“Our progress

as a nation

can be no swifter

then our progress

in education.”



“A child


is a child lost.”



John F. Kennedy

Marie Lewis is a -

                  Neuro-Developmental Disability Case Manager,  NDD-CM

                  Education Advocate (Board Certified),  BCEA

                  Behavior Specialist Consultant,   BSC


She provides child-focused Neuro-Developmental Disability Case Management services and programmatic communication with families with children with a developmental delay or a medical condition likely to lead to a developmental delay.


Marie Lewis and her highly trained Associates offer disability case management services to parents and their team to assist in preparation for:

  • Disability based educational consulting

    • IEP meetings

    • 504 meetings

    • Manifestation Determination meetings

    • Mediation

    • Inter-agency meetings

  • Functional Behavioral Assessments (FBAs)

    • Positive Behavioral Support Plan Development (PBSP)

    • Behavioral Plan implementation

  • Insurance denial hearings and appeals

  • Juvenile court hearings

  • Community-based medical appointments

    • Facilitating access to appropriate treatment, as well as IEP and 504 documentation

  • Community Mental Health (Wraparound) service initial intake or progress meetings

  • Waiver application assistance

  • SSI or SSDI application assistance and meetings


What is a Pediatric Neuro-Developmental Disability Case Manager?

Disability case management is a specialization in the healthcare services industry that focuses on facilitating access to appropriate services for individuals with disabilities in order to address educational (IEP or 504), independent living, physical & mental health, and vocational needs. The process promotes interagency coordination and a comprehensive team approach among state agencies and programs in health care, education, human services, developmental disabilities, vocational and community-based services that focuses on increasing a clients’ functional capabilities, independence, and promoting self-determination.


An essential feature of a disability case manager’s job is to help individuals with disabilities, or their families, get the services they need in order to achieve their goals, as well as provide assistance in procuring the services they need. It also ensures the timely application of services in a fiscally responsible manner that enhances development, minimizing developmental delays, and reducing educational and health care costs by minimizing the need for future special services.


Early and appropriate intensive intervention is research-based, reduces the life long societal economic burden of an individual with a developmental disability, and is most effective when it occurs when neural circuits are most flexible. These interventions create the foundation for behavior, social/ emotional development, physical and mental health, cognitive learning and language skill development.


Neuro-Developmental Disability Case Management Services can change a child’s developmental trajectory.

These services can improve outcomes for children, families, and communities when essential prerequisites for later success in school, the workplace, and the community are addressed.


Neuro-Developmental Disability Case Management Plans can address the following outcomes:

  • Help children with disabilities develop and learn to their fullest potential.

  • Enhances each family's capacity to meet the developmental needs of their child in the settings where children would be if they did not have a disability.

  • Respects the family's strengths, values, diversity and competencies and answers families' questions about their child's development.

  • Provides or coordinates services such as parent education, support services, developmental interventions or programs, behavioral consulting services and family-centered services embedded within the family, community, and education settings, from birth through college.


This is done by facilitating communication between stakeholders, advocating on behalf of client’s family and the child with a disability, assessing and reviewing clients’ needs, and identifying appropriate interventions that promote the highest level of functioning. The philosophy is that with appropriate interventions, accommodations and environmental modifications all children are educable and are able to be supported to their highest levels of independence. This benefits everyone: the client, their family, service providers, educators, the healthcare and insurance systems, and society as a whole.

A Disability Case Manager is able to:

  • facilitate the identification of clinical or educational based needs and document their unique presentation

  • facilitate the development of individualized goals, supports, services and progress monitoring tools, and

  • facilitate the identification of appropriate research-based remedial programs and accommodations


An appropriate and comprehensive disability case management plan addresses:

  • coordination of services across providers and institutions

  • individualized and coordinated education, medical and transition plans

  • documentation of meaningful benefit and progress from all providers of service

  • generalization of functional skills across environments

  • maximum levels of inclusion, as well as,

  • addressing behavioral concerns


Focus on providing the most appropriate services in and out of school,

  • Disability case managers interview parents and students, review their health records, educational records, court records and speak with medical, educational, and mental health professionals in order to develop a picture of their client’s needs. Based on evaluator input,  the type and level of services required is determined. A comprehensive formal review of educational and clinical documentation is done to identify strengths and needs.

    • Referral for appropriate evaluations and assessments

      • Either through the school or through independent clinical evaluations

      • Identification of appropriate special education or clinical services

  • Disability case managers contact the appropriate providers to initiate a program of intervention. This might include needed specialized educational services, home health care services, and vocational services in order to attain the highest quality of life possible.

    • Assure that parents have a voice in the multiple systems they must navigate

    • Assisting with ongoing documentation and correspondence with the school and clinical providers

    • Assisting with organization of records


  • Disability case managers are charged with continually reviewing the care received to ensure the level of care is appropriate. As changes occur in a client’s level of functioning, disability case managers adjust the care plan to better address the client’s needs.

    • Attendance at IEP, 504 , community mental health or other meetings with parents to:

      • Facilitate development of an appropriate individualized educational plan (IEP)

        • that is based on evaluation recommendations, individualized needs, data and parent input

      • Assist parents in effectively communicating at and preparing for meetings and making sure their voice and input is heard.

      •  Facilitate the development of appropriate accommodations and modifications based on need

      • Assist parents with procedural issues

      • Assist parents in making informed choices

      • Provide information on educational rights, the IEP process, applicable federal and state regulations services and funding sources,

    • Providing  information on current best practices across multiple fields that affect their child's education and transition to adulthood

    • Supporting the achievement of functional goals of clients

      • across all environments,

      • from preschool through college, hospital to community-based programs

      • in the school, home, community and at their jobs

Closing the educational, functional  and behavioral gaps that prevent the achievement

of  future goals is my focus.

  • Disability case managers work in office environments, clinics, clients’ homes, educational settings, court settings or vocational settings to assist in determining eligibility claims for services, reviewing and processing disability requests, and evaluating the progress of a client with respect to specific services.

  • Assisting with navigation through the insurance and clinical processes

  • Development of measurable goals that are linked to the areas of identified clinical or educational need

  • Identifying appropriate progress monitoring tools

  • Assisting in Least Restrictive Environment placement determination

    • in public or private school and in community-based programs

  • Assisting with the coordination and communication with inter-agency service providers in:

    • filing of complaints.

    • juvenile court hearings, or

    • mediation,

    • insurance hearings and appeals,

    • manifestation determination meetings,

    • inter-agency meetings,

  • Providing parents with expert consulting and information on research-based programming

    • to avoid the use of of an array of eclectic and non-evidence based interventions

    • to maintain progress monitoring that is focused on effectiveness and outcomes

  • Assisting parents in protecting their children's rights under:

    • IDEA,

    • FERPA,

    • Fair Housing Act,

    • Air Carrier Access Act,

    • Voting Accessibility for the Elderly and Handicapped Act,

    • National Voter Registration Act,

    • Architectural Barriers Act,

    • HIPAA ,

    • Every Student Succeeds Act, (ESSA),

    • Americans with Disabilities Act (ADA) and

    • Section 504 of the Vocational Rehabilitation Act of 1973.



43 Greenbriar Road

Thorndale, PA 19372



C: 610-613-4931

O- 610-964-0143


© 2015 by Marie Lewis