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 C - STAFF QUALIFICATIONS › Section 350.313 - Early Intervention Specialist (EIS)

Current through Reg. 49, No. 28; July 12, 2024
(a) The contractor must comply with the Texas
				  Health and Human Services Commission (HHSC) Early Childhood Intervention (ECI)
				  requirements related to minimum qualifications for an EIS.
(1) An EIS must meet one of the following
				  criteria:
(A) be registered as an EIS before
				  September 1, 2011;
(B) hold a
				  bachelor's or graduate degree from an accredited university with a bachelor or
				  graduate degree specialization in:
(i) early
				  childhood development;
(ii) early
				  care and early childhood;
(iii)
				  early childhood special education; or
(iv) human development and family
				  studies;
(C) hold a
				  bachelor's or graduate degree from an accredited university in a field related
				  to early childhood intervention. For each of the following fields, transcripts
				  of degree coursework must reflect successful completion of at least nine
				  semester course credit hours relevant to early childhood intervention and three
				  semester course credit hours that focus on early childhood development or early
				  childhood special education. Related fields include:
(i) psychology;
(ii) social work;
(iii) counseling;
(iv) special education (without early
				  childhood emphasis); and
(v)
				  sociology;
(D) hold a
				  bachelor's or graduate degree from an accredited university in a field
				  unrelated to early childhood intervention. For fields unrelated to early
				  childhood intervention, transcripts of degree coursework must reflect
				  successful completion of at least 15 semester course credit hours relevant to
				  early childhood intervention and three semester course credit hours that focus
				  on early childhood development or early childhood special education;
				  or
(E) hold a bachelor's or
				  graduate degree from an accredited university with three years of experience
				  within the last ten years working for an Individuals with Disabilities
				  Education Act, Part C program in the United States or a United States territory
				  providing special instruction, as defined in
				  34 CFR §
													303.13(b)(14), or
				  specialized skills training, as defined in § 350.501(a)(4) of this
				  chapter, to infants and toddlers with developmental delays or disabilities and
				  their families.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter C - STAFF QUALIFICATIONS › Section 350.314 - EIS Code of Ethics

Current through Reg. 49, No. 28; July 12, 2024
An EIS must observe and comply with the following
					 standards of conduct.
(1) An EIS must
				  comply with the policies and procedures of both the contractor and HHSC ECI.
(2) An EIS must operate only
				  within the boundaries provided by their education, training, and credentials.
(3) An EIS must take measures to
				  avoid imposing or inflicting harm.
(4) An EIS must truthfully represent their
				  services, professional credentials, and qualifications. The EIS must inform
				  families of the scope and limitations of their credentials.
(5) An EIS must strive to maintain and
				  improve their professional knowledge, skills, and abilities.
(6) An EIS must maintain the confidentiality
				  of families served by the contractor's ECI program in accordance with the
				  policies and procedures of HHSC ECI.
(7) An EIS must establish professional
				  boundaries and avoid establishing dual relationships or conflicts of interest
				  with families. Any prior relationships with a family member must be reported to
				  the EIS's supervisor immediately.
(8) Sexual or intimate relationships between
				  an EIS and family members of a child enrolled in the contractor's ECI program
				  that employs the EIS are prohibited during the child's enrollment and for three
				  years after the child is no longer enrolled.
(9) Financial relationships between the EIS
				  and family members of a child enrolled in the contractor's ECI program that
				  employs the EIS are prohibited during the child's enrollment.
(10) An EIS must not exploit their position
				  of trust and influence with a family by benefiting from relationships
				  established as an EIS.
(11) An EIS
				  must not provide direct service while impaired, including impairments that are
				  due to the use of medication, illicit drugs, or alcohol.
(12) An EIS must not falsify documentation.
(13) An EIS must not refuse to
				  provide services for which they are credentialed on the basis of a child's or
				  family's gender, race, ethnicity, color, religion, national origin, sexual
				  orientation, political affiliation, socioeconomic status, or disability.
(14) An EIS must make reasonable
				  efforts to ensure that families receive appropriate services when the EIS is
				  unavailable or anticipates discontinued employment with the contractor.
(15) An EIS has a professional
				  obligation to report unethical behavior demonstrated by colleagues throughout
				  the ECI system to their program director and to the appropriate board or state
				  agency.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter C - STAFF QUALIFICATIONS › Section 350.315 - Service Coordinator

