reglab/statecodes huggingface dataset:
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter H - ELIGIBILITY, EVALUATION, AND ASSESSMENT › Section 350.819 - Age Adjustment for Children Born Prematurely

Current through Reg. 49, No. 28; July 12, 2024
In determining the extent of developmental delay, an
					 adjustment for children born prematurely must be applied as follows:
(1) age is adjusted for children born before
				  37 weeks gestation and is based on a 40-week term;
(2) the developmental age must be measured
				  against the adjusted age rather than chronological age until the child is 18
				  months old; and
(3) the age
				  adjustment cannot exceed 16 weeks.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter H - ELIGIBILITY, EVALUATION, AND ASSESSMENT › Section 350.821 - Qualitative Determination of Developmental Delay

Current through Reg. 49, No. 28; July 12, 2024
Qualitative Determination of Developmental Delay is applied
					 as described in this section:
(1) When
				  a child's adjusted age is 0 months, administration of the standardized tool or
				  another protocol is not required. The interdisciplinary team, which must
				  include an LPHA knowledgeable in the area of concern, must describe clinical
				  findings and how those findings significantly interfere with the child's
				  functional abilities.
(2) When the
				  evaluation results, which are measured using the standardized tool designated
				  by HHSC ECI, do not accurately reflect the child's development or ability to
				  function in the natural environment, the interdisciplinary team, documents this
				  information in the child's record and proceeds to a qualitative determination
				  of developmental delay.
(A) For a child with
				  an adjusted or chronological age of greater than 0 months but less than 3
				  months, the interdisciplinary team, which must include an LPHA knowledgeable in
				  the area of concern, qualitatively determines developmental delay by describing
				  clinical findings and how those findings significantly interfere with the
				  child's functional abilities.
(B)
				  For a child with an adjusted or chronological age of at least 3 months, the
				  interdisciplinary team, which must include an LPHA knowledgeable in the area of
				  concern, must use the supplemental protocol designated by HHSC ECI to
				  qualitatively determine developmental delay. The developmental domains and
				  sub-domains that can be used for qualitative determination of delay are
				  established by HHSC ECI.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter H - ELIGIBILITY, EVALUATION, AND ASSESSMENT › Section 350.823 - Continuing Eligibility Criteria

Current through Reg. 49, No. 28; July 12, 2024
(a) The
				  contractor must determine the child's eligibility for continued early childhood
				  intervention services at least annually if the child is younger than 21 months
				  of age at the previous eligibility determination. A child who is determined
				  eligible at 21 months of age or older remains eligible for Early Childhood
				  Intervention (ECI) until the child's third birthday or until the child has
				  reached developmental proficiency, whichever happens first.
(b) The contractor must comply with all
				  requirements in
				  34
				  CFR §
											303.321(a)(3),
				  including ensuring that informed clinical opinion may be used as an independent
				  basis to establish a child's continued eligibility.
(1) Continuing eligibility is based on one of
				  the following:
(A) a qualifying medical
				  diagnosis confirmed by a review of the child's medical records with:
(i) interdisciplinary team documentation of
				  the continued need for early childhood intervention services; and
(ii) documentation in the child's record of
				  any change in medical diagnosis;
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter H - ELIGIBILITY, EVALUATION, AND ASSESSMENT › Section 350.825 - Eligibility Statement

Current through Reg. 49, No. 28; July 12, 2024
(a) The
				  interdisciplinary team must document eligibility decisions regarding a child on
				  an eligibility statement containing the elements required by HHSC
				  ECI.
(b) The eligibility statement
				  must document a medically qualifying diagnosis, a qualifying auditory or visual
				  impairment, or the elements required by HHSC ECI for a determination of
				  developmental delay.
(c) The
				  eligibility statement must be:
(1) completed
				  for every child evaluated;
(2) in
				  the child's record; and
(3) updated
				  when eligibility is re-determined.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter H - ELIGIBILITY, EVALUATION, AND ASSESSMENT › Section 350.828 - Medical Review for ECI Services

Current through Reg. 49, No. 28; July 12, 2024
The interdisciplinary team considers the child's medical
					 history before planning services and throughout the child's enrollment. The
					 IFSP team must:
(1) review pertinent
				  medical information before developing the IFSP;
(2) request additional health information
				  necessary to develop an appropriate plan of service;
(3) delay or adjust the implementation
				  procedures or services until the necessary health information is obtained and
				  reviewed;
(4) continue to review
				  medical records that become available after enrollment; and
(5) delay or adjust the implementation of
				  procedures or service if the health or safety of the child is in
				  jeopardy.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter H - ELIGIBILITY, EVALUATION, AND ASSESSMENT › Section 350.829 - Review of Nutrition Status

