The Occupational Therapy assistant is also responsible for documenting treatment activities, documenting student progress, documentation for Medicaid/ Fee for Service billing for all eligible students, consulting with supervising occupational therapist(s), parents, classroom teachers and agency representatives. Professional judgment and clinical knowledge are used to implement individualized programming based on occupational performance deficits in the areas of personal care, student role, interaction skills, process skills, play, community integration/work, and graphic communication.