Current through Reg. 49, No. 28; July 12, 2024
(a) Early
				  Childhood Intervention (ECI) case management may only be provided by an
				  employee or subcontractor of an ECI contractor. The contractor must comply with
				  the Texas Health and Human Services Commission (HHSC) ECI requirements related
				  to minimum qualifications for service coordinators.
(1) A service coordinator must meet one of
				  the following criteria:
(A) be a licensed
				  professional in a discipline relevant to early childhood
				  intervention;
(B) be an Early
				  Intervention Specialist (EIS) or meet the qualifications for an EIS as defined
				  in § 350.313 of this subchapter;
(C) be a Registered Nurse (with a diploma, an
				  associate's, bachelor's or advanced degree) licensed by the Texas Board of
				  Nursing; or
(D) hold a bachelor's
				  degree or graduate degree from an accredited university with a specialization
				  in:
(i) child development, special education,
				  psychology, social work, sociology, nursing, rehabilitation counseling, or
				  human development or a related field; or
(ii) an unrelated field with at least 18
				  hours of semester course credit in child development or human
				  development.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter D - CASE MANAGEMENT FOR INFANTS AND TODDLERS WITH DEVELOPMENTAL DISABILITIES › Section 350.403 - Definitions

Current through Reg. 49, No. 28; July 12, 2024
The following words and terms, when used in this
					 subchapter, shall have the following meanings, unless the context clearly
					 indicates otherwise:
(1) Case
				  management--In compliance with § 350.405 of this subchapter (relating to
				  Case Management Services), case management means services provided to assist an
				  eligible child and their family in gaining access to the rights and procedural
				  safeguards under the Individuals with Disabilities Education Act (IDEA), Part
				  C, and to needed medical, social, educational, developmental, and other
				  appropriate services. Case management services may be provided via telehealth
				  with the prior written consent of the parent. If the parent declines to consent
				  to telehealth services, case management must still be provided.
(2) Developmental disability--Children from
				  birth to age three who have substantial developmental delay or specific
				  congenital or acquired conditions with a high probability of resulting in
				  developmental disabilities if services are not provided.
(3) Monitoring and assessment--Activities and
				  contacts as described in § 350.405 of this subchapter that are necessary
				  to ensure that the individualized family service plan (IFSP), as described in
				  Subchapter J of this chapter (relating to Individualized Family Service Plan
				  (IFSP)), is effectively implemented and that the planned services adequately
				  address the needs of the child.
(4)
				  Service coordinator--An employee or person under the direction of an Early
				  Childhood Intervention (ECI) contractor who meets the criteria described in
				  Subchapter C of this chapter (relating to Staff Qualifications).
(5) Targeted case management--Case management
				  activities that are reimbursable by Medicaid when provided to Medicaid-enrolled
				  children who are eligible for ECI.
(6) Texas Health Steps--The name adopted by
				  the State of Texas for the federally mandated Early and Periodic Screening,
				  Diagnosis and Treatment (EPSDT) program.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter D - CASE MANAGEMENT FOR INFANTS AND TODDLERS WITH DEVELOPMENTAL DISABILITIES › Section 350.404 - Recipient Eligibility for Early Childhood Intervention (ECI) Case Management Services

Current through Reg. 49, No. 28; July 12, 2024
In order to receive ECI case management services, the
					 recipient must meet the criteria established in Subchapter H of this chapter
					 (relating to Eligibility), have an identified need for case management, and
					 agree to receive services.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter D - CASE MANAGEMENT FOR INFANTS AND TODDLERS WITH DEVELOPMENTAL DISABILITIES › Section 350.405 - Case Management Services