Current through Reg. 49, No. 28; July 12, 2024
(a) The
				  interdisciplinary team must complete a review of the child's nutrition status
				  no later than 28 days after IFSP development through any of the following:
(1) a review of the child's medical
				  records;
(2) a review of the
				  child's nutrition evaluation;
(3) a
				  review of a doctor's physical examination for the child;
(4) a review of a nurses' evaluation for the
				  child;
(5) a thorough discussion of
				  family routines; or
(6) completion
				  of HHSC ECI nutrition screening.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter H - ELIGIBILITY, EVALUATION, AND ASSESSMENT › Section 350.831 - Assistive Technology

Current through Reg. 49, No. 28; July 12, 2024
The interdisciplinary team must address assistive
					 technology needs as part of the comprehensive needs assessment. This may be
					 accomplished by:
(1) a review of
				  assistive technology needs by qualified therapist as part of the evaluation;
				  or
(2) administration of a
				  screening tool which includes a review of the child's functioning and needs for
				  assistance in positioning, mobility, communication, and play.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter H - ELIGIBILITY, EVALUATION, AND ASSESSMENT › Section 350.833 - Autism Screening

Current through Reg. 49, No. 28; July 12, 2024
(a) Autism
				  screening is not required if the child has been screened for autism by another
				  entity or has been identified as having autism.
(b) The contractor does not diagnose
				  autism.
(c) If an enrolled child is
				  18 months or older, the interdisciplinary team must determine if the child:
(1) has a family history of autism;
(2) has lost previously acquired speech or
				  social skills; or
(3) exhibits a
				  language or cognitive delay or unusual communication patterns combined with a
				  social, emotional or behavioral concern, including repetitive or stereotypical
				  behaviors.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter H - ELIGIBILITY, EVALUATION, AND ASSESSMENT › Section 350.835 - Contractor Oversight

Current through Reg. 49, No. 28; July 12, 2024
Contractors must have internal written procedures that
					 establish a system of clinical oversight for eligibility determination.
					 Clinical oversight, which is conducted by a person with knowledge of evaluation
					 and assessment of young children, includes ensuring that:
(1) HHSC ECI eligibility criteria is applied
				  consistently to children evaluated;
(2) testing is administered and scored
				  accurately according to the requirements of the tool;
(3) evaluations to determine eligibility are
				  comprehensive;
(4) test scores are
				  interpreted and determination of delay includes the application of informed
				  clinical opinion; and
(5)
				  eligibility decisions are fully documented in:
(A) the eligibility statement; and
(B) progress note or evaluation
				  report.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter H - ELIGIBILITY, EVALUATION, AND ASSESSMENT › Section 350.837 - Needs Assessment

Current through Reg. 49, No. 28; July 12, 2024
(a) The IFSP team,
				  which includes the service coordinator, must conduct a comprehensive needs
				  assessment initially and annually as part of the IFSP process. The
				  comprehensive needs assessment must identify and document:
(1) the needs of the child in each
				  developmental area as listed in
				  34 CFR
				  303.21(a)(1), including
				  those identified through the evaluation and observation;
(2) the family's concerns regarding their
				  child's development and the supports and services necessary to enhance the
				  family's capacity to meet the developmental needs of their child;
(3) the functional abilities and unique
				  strengths of the child; and
(4) the
				  family's description of their resources, concerns, and priorities related to
				  enhancing the child's development.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter J - INDIVIDUALIZED FAMILY SERVICE PLAN (IFSP) › Section 350.1001 - Purpose

Current through Reg. 49, No. 28; July 12, 2024
The purpose of this subchapter is to establish
					 requirements related to IFSPs.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter J - INDIVIDUALIZED FAMILY SERVICE PLAN (IFSP) › Section 350.1003 - Definitions

