{"product_id":"pediatric-feeding-evaluation-report-writing-guide","title":"Gold Standard Pediatric Feeding Evaluation Report Guide","description":"\u003cp\u003e\u003cstrong\u003eWrite pediatric feeding evaluations built around Texas Medicaid requirements, from the first line of history to the signed plan of care.\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003eThe Gold Standard Pediatric Feeding Evaluation Report Guide walks you through every section of a feeding evaluation and shows you what to document, what to consider clinically, and how each finding ties to medical necessity. Then it shows you three complete, annotated sample reports. It is written by Meagan Dungan, M.S., CCC-SLP, a VitalStim-certified pediatric feeding specialist, and its 17 sections match the Comprehensive Pediatric Feeding Evaluation Template so the two work side by side.\u003c\/p\u003e\n\u003ch3\u003eWhat's inside (74-page PDF)\u003c\/h3\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003e3 worked, annotated sample reports (new):\u003c\/strong\u003e an infant bottle feeding after the NICU, a toddler with a G-tube and oropharyngeal dysphagia after a swallow study, and a school-age child with oral dysphagia and myofunctional concerns on a commercial plan. Each part is followed by notes on why it works for a reviewer.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eThe medical necessity thread:\u003c\/strong\u003e how utilization reviewers read a feeding report, the path from history to testing, observation, trials, diagnosis, goals and plan, writing rules, and the words that invite a denial.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eThe Pediatric Feeding Disorder framework:\u003c\/strong\u003e Goday 2019 criteria, all four domains, and acute versus chronic.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003e17 report sections, history to plan of care:\u003c\/strong\u003e what to document, clinical considerations, how to tie each to medical necessity, sample report language, red flags and referral triggers, and common pitfalls.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eOral mechanism, TOTs, airway and clinical feeding exam explained,\u003c\/strong\u003e including trial design, aspiration signs, thickening safety and severity anchors.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eThree-part goal writing (new):\u003c\/strong\u003e every sample goal is written the way Medicaid reviewers look for it: the participation or medical reason (WHY), a measurable activity (HOW) and the deficit skilled therapy will improve (WHAT), for chewing, infant bottle feeding, liquid safety, food variety and caregiver training.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eFeeding Flock report writing:\u003c\/strong\u003e how to report PediEAT, ChOMPS, NeoEAT, EFS, Feeding Impact Scales and FaMM Feed using the current scoring method.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eCoding cheat sheet:\u003c\/strong\u003e ICD-10-CM (R63.31, R63.32, R13.1x, P92.x and more) with Excludes notes, CPT 92610 and 92526, modifiers, NMES billing, and sequencing examples.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eReferral guide:\u003c\/strong\u003e when to recommend an instrumental swallow study, VFSS versus FEES, what to put in the referral, and medical diagnosis considerations.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePlan of care and prior authorization kit:\u003c\/strong\u003e Texas Medicaid plan of care elements, frequency criteria with justification language, a sample plan of care, prior authorization checklist, and progress summary template.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003e8 appeal letters and a peer-to-peer script\u003c\/strong\u003e for the most common feeding denials.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSpecial situations (new):\u003c\/strong\u003e tube feeding and tube weaning, breastfeeding with the IBCLC, saliva management, pulse oximetry and cervical auscultation, telehealth evaluations, interpreters and family food culture, more caregiver-report tools, and documentation essentials like late entries, addenda and privacy.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eA pre-submission audit checklist\u003c\/strong\u003e to run on every report.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch3\u003ePairs with\u003c\/h3\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003ca href=\"\/products\/pediatric-feeding-evaluation-template\"\u003eComprehensive Pediatric Feeding Evaluation Template\u003c\/a\u003e ($15): collect the evidence with matching section numbers and 5 referral decision guides.