Code of Massachusetts Regulations › 130 CMR - DIVISION OF MEDICAL ASSISTANCE › Title 130 CMR 440.000 - Early Intervention Program Services › Section 440.402 - Definitions

Current through Register 1525, July 5, 2024
The following terms used in
				130 CMR 440.000 shall have
				the meanings given in 130 CMR 440.402 unless the context clearly requires a
				different meaning.
Biological Risk Infant
- an infant
				with a history of prenatal, perinatal, neonatal, or early developmental events
				or conditions suggestive of biological insults to the development of the
				central nervous system that, either singly or collectively, increase the
				probability of later atypical development.
Caregiver
- an individual (such as,
				but not limited to, a parent or foster parent) who assumes primary
				responsibility for the day-to-day care of a child.
Center-Based Individual Visit
- a
				face-to-face meeting, at an early intervention program's site, of one member or
				one member's caregiver, or both, with professional program staff for the
				purpose of furthering the member's developmental progress.
Child-Focused Group Session
- a
				face-to-face meeting, at an early intervention program's site, of a group of
				members with a professional program staff for the purpose of furthering the
				members' developmental progress.
Early Intervention Program
- a program
				that is certified by the Massachusetts Department of Public Health as an Early
				Intervention Program and that provides social, medical, educational,
				therapeutic, and developmental services for children aged three years or
				younger who are at biological, environmental, or established risk, and their
				families.
Environmental Risk Infant
- an infant
				who is biologically sound but whose early life, including maternal and family
				care, health care, nutrition, opportunities for expression of adaptive
				behaviors, and patterns of physical and social stimulation, is so limiting that
				there is a likelihood of delayed development.
Established Risk Infant
- an infant
				whose early development is influenced by diagnosed medical disorders of known
				etiology that cause developmental delay. Also within this category are children
				who during the infancy period, or more commonly in the second year of life,
				begin to manifest developmental delays or deviations, for known or unknown
				reasons.
Evaluation/Assessment
- the process of
				determining eligibility for early intervention services. Evaluation consists of
				administration of a normed developmental evaluation instrument by a
				multidisciplinary team and a determination of family and child-risk factors to
				document eligibility. Evaluation of eligibility is performed on referral to the
				early intervention program and on an annual basis. Assessment is the process of
				identifying the child's and family's strengths and needs, and the nature and
				extent of the early intervention services that are needed. Evaluation and
				assessment may be conducted simultaneously or as separate events during the
				process of a child's enrollment in early intervention.
Home Visit
- a face-to-face meeting of
				the member, the member's caregiver, or both, with professional program staff at
				the member's home, a child-care setting, or other off-site setting, for the
				purpose of furthering the member's developmental progress.
Individualized Family Service Plan
				(IFSP)
- a document produced collaboratively by program staff and
				family members that contains the agreed-upon early intervention services. The
				IFSP is based on a multidisciplinary assessment.
Intake/Screening
- an initial
				face-to-face meeting of a member and a member's care giver with professional
				program staff to initiate the process of evaluation of eligibility and
				enrollment in the early intervention program. Initial information regarding the
				member's medical and developmental history relating to the member's possible
				eligibility for early intervention is collected. In the instances when probable
				eligibility is not determined by the referral information, a developmental
				screening tool may be administered to determine probable eligibility.
Operational Standards
- the Early
				Intervention Operational Standards developed by the Massachusetts Department of
				Public Health to govern the general operation of early intervention programs in
				Massachusetts.
Parent-Focused Group Session
- a
				face-to-face meeting of a group of members' parents/ caregivers (not a
				child-care worker) with professional program staff, for the purpose of support,
				education, and guidance.
Working Hour
- one hour worked on an
				intake/screening or an evaluation/assessment by one professional staff member.
				(For example, if three professionals work together for one hour to complete an
				assessment/evaluation, the evaluation/assessment lasts three working
				hours.)