Current through Reg. 49, No. 28; July 12, 2024
The following words and terms, when used in this
					 subchapter, will have the following meanings, unless the context clearly
					 indicates otherwise.
(1)
				  Frequency--The number of days or sessions that a service will be provided
				  within a specified period of time.
(2) Functional Ability--A child's ability to
				  carry out meaningful behaviors in the context of everyday living, through
				  skills that integrate development across domains.
(3) IFSP Goals --Statements of the measurable
				  results that the family wants to see for their child or themselves.
(4) Intensity--The length of time a service
				  is provided during a session expressed as a specific amount of time instead of
				  a range.
(5) Method--If the service
				  is delivered in a group or on an individual basis.
(6) Periodic Review--As defined in
				  34 CFR
				  §
											303.342(b), a review
				  by the IFSP team, based on the assessment of the child, that results in
				  approval of or modifications to the IFSP.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter J - INDIVIDUALIZED FAMILY SERVICE PLAN (IFSP) › Section 350.1004 - Individualized Family Service Plan (IFSP) Development

Current through Reg. 49, No. 28; July 12, 2024
(a) The IFSP team must develop a written
				  initial IFSP within 45 days from the date the Texas Health and Human Services
				  Commission (HHSC) Early Childhood Intervention (ECI) receives a referral on a
				  child unless the child or parent is unavailable due to exceptional family
				  circumstances documented in the child's record. The IFSP must be completed
				  during a face-to-face meeting with the family in accordance with
				  20 USC §
											1436 and
				  34 CFR §§
											303.340 -
				  303.346.
(b) The IFSP must be developed based on
				  evaluation and assessment of a child as described in
				  34
				  CFR §
											303.321 and Subchapter H of this
				  chapter (relating to Eligibility, Evaluation, and Assessment). An IFSP must
				  address the developmental needs of the child and the case management needs of
				  the family as identified in the comprehensive needs assessment, unless the
				  family declines to address a specified need.
(c) A contractor must provide a parent with a
				  copy of the IFSP, as required by
				  34
				  CFR §
											303.405 and §
										303.409 and
				  maintain the original IFSP in the child's record.
(d) A contractor must deliver early childhood
				  intervention services according to the IFSP.
(e) An IFSP team must conduct a periodic
				  review of the IFSP at least every six months in accordance with
				  34 CFR
				  §
											303.342.
(f) An IFSP meeting must be conducted at
				  least annually, if the child was younger than 21 months of age on the date of
				  the previous initial or annual IFSP meeting, to evaluate and revise, as
				  appropriate, the IFSP for a child and the child's family in accordance with
				  34 CFR
				  §
											303.342. The meeting may be conducted
				  by a method other than face-to-face if:
(1)
				  approved by the parent;
(2) the
				  contractor has a plan approved by HHSC for conducting annual IFSP meetings by a
				  method other than face-to-face when appropriate for the child and family;
				  and
(3) the contractor documents
				  how the Licensed Practitioner of the Healing Arts' observations and conclusions
				  of the re-evaluation of the child were communicated and incorporated into the
				  IFSP.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter J - INDIVIDUALIZED FAMILY SERVICE PLAN (IFSP) › Section 350.1007 - Interim Individualized Family Service Plan (IFSP)

Current through Reg. 49, No. 28; July 12, 2024
(a) An interim IFSP may be developed for an
				  eligible child and family who need supports and services to begin immediately.
				  Early Childhood Intervention (ECI) services may begin before completing an
				  evaluation and assessment if the following conditions are met:
(1) parental consent is obtained;
(2) the interim IFSP includes the name of the
				  assigned service coordinator;
(3)
				  the interim IFSP includes the services that have been determined to be needed
				  immediately; and
(4) the
				  evaluation, assessment, and initial IFSP are completed within the 45-day
				  timeframe in accordance with
				  34 CFR §
												303.310.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter J - INDIVIDUALIZED FAMILY SERVICE PLAN (IFSP) › Section 350.1009 - Participants in Initial and Annual Individualized Family Service Plan (IFSP) Meetings

Current through Reg. 49, No. 28; July 12, 2024
(a) The initial
				  IFSP meeting and each annual meeting to evaluate the IFSP must be conducted by
				  the IFSP team as defined in
				  34 CFR §
											303.343(a).
(b) The initial IFSP meeting and the annual
				  meeting to evaluate the IFSP must be conducted by an interdisciplinary team
				  that includes, at a minimum, the parent and at least two professionals from
				  different disciplines or professions.
(1) At
				  least one professional must be an Early Childhood Intervention (ECI) service
				  coordinator.
(2) At least one
				  professional must be a Licensed Practitioner of the Healing Arts
				  (LPHA).
(3) At least one ECI
				  professional must have been involved in conducting the evaluation. This may be
				  the service coordinator, the LPHA, or a third professional.
(4) If the LPHA attending the IFSP meeting
				  did not conduct the evaluation, the contractor must ensure that the most recent
				  observations and conclusions of the LPHA who conducted the evaluation were
				  communicated to the LPHA attending the initial IFSP meeting and incorporated
				  into the IFSP.
(5) Other team
				  members may participate by other means acceptable to the team.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter J - INDIVIDUALIZED FAMILY SERVICE PLAN (IFSP) › Section 350.1015 - Content of the IFSP

