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Well, I would consult with the OT about what accomodations are typically most helpful for kids with your child's profile, but I would expect that a K student with these kinds of problems would get accommodations of extended time and oral response and/or a scribe on all assignments (including math) except where handwriting practice (not written composition) was the sole or primary point of the assignment, and that grading for handwriting assignments would be based on current OT and IEP goals. If your kiddo makes great gains in OT, to the point where the level of written output is pretty much as good without accommodations as it is with them, then you can look at fading the supports out. Be aware that a kid who can keep up with the writing expectations in first grade may not be able to handle the expectations at all in 3rd or 4th or higher grades, so be wary of dropping things totally out of the IEP too soon.

ETA: I'd also expect keyboarding instruction and/or speech-to-text software and training in how to use it, depending on whether or not the motor issues that make it hard to write also significantly interfere with keyboarding.