Current through Reg. 49, No. 28; July 12, 2024
(a)
				  Case management means services provided to assist an eligible child and their
				  family in gaining access to the rights and procedural safeguards under IDEA
				  Part C, and to needed medical, social, educational, developmental, and other
				  appropriate services. Case management includes:
(1) coordinating the performance of
				  evaluations and assessments;
(2)
				  facilitating and participating in the development, review, and evaluation of
				  the individualized family service plan in accordance with Subchapter J of this
				  chapter (relating to Individualized Family Service Plan (IFSP)) which is based
				  upon:
(A) the child's applicable history;
(B) the parent's input;
(C) input from others providing services and
				  supports to the child and family; and
(D) the results of all evaluations and
				  assessments;
(3)
				  assisting families in:
(A) identifying unmet
				  needs;
(B) identifying available
				  providers of services and supports;
(C) making appropriate referrals and
				  facilitating application; and
(D)
				  assisting with initial and ongoing contact to obtain services from medical,
				  social, and educational providers to address identified needs and achieve goals
				  specified in the IFSP;
(4) following up with families and providers
				  of services and supports to assist the child with timely access to services,
				  and discuss the status of referrals to determine if the services have met the
				  child's identified needs, and if ongoing assistance to ensure continued access
				  will be necessary;
(5) monitoring
				  and assessment of the delivery of and effectiveness of services that:
(A) occurs at least once every six months, or
				  more frequently as needed;
(B) is
				  individualized and clearly related to the needs of the child and family;
(C) collects information from
				  family members, service providers, and other entities and individuals who
				  provide service or supports to the child and family to assess if:
(i) services are being provided in accordance
				  with the child's IFSP;
(ii)
				  services are adequate to meet the child's and family's needs;
(iii) all service providers are effectively
				  collaborating to address the child's and family's needs; and
(iv) parents and routine caregivers are able
				  to use the interventions being presented;
(6) adjusting the IFSP and service
				  arrangements if new needs, ineffectiveness, or barriers to services are
				  identified;
(7) assisting the
				  parent or routine caregiver in advocating for the child;
(8) coordinating with medical and other
				  health providers to ensure services are effective in meeting the child's and
				  family's needs; and
(9)
				  facilitating the child's transition to preschool or other appropriate services
				  and supports.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter D - CASE MANAGEMENT FOR INFANTS AND TODDLERS WITH DEVELOPMENTAL DISABILITIES › Section 350.406 - Parent Refusal

Current through Reg. 49, No. 28; July 12, 2024
(a) A parent may
				  refuse case management provided by the ECI contractor. If the parent refuses
				  case management activities, the service coordinator must:
(1) document the parent's choice in the
				  child's record;
(2) provide the
				  IDEA Part C required services during the pre-enrollment period, including
				  scheduling and coordinating screenings, evaluations, and assessments;
(3) coordinate the development, review, and
				  evaluation of the Individualized Family Service Plan (IFSP), including any
				  reviews, revisions, and the annual IFSP; and
(4) provide and obtain all the accompanying
				  required notices and consents.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter D - CASE MANAGEMENT FOR INFANTS AND TODDLERS WITH DEVELOPMENTAL DISABILITIES › Section 350.407 - Medicaid Service Limitations

Current through Reg. 49, No. 28; July 12, 2024
Case management services are not reimbursable as Medicaid
					 services when another payor is liable for payment or if case management
					 services are associated with the proper and efficient administration of the
					 state plan. Case management services associated with the following are not
					 payable as optional targeted case management services under Medicaid:
(1) Medicaid eligibility determinations and
				  redeterminations;
(2) Medicaid
				  eligibility intake processing;
(3)
				  Medicaid preadmission screening;
(4) prior authorization for Medicaid
				  services;
(5) required Medicaid
				  utilization review;
(6) Texas
				  Health Steps program administration;
(7) Medicaid "lock-in" provided for under the
				  Social Security Act, §1915(a);
(8) services that are an integral or
				  inseparable part of another Medicaid service;
(9) outreach activities that are designed to
				  locate individuals who are potentially eligible for Medicaid; and
(10) any medical evaluation, examination, or
				  treatment billable as a distinct Medicaid-covered benefit. However, referral
				  arrangements and staff consultation for such services are reimbursable as case
				  management services.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter D - CASE MANAGEMENT FOR INFANTS AND TODDLERS WITH DEVELOPMENTAL DISABILITIES › Section 350.409 - Conditions for Case Management Provider Agency Participation

Current through Reg. 49, No. 28; July 12, 2024
In order to be reimbursed for services specified in §
					 350.405 of this subchapter (relating to Case Management Services), a provider
					 must:
(1) be an Early Childhood
				  Intervention contractor of the Texas Health and Human Services
				  Commission;
(2) comply with all
				  applicable federal and state laws and regulations governing the services
				  provided;
(3) ensure that services
				  are provided by qualified staff as specified in Subchapter C of this chapter
				  (relating to Staff Qualifications); and
(4) be responsible for the service
				  coordinator's compliance with this subchapter.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter D - CASE MANAGEMENT FOR INFANTS AND TODDLERS WITH DEVELOPMENTAL DISABILITIES › Section 350.411 - Assignment of Service Coordinator