Current through Reg. 49, No. 28; July 12, 2024
(a) The IFSP
				  team must develop a written IFSP containing all requirements in
				  20 USC §
											1436(d) and 34 CFR
				  §303.344 (relating to Content of an IFSP). The IFSP must include the
				  standardized IFSP Services Pages and the required elements designated by HHSC
				  ECI, including:
(1) a description of the
				  child's present levels of development, including:
(A) information about the child's
				  participation in the family's typical routines and activities;
(B) the child's strengths;
(C) the child's developmental
				  needs;
(D) the family's concerns
				  and priorities; and
(E) the child's
				  functional abilities identified with codes for establishing the child outcome
				  ratings, described in § 350.1307 of this chapter (regarding Child
				  Outcomes).
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter J - INDIVIDUALIZED FAMILY SERVICE PLAN (IFSP) › Section 350.1016 - Planning for Services to Be Delivered with the Routine Caregiver

Current through Reg. 49, No. 28; July 12, 2024
(a) If delivering services with the
				  participation of the routine caregiver in the absence of the parent is
				  necessary, the IFSP team must:
(1) document
				  the names of the routine caregivers in the child's record;
(2) obtain written parental consent before
				  releasing personally identifiable information to the routine caregiver;
				  and
(3) obtain written
				  authorization from the parent to provide early childhood intervention services
				  with the routine caregiver.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter J - INDIVIDUALIZED FAMILY SERVICE PLAN (IFSP) › Section 350.1017 - Periodic Reviews

Current through Reg. 49, No. 28; July 12, 2024
(a) Each periodic
				  review must be conducted by individuals who meet the requirements in
				  34 CFR §
											303.343(b) (relating to IFSP
				  Team meetings and periodic reviews) and be completed in compliance with
				  34 CFR
				  §
											303.342(b) (relating
				  to Procedures for IFSP development, review, and evaluation). The periodic
				  review may be carried out by a meeting or by another means that is acceptable
				  to the parents and other participants.
(b) Additionally, the child's record must
				  contain documentation of all IFSP team members' participation in the periodic
				  review. Participation in the periodic review may be accomplished by a team
				  member attending the meeting face-to-face or by telephone or by providing input
				  and information in advance of the meeting. If a team member participates by
				  means other than a face-to-face meeting, the team member must give the service
				  coordinator his or her most recent observations and conclusions about the
				  child. The team member must document in the child's record how this information
				  was communicated to the service coordinator. If the team member is an LPHA who
				  is not providing ongoing services to the child, he or she must have assessed
				  the child face-to-face within the previous 45 days.
(c) A periodic review is required at least
				  every six months.
(d) Additional
				  periodic reviews of the IFSP are conducted more frequently than six-month
				  intervals if requested by the parent or other IFSP team members.
(e) The periodic review of the IFSP consists
				  of the following actions, which must be documented in the child's record and be
				  provided to the parent:
(1) a review of the
				  child's progress toward meeting each goal on the IFSP and the child's
				  functional abilities related to the goal;
(2) a review of the current developmental
				  needs of the child and the needs of the family related to their ability to meet
				  the developmental concerns and priorities;
(3) a review of the case management needs of
				  the child and the family;
(4) the
				  development of new goals or the modification of existing goals, as appropriate,
				  that must be dated and attached to the IFSP; and
(5) the reasons for any modification to the
				  plan or the rationale for not changing the plan.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter J - INDIVIDUALIZED FAMILY SERVICE PLAN (IFSP) › Section 350.1019 - Annual Meeting to Evaluate the IFSP

