BHIPP Bulletin

Volume 10, Issue 1

July 2024

IEPs & 504 Plans

This month's BHIPP Bulletin is a contribution from Lily Stavisky, BA, BHIPP Outreach & Training Coordinator.

Many children and adolescents experience difficulties in school. These can include speech, language, learning, or concentration difficulties or problems with establishing and maintaining friendships or relationships with peers. These difficulties can be a result of physical disorders, psychiatric disorders, emotional problems, behavioral problems, and/or learning differences. Children with these difficulties or special needs are entitled and mandated by federal law to receive additional services or accommodations through public schools. Every child must have access to free and appropriate education in the least restrictive environment possible. There are three federal laws regarding educational support services for children with special needs.


1. The Individuals with Disabilities Education Act (IDEA, 1975)

2. Section 504 of the Rehabilitation Act of 1973

3. The Americans with Disabilities Act (ADA, 1990)


A child’s eligibility to receive additional services or accommodations will be determined by an evaluation requested by parents/caregivers. An Individualized Education Program (IEP) is an individually tailored special education program that provides special instruction or supportive related services (e.g., occupational and/or physical therapy, speech-language services, audiology services, psychological services) to meet a student’s unique needs. A 504 plan provides accommodations that remove discriminatory barriers to learning and educational opportunities (e.g., extended time on tasks, preferential seating, excusal for medication purposes, transportation services).


The process of obtaining educational support services can, at times, be challenging and confusing for families. Pediatric primary care providers can support their patients and families by helping to navigate the process to ensure necessary services are obtained. BHIPP has gathered information and resources relevant to educational support services in Maryland.



General Information:

National Education Association

Differences between a 504 Plan and an Individualized Education Program (IEP)

Disability Rights Maryland

Special Education Rights: A Handbook for Maryland Families and Professionals


For Primary Care Providers:

Maryland Behavioral Health Integration in Pediatric Primary Care (BHIPP)

Educational Services: Know Your Rights and Resources

Learning Disorders and Intellectual Disability

When to Refer Children for Further Evaluation - Understanding Different Types of Psychological Testing

Kennedy Krieger Institute

Sample Letter Requesting an Evaluation

University of Texas Health Long School of Medicine

IEPs and 504 Plans in K-12 and Beyond: The Role of Primary Care Providers

The REACH Institute

IEP and 504 School Accommodations for Mental Health Needs


For Children and Families:

Maryland Coalition of Families

The Parents' Place of Maryland

Healthy Children

IEPs and 504 Plans: A Guide for Parents

Nemours Kids Health

504 Education Plans

National Association of Special Education Teachers

What Parents Need to Know About a Section 504 Accommodation Plan

Maryland State Department of Education, Division of Early Intervention and Special Education Services

Family Advocacy Resources

Maryland State Department of Education

Parent Information Series

U.S. Department of Education

Parent and Educator Resource Guide to Section 504 in Public Elementary and Secondary Schools

As always, if you have questions about the behavioral health needs of your patients, we encourage you to call the BHIPP consultation line at 

855-MD-BHIPP (632-4477), open 9am-5pm Monday-Friday, for resource/referral networking or consultation support.


We will keep you informed about all our services and training events through our website (www.mdbhipp.org) and monthly e-newsletters. Additionally, BHIPP is on LinkedIn, X, and Facebook. We invite you to follow us there to stay up-to-date on upcoming training events, pediatric mental health research, and resources for providers, families and children.

BHIPP Announcement

Register for the upcoming BHIPP & MACS training!

Register for a BHIPP and Maryland Addiction Consultation Service (MACS) training on September 19th from 12:00-1:00pm focusing on Approaches to Treatment of Opioid Use Disorder (OUD) in the Pediatric Population. This training will be presented by MACS consultant, Marc Fishman, MD. Free CME and CEU credit is available for participation.

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BHIPP is supported by funding from the Maryland Department of Health, Behavioral Health Administration and operates as a collaboration between the University of Maryland School of Medicine, the Johns Hopkins University School of Medicine, and Salisbury University.


BHIPP and this newsletter are also supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $1,379,327 with approximately 20% financed by non-governmental sources. The contents of this newsletter are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS or the U.S. Government. For more information, visit www.hrsa.gov.


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