Current through Reg. 49, No. 28; July 12, 2024
(a)
				  Early Childhood Intervention (ECI) case management services must be provided by
				  service coordinators who meet the educational, training, and work experience
				  requirements, commensurate with their job responsibilities, as specified in
				  Subchapter C of this chapter (relating to Staff Qualifications).
(b) The ECI contractor is responsible for:
(1) assigning one service coordinator for
				  each eligible child and the child's family according to the following:
(A) an initial service coordinator must be
				  assigned at the time of referral; and
(B) a new service coordinator may be assigned
				  at the time the IFSP is developed or the original service coordinator may be
				  retained, if appropriate;
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter D - CASE MANAGEMENT FOR INFANTS AND TODDLERS WITH DEVELOPMENTAL DISABILITIES › Section 350.415 - Documentation

Current through Reg. 49, No. 28; July 12, 2024
(a) The child's record must include:
(1) whether the parent has declined
				  recommended services;
(2) the need
				  for, and occurrences of, coordination with other service coordinators or case
				  managers; and
(3) whether case
				  management goals have been achieved.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter D - CASE MANAGEMENT FOR INFANTS AND TODDLERS WITH DEVELOPMENTAL DISABILITIES › Section 350.417 - Due Process

Current through Reg. 49, No. 28; July 12, 2024
(a)
				  Medicaid-eligible individuals. Any Medicaid-eligible individual whose request
				  for eligibility for case management is denied or is not acted upon with
				  reasonable promptness, or whose case management has been terminated, suspended,
				  or reduced is entitled to a fair hearing in accordance with 1 TAC Chapter 357,
				  Subchapter A (relating to Uniform Fair Hearing Rules).
(b) All individuals. If an Early Childhood
				  Intervention contractor denies, involuntarily reduces, or terminates case
				  management for an individual, the individual has all rights to file complaints,
				  request mediation, or request a hearing in accordance with Subchapter B of this
				  chapter (relating to Procedural Safeguards and Due Process Procedures) and in
				  accordance with 40 TAC Chapter 101, Subchapter E, Division 3 (relating to
				  Division for 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 E - SPECIALIZED REHABILITATIVE SERVICES › Section 350.501 - Specialized Rehabilitative Services

Current through Reg. 49, No. 28; July 12, 2024
(a)
				  Specialized rehabilitative services are rehabilitative services that promote
				  age-appropriate development by correcting deficits and teaching compensatory
				  skills for deficits that directly result from medical, developmental, or other
				  health-related conditions. Specialized rehabilitative services include physical
				  therapy, speech language pathology services, occupational therapy, and
				  specialized skills training.
(1) Physical
				  therapy.
(A) Physical therapy services are
				  defined in
				  34 CFR §
													303.13(b)(9).
(B) Physical therapy services must meet the
				  requirements of subsection (b) of this section.
(C) Physical therapy services must be
				  provided by a licensed physical therapist who meets the requirements of
				  42
				  CFR §
													440.110(a) and
				  all other applicable state and federal laws or a licensed physical therapy
				  assistant (LPTA) when the assistant is acting under the direction of a licensed
				  physical therapist in accordance with
				  42
				  CFR §
													440.110 and all other applicable
				  state and federal laws.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter E - SPECIALIZED REHABILITATIVE SERVICES › Section 350.503 - Recipient Eligibility

Current through Reg. 49, No. 28; July 12, 2024
To receive ECI specialized rehabilitative services, a child
					 must meet the following criteria:
(1)
				  eligibility criteria established in Subchapter H of this chapter (relating to
				  Eligibility, Evaluation, and Assessment), and
(2) have a need for specialized
				  rehabilitative services as determined by the interdisciplinary team and
				  identified on the IFSP which has been signed by an LPHA .
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter E - SPECIALIZED REHABILITATIVE SERVICES › Section 350.505 - Conditions for Provider Agency Participation

Current through Reg. 49, No. 28; July 12, 2024
To be reimbursed for services specified in § 350.501
					 of this subchapter (relating to Specialized Rehabilitative Services), a
					 contractor must:
(1) comply with
				  applicable federal and state laws and regulations governing the services
				  provided;
(2) ensure that services
				  are provided by an Early Childhood Intervention (ECI) professional as defined
				  in § 350.103 of this chapter (relating to Definitions); and
(3) be responsible for the ECI professional's
				  compliance with this subchapter.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter E - SPECIALIZED REHABILITATIVE SERVICES › Section 350.507 - Due Process