\u003c\/li\u003e\n\u003cli\u003e\n\u003ca href=\"\/products\/pediatric-feeding-myofunctional-therapy-goal-bank\"\u003ePediatric Feeding \u0026amp; Myofunctional Goal Bank\u003c\/a\u003e ($35): 303 SMART goals in the same WHY + HOW + WHAT format, as a PDF and a filterable spreadsheet.\u003c\/li\u003e\n\u003cli\u003e\n\u003ca href=\"\/products\/pediatric-feeding-treatment-plan-soap-note-packet\"\u003eTreatment Plan \u0026amp; SOAP Note Packet\u003c\/a\u003e ($15): a standalone plan of care, SOAP note template with guidelines, and 95 feeding interventions defined.\u003c\/li\u003e\n\u003cli\u003eSave with the \u003ca href=\"\/products\/feeding-evaluation-report-bundle\"\u003eEvaluation + Report Bundle\u003c\/a\u003e ($55) or the \u003ca href=\"\/products\/complete-feeding-documentation-set\"\u003eComplete Feeding Documentation Set\u003c\/a\u003e ($85).\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch3\u003eMore from NTX: tethered oral tissues\u003c\/h3\u003e\n\u003cp\u003eFor tethered oral tissues, NTX also offers specialized evaluations and protocols. Browse every resource on the \u003ca href=\"\/collections\/therapist-education\"\u003eTherapist Resources\u003c\/a\u003e page.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eMyofunctional (ages 2 and up)\u003c\/strong\u003e\u003c\/p\u003e\u003cul\u003e\n\u003cli\u003e\n\u003ca href=\"\/products\/myofunctional-evaluation-template\"\u003ePediatric Myofunctional Evaluation Template\u003c\/a\u003e ($19): fillable tethered oral tissue evaluation for ages 2 and up: speech, feeding and airway.\u003c\/li\u003e\n\u003cli\u003e\n\u003ca href=\"\/products\/myofunctional-therapy-protocol\"\u003eMyofunctional Therapy Protocol for Tethered Oral Tissues (3 Editions)\u003c\/a\u003e ($97): pre-release to discharge, 14 exercises, in 3 kid-friendly editions.\u003c\/li\u003e\n\u003cli\u003e\n\u003ca href=\"\/products\/myofunctional-evaluation-protocol-bundle\"\u003eMyofunctional Evaluation + Protocol Bundle\u003c\/a\u003e ($105): the myofunctional evaluation template and the 3-edition protocol.\u003c\/li\u003e\n\u003cli\u003e\n\u003ca href=\"\/products\/complete-myofunctional-set\"\u003eComplete Myofunctional Set\u003c\/a\u003e ($135): myofunctional evaluation template, 3-edition protocol and goal bank.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eOral motor (birth to about 2)\u003c\/strong\u003e\u003c\/p\u003e\u003cul\u003e\n\u003cli\u003e\n\u003ca href=\"\/products\/oral-motor-evaluation-template\"\u003ePediatric Oral Motor Evaluation Template\u003c\/a\u003e ($19): fillable tethered oral tissue evaluation for birth to about 2: feeding, airway and pre-speech.\u003c\/li\u003e\n\u003cli\u003e\n\u003ca href=\"\/products\/tiny-tongues-infant-oral-motor-protocol\"\u003eTiny Tongues Infant Oral Motor Protocol\u003c\/a\u003e ($97): therapist-provided oral motor protocol for infants and young toddlers, with a parent home routine.\u003c\/li\u003e\n\u003cli\u003e\n\u003ca href=\"\/products\/oral-motor-evaluation-protocol-bundle\"\u003eOral Motor Evaluation + Protocol Bundle\u003c\/a\u003e ($105): the oral motor evaluation template and the Tiny Tongues protocol.\u003c\/li\u003e\n\u003cli\u003e\n\u003ca href=\"\/products\/complete-oral-motor-set\"\u003eComplete Oral Motor Set\u003c\/a\u003e ($135): oral motor evaluation template, Tiny Tongues protocol and goal bank.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch3\u003eGood to know\u003c\/h3\u003e\n\u003cul\u003e\n\u003cli\u003eInstant PDF download after checkout, plus an email with your download link.\u003c\/li\u003e\n\u003cli\u003eSingle-clinician license. Please do not share or redistribute.\u003c\/li\u003e\n\u003cli\u003eSample reports are fictional composites for teaching; never copy them into a real record.\u003c\/li\u003e\n\u003cli\u003eTexas Medicaid details are summarized from the TMPPM and plan guidelines current in October 2026. Payer rules change, so always check your current manual and MCO policies. This guide supports clinical judgment and does not replace it; it is not legal, coding or billing advice, and no resource can guarantee a payer's decision.\u003c\/li\u003e\n\u003c\/ul\u003e","brand":"NTX Feeding \u0026 Myofunctional Therapy Institute","offers":[{"title":"Default Title","offer_id":44604004925518,"sku":null,"price":47.0,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0768\/0458\/7598\/files\/NTX-Report-Guide-Cover_e6df9f26-033d-494d-a5f4-1a87cff31e8b.png?v=1793370724","url":"https:\/\/ntxfeedingandmyo.com\/products\/pediatric-feeding-evaluation-report-writing-guide","provider":"NTX Feeding \u0026 Myofunctional Therapy Institute","version":"1.0","type":"link"}