide
Medi‐Cal
services
to
expand


access
to
and
improve
collaboration
around
referring
students
with
identified
medical
problems.


4. During
a
collaborative
meeting,
we
developed
strategies
to
increase
OT/PT
services
in
schools.



5. During
an
interagency
meeting,
we
identified
gaps
in
Medi‐Cal
services
provided
to
students
and
developed


strategies
to
improve
the
delivery
and
coordination
of
these
health
services.


6. During
a
committee
meeting,
we
developed
procedures
for
tracking
families’
requests
for
medical
or
health
services


assistance
with
Medi‐Cal
covered
services
and
providers.


7. We
coordinated
with
other
interagency
committees
to
identify,
promote,
and
develop
CHDP
services
in
the
school


system.


8. At
the
LEA
Collaborative
meeting
we
discussed
how
to
use
Medi‐Cal
revenue
to
expand
Medi‐Cal
covered
health


services
for
students
and
families.


9. I
met
with
Medi‐Cal
providers
to
determine
their
availability
to
ensure
our
district’s
students
will
have
access
to


Medi‐Cal
services.


10. I
worked
with
the
health
center
discussing
available
medical
programs
that
we
can
offer
to
students
and
families
that


may
not
have
medical
insurance.


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.

(7)

My
MAA
Codes:
Adaptive
P.E.
Teacher

Code
16:
Other
activities
related
to
duties
that
could
be
replicated
at
any
job
site





Paid


Time
Off/MAA
form
completion

General


Administrative
Activities


• Time
spent
filling
out
MAA
forms
online


• Time
spent
reading
materials
to
help
fill
out
MAA
 forms

• Sick
leave • Maternity
leave • Jury
duty

• Personal
necessity

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:


o General
supervision
of
staff
or
facilities,
including
 staff
performance
reviews



o Reviewing
non‐instructional
school
policies,
 procedures
or
rules.



o Attending
or
facilitating
school
or
unit
staff
 meetings,
board
meetings,
or
required
in‐service
 trainings
and
events


o Completing
personal
mileage
and
expense
claims
 *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.


Questions
to
ask
yourself
in
order
to
capture
all
of
your
MAA
time


Did
I
take
any
paid
time
off
today?


Did
I
supervise
any
staff
today?


Did
I
complete
personal
mileage
or
expense
claims?
 Did
I
attend
a
board
meeting?


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
off
due
to
paid
sick
leave.


6. I
was
out
due
to
jury
duty.


7. I
was
out
all
week
for
maternity
leave.


8. I
was
off
due
to
a
paid
personal
necessity.


9. I
supervised
a
student
teacher,
including
performance
reviews.


10. During
a
staff
meeting,
we
reviewed
school
policies,
procedures,
and
rules.


11. I
attended
a
board
meeting
to
gain
knowledge
in
district
procedures.


12. During
MAA
week,
I
was
away
from
the
school
campus
at
a
non‐educational
conference.


13. I
took
time
to
complete
personal
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.

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