Current through Reg. 49, No. 28; July 12, 2024
(a)
				  Medicaid-eligible individuals. Any Medicaid-eligible individual whose request
				  for eligibility for specialized rehabilitative services is denied or is not
				  acted upon with reasonable promptness, or whose specialized rehabilitative
				  services has been terminated, suspended, or reduced is entitled to a fair
				  hearing in accordance with 1 TAC Chapter 357, Subchapter A (relating to Uniform
				  Fair Hearing Rules).
(b) All
				  individuals. If an Early Childhood Intervention contractor denies,
				  involuntarily reduces, or terminates specialized rehabilitative services for an
				  individual, the individual has all rights to file complaints, request
				  mediation, or request a hearing in accordance with Subchapter B of this chapter
				  (relating to Procedural Safeguards and Due Process Procedures) and in
				  accordance with 40 TAC Chapter 101, Subchapter E, Division 3 (relating to
				  Division for 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 F - PUBLIC OUTREACH › Section 350.601 - Purpose

Current through Reg. 49, No. 28; July 12, 2024
The purpose of this subchapter is to establish
					 requirements, including those required by IDEA Part C, that are intended to
					 ensure that all families who have infants and toddlers who are potentially
					 eligible for early childhood intervention services know about the ECI program
					 and how to access its services.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter F - PUBLIC OUTREACH › Section 350.605 - 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) Central
				  Directory--As described in
				  34 CFR
				  §303.117.
(2) Public Awareness--As described in
				  34 CFR
				  §303.116 and §
										303.301.
(3) Public Outreach--The combined efforts of
				  child find, public awareness, and interagency coordination.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter F - PUBLIC OUTREACH › Section 350.607 - Public Outreach

Current through Reg. 49, No. 28; July 12, 2024
(a) The contractor
				  must plan and implement child find, public awareness and interagency
				  coordination goals and strategies that comply with the Individuals with IDEA
				  Part C.
(b) When HHSC provides
				  language to use in communicating with primary referral sources, parents of
				  infants and toddlers, or the general public, the contractor must use the
				  provided language.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter F - PUBLIC OUTREACH › Section 350.609 - Child Find

Current through Reg. 49, No. 28; July 12, 2024
(a) The purpose of
				  child find efforts is to establish working relationships and communicate
				  effectively with primary referral sources in order to support and promote their
				  referring children potentially eligible for ECI services.
(b) The contractor must have written
				  procedures that establish systems to:
(1)
				  inform primary referral sources of the requirement to refer children suspected
				  of having a developmental delay or a medical diagnosis with a high probability
				  of resulting in a developmental delay in a timely manner as established in
				  34 CFR §
												303.303;
(2) accept referrals effectively;
				  and
(3) monitor referral dates and
				  sources.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter F - PUBLIC OUTREACH › Section 350.611 - Public Awareness

Current through Reg. 49, No. 28; July 12, 2024
(a) The purpose of
				  public awareness efforts is to increase recognition of ECI programs in the
				  community so that families with children potentially eligible for early
				  childhood intervention services will access those services.
(b) The contractor must document that
				  families and the general public are provided current HHSC ECI materials on:
(1) ECI service delivery, including the
				  family's role;
(2) eligibility
				  criteria;
(3) the ECI array of
				  services;
(4) how to make a
				  referral to ECI; and
(5) the family
				  cost share system of payments for 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 F - PUBLIC OUTREACH › Section 350.613 - Publications

Current through Reg. 49, No. 28; July 12, 2024
(a) The contractor must maintain a current
				  inventory of ECI publications and public outreach materials provided by HHSC
				  ECI.
(b) Public outreach materials
				  created by the contractor must comply with the ECI Graphics Manual.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter F - PUBLIC OUTREACH › Section 350.615 - Interagency Coordination

Current through Reg. 49, No. 28; July 12, 2024
(a) The purpose
				  of interagency coordination is to enhance the contractor's child find and
				  public awareness efforts and to coordinate with community partners to increase
				  access to resources and services for ECI children and families.
(b) The contractor must comply with all child
				  find and public outreach requirements in all state-level HHSC ECI memoranda of
				  understanding (MOUs) with the Texas Education Agency (TEA), Head Start and
				  Early Head Start, Texas Department of Family and Protective Services (DFPS),
				  and any other state agency with which HHSC ECI enters into a MOU.
(c) The contractor must coordinate with LEA
				  representatives to facilitate an effective transition from ECI to public school
				  special education services and the LEA provision of auditory and visual
				  impairment services. Coordination activities focus on developing a joint
				  understanding of:
(1) eligibility
				  requirements for public school services, including for Part B
				  services;
(2) the state-level MOUs
				  with TEA; and
(3) if applicable,
				  MOUs with the LEAs.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter F - PUBLIC OUTREACH › Section 350.617 - Public Outreach Contact, Planning, and Evaluation

