Specifications include, but are not limited to: CSKT Early Childhood Services has an enrollment of about 267 children ranging from 0 to 5 years of age. Children are screened at least 2 times per school year. In some cases it is recommended that speech/language services may be needed. Head Start/ Early Head Start locations are on the Flathead Reservation – 1 center in Polson, 1 center in Turtle Lake, 2 centers in Pablo, 3 centers in Ronan, 3 centers in Mission, 1 center in Arlee and the potential of home-based services for children 0-5 not enrolled in the program. The Speech Pathologist will be coordinating with the ECS Special Services Coordinator on referrals for children to receive services. An evaluation will be done by the Speech Pathologist and recommended services will be discussed with the Special Services Coordinator. Once services are started the Speech Pathologist will need to keep case notes on the children they provide services to and keep the Special Services Coordinator updated weekly. In some cases consultation may be requested by parents and/or Early Childhood Services staff on an as needed basis. It is required that the Speech Pathologist be a provider for Medicaid. The Speech Pathologist will be responsible for billing Medicaid for the eligible children that receive services. Early Childhood Services will only cover costs for the children who are not on Medicaid. It is required that the Pathologist spend at least 70%of his/her time on direct therapy with the child(ren); 15% of his/her time on documentation; and 15% of time on staffing/ parent consulting. It is the Speech Pathologist’s responsibility to provide own training (CEUs) and licensing requirements.