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How to use or fill out First Steps Provider Daily Mileage Log - dese mo with our platform

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Click ‘Get Form’ to open the First Steps Provider Daily Mileage Log in the editor.
Begin by entering your Provider Name in the designated field. This ensures that your mileage log is correctly attributed to you.
Fill in the Date of Service, which is crucial for tracking when the services were provided.
Input your Service Authorization Number, ensuring that it matches any official documentation you have.
Provide your Office Address to clarify where you are based.
Enter the Child's Last Name and First Name to identify the recipient of services.
Specify the Discipline related to the service provided, such as physical therapy or speech therapy.
Document the Service Provided in detail for clarity on what was delivered during this trip.
Fill in both Start Address and Destination Address to outline your travel route.
Indicate if this was a Round Trip by checking the appropriate box.
Calculate and enter Trip Mileage, ensuring accuracy for reimbursement purposes.
Finally, total all miles traveled and input this figure in TOTAL MILES. Review all entries carefully before signing.

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What is the Missouri First Steps program?

The First Steps system provides families the tools they need to help their children be successful. ; telephone number 573-526-4757 or TTY 800-735-2966; fax number 573-522-4883; email civilrights@dese.mo.gov.

How is First Steps funded in Missouri?

First Steps is a collaborative effort of four state agencies - the Departments of Elementary and Secondary Education, Health, Mental Health, and Social Services. First Steps is supported through federal and state dollars, public and private insurance reimbursement, and family cost participation.

How much does Missouri First Steps pay?

First Steps is Missouris Early Intervention system for infants and toddlers, birth to age three, who have delayed development or diagnosed conditions that are associated with developmental disabilities. The federal law governing First Steps is Part C of the Individuals with Disabilities Education Act (IDEA).

Who is eligible for first steps in Missouri?

Children between the ages of birth and 36 months who either 1) have a diagnosed physical or mental condition associated with developmental disabilities (such as Down syndrome, spina bifida or cerebral palsy), or 2) have a condition with a high probability of resulting in a developmental delay or disability (such as a

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First Steps Provider Daily Mileage Log - dese mo 2025