Current through Reg. 49, No. 28; July 12, 2024
(a) The annual meeting to evaluate the IFSP
				  is conducted following determination of continuing eligibility. In addition to
				  all requirements in
				  34 CFR
				  §
											303.342 (relating to Procedures for
				  IFSP development, review, and evaluation), the documentation of an Annual
				  Meeting to Evaluate the IFSP must meet the requirements for Complete Review and
				  include a documented team discussion of:
(1)
				  a current description of the child including:
(A) reviews of the current evaluations and
				  other information available from ongoing assessment of the child and family
				  needs;
(B) health, vision, hearing,
				  and nutritional status; and
(C)
				  present level of development related to the three annual child outcome ratings
				  found in § 350.1307 of this chapter (relating to Child Outcomes)
				  including:
(i) the functional abilities and
				  strengths of the child;
(ii) the
				  developmental needs of the child; and
(iii) the family priorities regarding the
				  child's development.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter K - SERVICE DELIVERY › Section 350.1101 - Purpose

Current through Reg. 49, No. 28; July 12, 2024
The purpose of this subchapter is to establish
					 requirements related to ECI service delivery.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter K - SERVICE DELIVERY › Section 350.1104 - Early Childhood Intervention Services Delivery

Current through Reg. 49, No. 28; July 12, 2024
(a) Early childhood intervention services
				  needed by the child must be initiated in a timely manner and delivered as
				  planned in the Individualized Family Service Plan (IFSP). Only qualified staff
				  members, as described in Subchapter C of this chapter (relating to Staff
				  Qualifications), are authorized to provide early childhood intervention
				  services.
(b) The contractor must
				  ensure that early childhood intervention services are appropriate, as
				  determined by the IFSP team, and based on scientifically based research, to the
				  extent practicable. In addition to the requirements in
				  34 CFR §
											303.13, early childhood intervention
				  services, with the exception cited in subsection (c) of this section, must be
				  provided:
(1) according to a plan and with a
				  frequency that is individualized to the parent and child to effectively address
				  the goals established in the IFSP;
(2) only to children who are located in the
				  state of Texas at the time of service delivery;
(3) in the presence of the parent or other
				  routine caregiver, with an emphasis on enhancing the family's capacity to meet
				  the developmental needs of the child; and
(4) in the child's natural environment, as
				  defined in
				  34 CFR §
												303.26, unless the criteria listed in
				  34 CFR §
												303.126 are met and documented in the case
				  record and may be provided via telehealth with the written consent of the
				  parent. If the parent declines to consent to telehealth for some or all
				  services, those services must be provided in person.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter K - SERVICE DELIVERY › Section 350.1105 - Capacity to Provide Early Childhood Intervention Services

Current through Reg. 49, No. 28; July 12, 2024
The contractor must have the capacity to provide all early
					 childhood intervention services in
					 34 CFR §
											303.13 and additional early childhood
					 intervention services described in this chapter. These services are the
					 following:
(1) Assistive Technology
				  Device and Service--As defined in
				  34 CFR §
											303.13(b)(1).
(2) Audiology Services--As defined in
				  34 CFR §
											303.13(b)(2), plus services
				  provided by local educational agency personnel, including sign language and
				  cued language services as defined in
				  34 CFR §
											303.13(b)(12).
(3) Behavioral Intervention--Services
				  delivered through a structured plan to strengthen developmental skills while
				  specifically addressing severely challenging behaviors as determined by the
				  Individualized Family Service Plan (IFSP) team. The behavior plan is developed
				  by the IFSP team (that includes the plan supervisor) to:
(A) identify goals;
(B) conduct a functional assessment to
				  determine the motivation for the behavior;
(C) develop a hypothesis;
(D) design support plans; and
(E) implement, monitor, and evaluate
				  outcomes.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter K - SERVICE DELIVERY › Section 350.1107 - Group Services for Children

Current through Reg. 49, No. 28; July 12, 2024
(a)
				  Group services must be:
(1) recommended by
				  the interdisciplinary team and documented on the IFSP only when participating
				  in the group will assist the child to reach the goals in the IFSP;
(2) planned as part of an IFSP that also
				  contains individual services; and
(3) limited to no more than four children and
				  their parent(s) or other routine caregiver(s) per service provider.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter K - SERVICE DELIVERY › Section 350.1108 - State Funded Respite Services