Current through Reg. 49, No. 28; July 12, 2024
(a) The contractor must inform the Texas
				  Health and Human Services Commission (HHSC) Early Childhood Intervention (ECI)
				  of the person to contact regarding public outreach efforts.
(b) The contractor must establish goals,
				  strategies, and activities to meet the requirements of this subchapter. This
				  strategic planning process must include the review and incorporation of any
				  major HHSC ECI policy change concerning the types of information described in
				  § 350.609(b) of this subchapter (relating to Child Find).
(c) The strategic planning process must be
				  coordinated with other contractors that share counties and primary referral
				  sources.
(d) The public outreach
				  strategic planning process must include an evaluation of the success of the
				  contractor's public outreach efforts with a focus on the:
(1) number of children referred to the ECI
				  program;
(2) percentage of children
				  referred that are determined eligible for the program;
(3) percentage of children determined
				  eligible that enroll in the program;
(4) data in paragraphs (1), (2), and (3) of
				  this subsection broken down by age, race, and ethnicity at referral; referral
				  source; and eligibility type; and
(5) plans to address issues found in the
				  evaluation of public outreach efforts.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter G - REFERRAL, PRE-ENROLLMENT, AND DEVELOPMENTAL SCREENING › Section 350.701 - Purpose

Current through Reg. 49, No. 28; July 12, 2024
The purpose of this subchapter is to establish
					 requirements related to referral, pre-enrollment, and developmental
					 screening.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter G - REFERRAL, PRE-ENROLLMENT, AND DEVELOPMENTAL SCREENING › Section 350.704 - Referral Requirements

Current through Reg. 49, No. 28; July 12, 2024
(a) The
				  contractor must:
(1) accept referrals for
				  children less than 36 months of age;
(2) document in the child's record the
				  referral date, source, and reason for referral; and
(3) contact the family in a timely manner
				  after receiving the referral.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter G - REFERRAL, PRE-ENROLLMENT, AND DEVELOPMENTAL SCREENING › Section 350.705 - Child Referred before Birth

Current through Reg. 49, No. 28; July 12, 2024
Information received regarding an unborn child becomes a
					 referral the day the contractor is notified of the child's
					 birth.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter G - REFERRAL, PRE-ENROLLMENT, AND DEVELOPMENTAL SCREENING › Section 350.706 - Referrals Received While the Child Is in the Hospital

Current through Reg. 49, No. 28; July 12, 2024
(a) In order to facilitate discharge planning
				  and provide continuity of care, a contractor may accept referrals for children
				  who are residing in a hospital at the time of referral.
(b) If a referral is received for a child who
				  has an adjusted age of zero months or less or who has a qualifying medical
				  diagnosis, the contractor may choose to determine eligibility and complete the
				  initial Individualized Family Service Plan (IFSP) prior to the child's
				  discharge from the hospital.
(1) The
				  interdisciplinary team who determines eligibility may include a licensed or
				  registered hospital professional, who will serve as the Licensed Practitioner
				  of the Healing Arts (LPHA) while the child is in the hospital. The LPHA on the
				  IFSP team may participate by means other than face to face, if acceptable to
				  the team and if the initial IFSP is conducted while the child is in the
				  hospital.
(2) The interdisciplinary
				  team must include at least one Early Childhood Intervention professional and a
				  licensed or registered hospital professional who is familiar with the needs of
				  the child and knowledgeable in the area or areas of concern. The participating
				  licensed or registered hospital professional is not required to complete the
				  orientation training required in § 350.309(b) of this chapter (relating to
				  Minimum Requirements for All Direct Service Staff). Allowable licensed or
				  registered hospital professionals include:
(A)
				  licensed physician;
(B) registered
				  nurse;
(C) licensed physical
				  therapist;
(D) licensed
				  occupational therapist;
(E)
				  licensed speech language pathologist;
(F) licensed dietitian;
(G) licensed audiologist;
(H) licensed physician assistant;
(I) licensed intern in speech language
				  pathology; or
(J) advanced practice
				  registered nurse.
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter G - REFERRAL, PRE-ENROLLMENT, AND DEVELOPMENTAL SCREENING › Section 350.707 - Child Referred with an Out-of-State IFSP