Current through Reg. 49, No. 28; July 12, 2024
(a)
				  The Texas General Appropriations Act authorizes reimbursement to the enrolled
				  child's family for respite services that are not directly related to IFSP
				  goals.
(b) Respite services are
				  defined as the care of an enrolled child by a relative or substitute caregiver
				  on a short-term or intermittent basis to provide the child's parent with a
				  break from caring for his or her child. Respite services do not include the
				  routine care of a child for the purposes of allowing a parent to attend work or
				  school.
(c) The contractor must
				  develop and implement a process for administering the state funded
				  reimbursement of respite services.
(1) The
				  contractor may collaborate with other ECI contractors within their respective
				  consortium to administer the funds.
(2) The contractor must identify existing
				  respite resources in the community, including potential respite service
				  providers and additional funding sources before authorizing state funded
				  respite reimbursement.
(3) The
				  contractor may provide reimbursement for up to 20 hours of respite per child
				  per month, based on the individual needs of the family. The contractor may
				  exceed the 20 hours respite limit only if:
(A) the family has more than one child
				  enrolled in the ECI program; and
(B) the IFSP team determines that the
				  children cannot be cared for by a single respite provider.
(4) If the parent and the service coordinator
				  do not agree on the complexity of care, based on the needs of the child, and
				  the ECI reimbursement rate, the program director decides the complexity of care
				  and reimbursement rate.
(5) The
				  contractor must have a process for prioritizing requests for state funded
				  respite reimbursement. The process must include consideration of:
(A) how respite will benefit the family
				  relationship; and
(B) past use of
				  respite services.
(6) If
				  state respite funds are not available at the time of a request, the contractor
				  places the eligible family on a waiting list for respite funds.
(7) State respite funds cannot be used to
				  pay:
(A) insurance co-payments, insurance
				  deductibles, or insurance premiums;
(B) a parent to provide respite services to
				  his or her own child;
(C)
				  individuals who live in the same household as the child;
(D) individuals under 18 years of age;
				  or
(E) costs for the care of
				  siblings of the eligible child.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter K - SERVICE DELIVERY › Section 350.1111 - Service Delivery Documentation Requirements

Current through Reg. 49, No. 28; July 12, 2024
Documentation of each service contact must include:
(1) the name of the child;
(2) the name of the ECI contractor and the
				  name and the discipline of the service provider;
(3) the date, start time, length of time, and
				  place of service;
(4) method
				  (individual or group);
(5) a
				  description of the techniques by which the provider engaged the family or
				  routine caregiver in activities to meet the developmental needs of the child.
				  This includes:
(A) coaching and instructions
				  to the family or caregiver;
(B)
				  discussing how activities apply to child and family routines; and
(C) modeling intervention techniques within
				  everyday learning opportunities, including a description of the opportunity for
				  the caregiver's return demonstration;
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter L - TRANSITION › Section 350.1201 - Purpose

Current through Reg. 49, No. 28; July 12, 2024
The purpose of this subchapter is to:
(1) establish the ECI requirements to assist
				  the family to smoothly transition from early childhood intervention services;
				  and
(2) implement all federal
				  requirements in
				  20 USC §
											1437 and
				  34 CFR §
											303.209 related to transition planning and
				  services.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter L - TRANSITION › Section 350.1203 - Definitions

Current through Reg. 49, No. 28; July 12, 2024
The following words and terms, when used in this
					 subchapter, will have the following meanings, unless the context clearly
					 indicates otherwise.
(1) Community
				  Transition Meeting--A meeting held to discuss how the contractor will assist
				  the family with transitioning from early childhood intervention services to
				  community services, activities, places, or programs that the family would like
				  the child to participate in after exiting early childhood intervention
				  services.
(2) LEA
				  Notification--Notification to the LEA of a child who is potentially eligible
				  for LEA services. The parent may opt out of the LEA Notification.
(3) LEA Notification Opt Out--The parent's
				  choice not to allow the contractor to send the child's limited personally
				  identifiable information to the LEA to meet LEA Notification
				  requirements.
(4) LEA Transition
				  Conference--A meeting to discuss LEA special education services and eligibility
				  determination for special education services for children who are potentially
				  eligible for special education services.
(5) Limited Personally Identifiable
				  Information--The child's and parent's names, addresses, and phone numbers;
				  child's date of birth; service coordinator's name; and language spoken by the
				  child and family.
(6) Transition
				  Planning--The process of identifying and documenting appropriate steps and
				  transition services to support the child and family to smoothly and effectively
				  transition from early childhood intervention services to LEA special education
				  services or other community services, activities, places, or programs that the
				  family would like the child to participate in after exiting early childhood
				  intervention services.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter L - TRANSITION › Section 350.1205 - Transition Education and Information for the Family

Current through Reg. 49, No. 28; July 12, 2024
(a) At the first meeting with the family
				  after the referral, the contractor must explain:
(1) circumstances that would cause the child
				  to no longer meet the eligibility requirements for early intervention services;
				  and
(2) the Early Childhood
				  Intervention transition process.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter L - TRANSITION › Section 350.1207 - Transition Planning

Current through Reg. 49, No. 28; July 12, 2024
(a) Transition
				  planning is a process that involves developing and updating appropriate steps
				  and transition services:
(1) jointly with
				  families; and
(2) based on
				  recommendations from the Individualized Family Service Plan (IFSP)
				  team.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter L - TRANSITION › Section 350.1209 - SEA Notification

Current through Reg. 49, No. 28; July 12, 2024
HHSC coordinates the State Education Agency's (SEA)
					 notification of children potentially eligible for special education services,
					 in compliance with
					 34 CFR §
											303.209(b). HHSC will send
					 notification of children potentially eligible for special education services to
					 the SEA at least 90 days before each child's third birthday, or as soon as
					 possible for children who are determined eligible for ECI services more than 45
					 but less than 90 days before the child's third birthday. If a referral is
					 received for a child fewer than 45 days before the child's third birthday and
					 the child may be potentially eligible for preschool special education services,
					 HHSC will, with written parental consent, refer the child directly to the
					 SEA.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter L - TRANSITION › Section 350.1211 - Local Education Agency (LEA) Notification of Potential Eligibility for Special Education Services

Current through Reg. 49, No. 28; July 12, 2024
(a) The
				  contractor's Individualized Family Service Plan (IFSP) team determines if a two
				  year old receiving early childhood intervention services is potentially
				  eligible for preschool special education services.
(b) Written parental consent is not required
				  for the contractor to send LEA Notification of Potentially Eligible for Special
				  Education Services, but the parent may opt out of LEA Notification as described
				  in § 350.1213 of this subchapter (relating to LEA Notification Opt Out).
				  Written parental consent is required before sending information other than the
				  child's limited personally identifiable information to the LEA.
(c) For a child whose parent has not opted
				  out of the disclosure as described in § 350.1213 of this subchapter, the
				  contractor must notify the LEA at least 90 days before the child's third
				  birthday that the child is potentially eligible for preschool special education
				  services. The contractor must send the LEA for the area in which the child
				  resides the LEA Notification of Potentially Eligible for Special Education
				  Services, which contains the child's limited personally identifiable
				  information as defined in § 350.1203(5) of this subchapter (relating to
				  Definitions).
(d) If the contractor
				  determines a child is eligible for early childhood intervention services fewer
				  than 90 days and more than 45 days before the child's third birthday, the
				  contractor must determine as soon as possible whether the child is potentially
				  eligible for preschool special education services. If the contractor determines
				  the child is potentially eligible for preschool special education services, the
				  contractor must provide notification to the LEA as soon as possible, unless the
				  parent opts out of the disclosure as described in § 350.1213 of this
				  subchapter.
(e) If the contractor
				  receives a referral for a child fewer than 45 days before the child's third
				  birthday and the child may be potentially eligible for preschool special
				  education services, the contractor must, with written parental consent, refer
				  the child directly to the LEA. The contractor is not required to conduct
				  pre-enrollment procedures, an evaluation, an assessment, or an initial IFSP
				  meeting.
(f) To assist the LEA in
				  determining eligibility, the contractor, with written parental consent, must
				  send the LEA the most recent:
(1)
				  evaluations;
(2) assessments;
				  and
(3) IFSPs.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter L - TRANSITION › Section 350.1213 - LEA Notification Opt Out

Current through Reg. 49, No. 28; July 12, 2024
(a) The
				  parent may choose not to allow the contractor to send the child's limited
				  personally identifiable information to the LEA. The contractor must:
(1) inform the parent of the LEA Notification
				  of Potentially Eligible for Special Education Services requirements before the
				  parent signs the initial IFSP; and
(2) explain LEA Notification Opt Out to the
				  parent and the consequences of this choice.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter L - TRANSITION › Section 350.1215 - Reporting Late LEA Notifications

Current through Reg. 49, No. 28; July 12, 2024
When the contractor provides the LEA Notification of
					 Potentially Eligible for Special Education Services to districts or charter
					 schools less than 90 days before the child's third birthday, the contractor's
					 ECI program must include in the notification the reason for the delay. The
					 contractor must send the LEA for the area in which the child resides a late LEA
					 Notification for any child aged 33-36 months whom the IFSP team determines is
					 potentially eligible for special education services, unless the parent has
					 informed the contractor in writing of their decision to opt-out of LEA
					 notification.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter L - TRANSITION › Section 350.1217 - LEA Transition Conference