Current through Reg. 49, No. 28; July 12, 2024
(a) When a child moves to Texas with a
				  completed IFSP from another state, eligibility for Texas early childhood
				  intervention services must be determined in accordance with Subchapter H of
				  this chapter (relating to Eligibility, Evaluation, and Assessment).
(b) The interdisciplinary team considers
				  existing evaluation data and medical diagnoses, as documented on the
				  out-of-state IFSP, as appropriate.
(c) Early childhood intervention services in
				  Texas must be planned in accordance with Subchapter J of this chapter (relating
				  to Individualized Family Service Plan (IFSP)) and delivered in accordance with
				  Subchapter K of this chapter (relating to 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 G - REFERRAL, PRE-ENROLLMENT, AND DEVELOPMENTAL SCREENING › Section 350.708 - Pre-Enrollment Activities

Current through Reg. 49, No. 28; July 12, 2024
(a) Pre-enrollment
				  begins at the point of referral, includes the following activities, and ends
				  when the parent signs the Individualized Family Service Plan (IFSP) or a final
				  disposition is reached.
(1) The contractor
				  must assign an initial service coordinator for the family and document the name
				  of the service coordinator in the child's record.
(2) The contractor must provide the family
				  the Texas Health and Human Services Commission Early Childhood Intervention
				  Parent Handbook and document in the child's record that the following were
				  explained to the parent:
(A) the family's
				  rights regarding eligibility determination and enrollment;
(B) the early childhood intervention process
				  for determining eligibility and enrollment; and
(C) the types of early childhood intervention
				  services that may be delivered to the child and the manner in which they may be
				  provided.
(3) The
				  contractor must provide pre-IFSP service coordination as defined in
				  34 CFR §
												303.13(b)(11) and §
											303.34.
(4) The contractor must collect information
				  on the child throughout the pre-enrollment process.
(5) The contractor must assist the child and
				  family in gaining access to the evaluation and assessment process, including:
(A) scheduling the interdisciplinary initial
				  evaluation and assessment; and
(B)
				  preparing the family for the evaluation and assessment process.
(6) The contractor must comply
				  with all requirements in Subchapter B of this chapter (relating to Procedural
				  Safeguards and Due Process Procedures).
Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES › Subchapter G - REFERRAL, PRE-ENROLLMENT, AND DEVELOPMENTAL SCREENING › Section 350.709 - Optional Developmental Screenings

Current through Reg. 49, No. 28; July 12, 2024
(a)
				  Developmental screening is done to determine the need for further evaluation. A
				  contractor must:
(1) use tools that are
				  approved by HHSC ECI; and
(2) train
				  providers administering the tool according to the parameters required by the
				  selected tool.
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 350.801 - Purpose

Current through Reg. 49, No. 28; July 12, 2024
The purpose of this subchapter is to establish requirements
					 that, with parental consent:
(1) each
				  child under the age of three who is referred for evaluation or early childhood
				  intervention services and is suspected of having a developmental delay or
				  disability receives a timely evaluation from an interdisciplinary team;
				  and
(2) each child determined
				  eligible for early childhood intervention services receives:
(A) an assessment of the unique strengths and
				  needs of that child and the identification of services appropriate to meet
				  those needs; and
(B) a
				  family-directed assessment of the resources, priorities, and concerns of the
				  family and the identification of the supports and services necessary to enhance
				  the family's capacity to meet the developmental needs of the child.
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 350.805 - 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. Adjusted Age--The chronological age of a child minus the
					 number of weeks or months of prematurity.
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 350.807 - Eligibility

Current through Reg. 49, No. 28; July 12, 2024
(a) The contractor must determine that a
				  child meets Texas eligibility requirements in order to provide early childhood
				  intervention services to the child and family.
(b) Contractors shall apply the same
				  eligibility criteria for all children residing in Texas. If a child is
				  determined eligible in one area of Texas, the child remains eligible if the
				  family moves to another part of the state until the child's annual evaluation
				  is due.
(c) The contractor must
				  establish a system of management oversight to ensure consistent eligibility
				  determination.
(d) The contractor
				  must comply with all requirements in Subchapter B of this chapter (relating to
				  Procedural Safeguards and Due Process Procedures) when determining
				  eligibility.
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 350.809 - Initial Eligibility Criteria