Current through Reg. 49, No. 28; July 12, 2024
(a) The
				  IFSP team determines whether a child is potentially eligible for special
				  education services. The IFSP team's decision regarding a child's potential
				  eligibility for special education services is documented in the child's
				  record.
(b) If the parent gives
				  approval to convene the LEA Transition Conference, the contractor must:
(1) meet the requirements in
				  34 CFR
				  §
												303.342(d) and (e)
				  and §
											303.343(a),
				  which requires:
(A) the face-to-face
				  attendance of the parent and the service coordinator; and
(B) at least one other ECI professional who
				  is a member of the IFSP team who may participate through other means as
				  permitted in
				  34 CFR §
													303.343(a)(2);
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter L - TRANSITION › Section 350.1219 - Transition to LEA Services

Current through Reg. 49, No. 28; July 12, 2024
(a) The
				  contractor may continue to provide early childhood intervention services to the
				  child until the child's third birthday even if the Admission, Review, and
				  Dismissal (ARD) meeting has occurred and the Individualized Education Plan
				  (IEP) has been signed.
(b) The
				  contractor may discontinue early childhood intervention services if the child
				  begins receiving the same services from the LEA when:
(1) prior written notice is given to the
				  parent regarding the discontinuation of early childhood intervention services;
				  and
(2) the IFSP is revised at an
				  IFSP meeting.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter L - TRANSITION › Section 350.1221 - Transition Into the Community

Current through Reg. 49, No. 28; July 12, 2024
(a) The
				  contractor must assist the family with transition activities to appropriate
				  community settings before the child's third birthday if the:
(1) parent chooses for the child to
				  transition to community services;
(2) parent opts out of LEA Notification of
				  Potentially Eligible for Special Education Services;
(3) parent refuses LEA services; or
(4) child is determined to be ineligible for
				  special education services.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter M - CHILD AND FAMILY OUTCOMES › Section 350.1301 - Purpose

Current through Reg. 49, No. 28; July 12, 2024
The purpose of this subchapter is to establish how child
					 and family outcomes are collected and reported to HHSC ECI.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter M - CHILD AND FAMILY OUTCOMES › Section 350.1307 - Child Outcomes

Current through Reg. 49, No. 28; July 12, 2024
(a) The contractor
				  must collect and report information on child outcomes as directed by HHSC ECI
				  and use that information to improve results for children and
				  families.
(b) Child outcomes
				  address three areas of child functioning necessary for each child to be an
				  active and successful participant at home and in the community. These three
				  outcomes are that children will:
(1) have
				  positive social relationships;
(2)
				  acquire and use knowledge and skills; and
(3) take appropriate action to meet their own
				  needs.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter M - CHILD AND FAMILY OUTCOMES › Section 350.1309 - Family Outcomes

Current through Reg. 49, No. 28; July 12, 2024
Family outcomes and indicators of family capacity are
					 measured using a family survey. The contractor is required to deliver the
					 family survey as directed by HHSC ECI to measure family outcomes and
					 indicators.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter N - FAMILY COST SHARE SYSTEM › Section 350.1401 - Purpose

Current through Reg. 49, No. 28; July 12, 2024
(a) The purpose of this subchapter is to
				  establish a system of payments for early childhood intervention services. The
				  family cost share system includes the collection of:
(1) private insurance;
(2) public insurance; and
(3) out-of-pocket payments from
				  families.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter N - FAMILY COST SHARE SYSTEM › Section 350.1407 - Family Cost Share System Administration

Current through Reg. 49, No. 28; July 12, 2024
(a) The contractor must administer the family
				  cost share system in compliance with the requirements in this title, HHSC
				  policy concerning ECI, and the contract.
(b) In compliance with
				  34 CFR §
											303.510(a) and
				  (b) and §
										303.203(b)(1),
				  IDEA Part C funding is the payor of last resort for early childhood
				  intervention services. The contractor must:
(1) establish third-party billing systems,
				  determine client eligibility for all third-party reimbursement sources, and
				  complete and submit reimbursement requests to corresponding third-party
				  sources, including private insurance, Medicaid programs, CHIP, and
				  TRICARE;
(2) coordinate funding
				  sources for services required under IDEA Part C; and
(3) use other funding for which the clients
				  are eligible before billing services to the HHSC contract, which includes
				  distribution of IDEA Part C funds.