Current through Reg. 49, No. 28; July 12, 2024
A child must be under 36 months of age and meet initial
					 eligibility criteria to receive early childhood intervention services. Initial
					 eligibility is established by:
(1)
				  documentation of a medically diagnosed condition that has a high probability of
				  resulting in developmental delay;
(2) an auditory or visual impairment as
				  defined by the Texas Education Agency rule at 19 TAC §
										89.1040(relating
				  to Eligibility Criteria); or
(3) a
				  developmental delay. Each developmental area must be evaluated as defined in
				  34
				  CFR §
											303.321. Developmental delay is
				  determined based on:
(A) an evaluation using
				  a standardized tool designated by HHSC that indicates a delay of at least 25
				  percent in one or more of the following developmental areas: communication;
				  cognitive; gross motor; fine motor; social emotional; or adaptive; or
(B) an evaluation using a standardized tool
				  designated by HHSC that indicates a delay of at least 33 percent if the child's
				  only delay is in expressive language; or
(C) a qualitative determination of delay, as
				  indicated by responses or patterns that are disordered or qualitatively
				  different from what is expected for the child's age, and significantly
				  interfere with the child's ability to function in the environment. When the
				  interdisciplinary team determines there is evidence that the results of the
				  standardized tool do not accurately reflect the child's development,
				  eligibility must be established using a supplemental protocol designated by
				  HHSC ECI. A child must meet the same eligibility standards in subparagraph (A)
				  or (B) of this paragraph on the designated tool to qualify for a qualitative
				  determination of delay unless the child has an adjusted age or chronological
				  age of under 3 months.
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 350.811 - Eligibility Determination Based on Medically Diagnosed Condition That Has a High Probability of Resulting in Developmental Delay

Current through Reg. 49, No. 28; July 12, 2024
(a) To determine eligibility for a child who
				  has a qualifying medical diagnosis the interdisciplinary team must review
				  medical documentation to determine initial eligibility.
(b) The Texas Health and Human Services
				  Commission (HHSC) Director of Early Childhood Intervention approves the list of
				  qualifying medical conditions based on prevailing medical opinion that the
				  diagnoses have a high probability of resulting in developmental delay. Copies
				  of the list of medically qualifying diagnoses can be obtained from
				  HHSC.
(c) If a review of the
				  child's records indicates that the child has a qualifying medical condition,
				  the interdisciplinary team must determine and document a need for early
				  childhood intervention services as required in § 350.837 of this chapter
				  (relating to Needs Assessment).
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 350.813 - Determination of Hearing and Auditory Status

Current through Reg. 49, No. 28; July 12, 2024
(a) As part of evaluation the
				  interdisciplinary team must determine any need for further hearing assessment.
				  This determination is completed by reviewing the current hearing and auditory
				  status for every child through an analysis of evaluation protocol results. A
				  screening tool may be used for a child who is eligible based on a medical
				  diagnosis or vision impairment.
(b)
				  The contractor must refer a child to a licensed audiologist if the child has
				  been identified as having a need for further hearing assessment and the child
				  has not had a hearing assessment within six months of the hearing needs
				  identification. If necessary to access a licensed audiologist, the contractor
				  may refer the child to their primary health care provider. The referral must be
				  made:
(1) within five working days;
				  and
(2) with parental
				  consent.
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 350.815 - Determination of Vision Status

Current through Reg. 49, No. 28; July 12, 2024
(a) As
				  part of evaluation, the interdisciplinary team must determine any need for
				  further vision assessment. This determination is completed by reviewing the
				  current vision status for every child through an analysis of evaluation
				  protocol results. A screening tool may be used for a child who is eligible
				  based on a medical diagnosis or hearing impairment.
(b) The contractor must refer a child to an
				  ophthalmologist or optometrist if the child has been identified as having a
				  need for further vision assessment and the child has not had a vision
				  assessment within nine months of the vision needs identification. If necessary
				  to access an ophthalmologist or optometrist, the contractor may refer the child
				  to their primary health care provider. The referral must be made:
(1) within five working days; and
(2) with parental consent.
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 350.817 - Eligibility Determination Based on Developmental Delay

Current through Reg. 49, No. 28; July 12, 2024
(a) The contractor must:
(1) comply with all requirements in
				  34
				  CFR §
												303.321(b);
(2) maintain all test protocols and other
				  documentation used to determine eligibility and continuing eligibility in the
				  child's record;
(3) provide prior
				  written notice to the parent when the child is determined to be ineligible for
				  early childhood intervention services; and
(4) ensure that all evaluations are conducted
				  by qualified personnel.