reglab/statecodes huggingface dataset:
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4215 - ANNUAL PLAN AND ESTIMATE OF EXPENDITURES › GENERAL REQUIREMENTS › Section 4215.25 - Submission of the notice of public hearing and the annual plan and estimate of expenditures to the Department

Current through Register Vol. 54, No. 28, July 13, 2024
After approval by the local authorities, the county
						mental health/intellectual disability (MH/ID) administrator and the Board shall
						submit to the Department the notice of public hearing and the annual plan and
						estimate of expenditures.
The provisions of this §
													4215.25 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4215 - ANNUAL PLAN AND ESTIMATE OF EXPENDITURES › GENERAL REQUIREMENTS › Section 4215.26 - Review of the annual plan and estimate of expenditures by the Department

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The Department
					 will review and approve the annual plan and estimate of expenditures against
					 predetermined criteria.
(b) The
					 Department will notify the county mental health/intellectual disability (MH/ID)
					 administrator of the result of the review against predetermined
					 criteria.
The provisions of this §
													4215.26 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4220 - REIMBURSEMENT FOR MEDICATIONS › GENERAL PROVISIONS › Section 4220.1 - Purpose

Current through Register Vol. 54, No. 28, July 13, 2024
This chapter specifies requirements pertaining to
						reimbursement by the county mental health and intellectual disability program
						for the cost of drugs.
The provisions of this §
													4220.1 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4220 - REIMBURSEMENT FOR MEDICATIONS › GENERAL PROVISIONS › Section 4220.2 - Applicability

Current through Register Vol. 54, No. 28, July 13, 2024
This chapter applies to county mental health and
						intellectual disability programs.
The provisions of this §
													4220.2 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4220 - REIMBURSEMENT FOR MEDICATIONS › GENERAL PROVISIONS › Section 4220.3 - Legal base

Current through Register Vol. 54, No. 28, July 13, 2024
The legal authority for this chapter is section 201(2) of
						the Mental Health and Intellectual Disability Act of 1966 (50 P.S. §
												4201(2)).
The provisions of this §
													4220.3 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4220 - REIMBURSEMENT FOR MEDICATIONS › GENERAL REQUIREMENTS › Section 4220.11 - Purchase of drugs

Current through Register Vol. 54, No. 28, July 13, 2024
(a) For the cost
					 of a drug to be reimbursed by the county mental health and intellectual
					 disability program it must be prescribed by a practitioner licensed by statute
					 to prescribe the drugs and must be specifically for the mental disorder under
					 treatment. Client liability and third party revenues must be exhausted before
					 county mental health and intellectual disability funds are used.
(b) For a pharmacy to receive reimbursement
					 from the county mental health and intellectual disability program it must be
					 licensed by the State Board of Pharmacy.
The provisions of this §
													4220.11 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4220 - REIMBURSEMENT FOR MEDICATIONS › GENERAL REQUIREMENTS › Section 4220.12 - Limitations

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Drugs in the
					 following general categories may be reimbursed by the county mental health and
					 intellectual disability program.
(1) Major
					 tranquilizers. Includes:
(i)
					 Phenothiazines.
(ii)
					 Butyrophenones.
(iii)
					 Thioxanthenes.
(iv) Rauwolfia
					 Alkaloids.
(v)
					 Dibenzoxazepines.
(vi)
					 Molindones.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4220 - REIMBURSEMENT FOR MEDICATIONS › GENERAL REQUIREMENTS › Section 4220.13 - Procedures

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 prescription must be made on Prescription and Pharmacist's Invoice, Form MH/ID
					 12. The number of refills permitted-not to exceed one-should be indicated on
					 the MH/ID 12. It is the responsibility of the physician to ensure that the
					 patient's drug costs are eligible for reimbursement by the County MH/ID Program
					 and have been authorized for payment by the county administrator before using
					 an MH/ID 12 prescription form.
(b)
					 The pharmacy submits the MH/ID 12 on a monthly basis to the county MH/ID
					 administrator for reimbursement. Refills of prescriptions should be reported to
					 the county program on a monthly basis on a form of the county program's
					 choosing.
(c) The county
					 administrator is responsible for providing authorization for purchase of
					 medication. The county administrator is also responsible for ensuring that the
					 invoice is correctly priced and is for eligible drugs. The county administrator
					 makes payment to the pharmacy for invoices submitted under subsection (b). It
					 is the responsibility of the county administrator to ensure that patient
					 liability and third party revenues are exhausted before County Mental
					 Health/Intellectual Disability (MH/ID) funds are used. This responsibility may
					 be delegated; however, the county administrator shall make every effort to
					 ensure that pharmacies are reimbursed in a timely fashion. The goal should be
					 reimbursement within 30 days of receipt of the claim.
The provisions of this §
													4220.13 amended under sections
						  201(2) and (8) and 202 of the Mental Health and Intellectual Disability Act of
						  1966 (50 P.S. §§
														4201(2) and
						  (8) and
						  4202).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4220 - REIMBURSEMENT FOR MEDICATIONS › GENERAL REQUIREMENTS › Section 4220.14 - Cost and quality control measures

Current through Register Vol. 54, No. 28, July 13, 2024
(a) It is the responsibility of the county
					 administrator to ensure that the cost of the county program's drug program is
					 kept at an acceptable level and is of professional quality. The county program
					 should establish procedures to ensure that poor prescribing and dispensing
					 practices are eliminated or controlled, and to assist in the continuing
					 education of physicians and pharmacists participating in the county program. In
					 order to ensure maximum acceptance of these procedures, they should be under
					 the direction and guidance of physicians and pharmacists under contract with
					 the county program where possible.
(b) A county spending more than $50,000 per
					 year on drugs shall have a Pharmacy and Therapeutics Review Committee (PTRC)
					 composed of at least a psychiatrist, another physician, a pharmacist, and a
					 representative of the county administrator's office. The PTRC should be of
					 sufficient size to permit a broad representation of viewpoints. Use of a PTRC
					 by a county program spending less than $50,000 per year is optional at the
					 discretion of the county program. The PTRC in a county spending less than
					 $50,000 per year must be composed of at least one psychiatrist, one pharmacist,
					 and a representative of the county administrator's office. A county program may
					 combine resources with another county program to develop a PTRC to serve the
					 county programs involved.
(c)
					 Quality control is the primary function of the PTRC. Through use of the
					 following quality control procedures, significant improvements in the quality
					 of the prescribing and dispensing of medications should be realized in the
					 county program. The following quality control functions should be performed by
					 a PTRC:
(1) Recommendation of guidelines for
					 psycho-pharmacological treatment within the county programs. Guidelines should
					 address issues as: polypharmacy, generic drug dispensing and prescribing,
					 county formulary of reimbursable drugs, prescription quantities and refills,
					 prior approval, and post-audit policies.
(2) Periodic review of the county drug
					 program for patterns of overutilization or drug abuse by patients, inefficient
					 and costly methods of prescribing drugs, inefficient and costly methods of
					 dispensing drugs, or noncompliance with guidelines. When problems are
					 identified the information should be shared with the physician or pharmacist by
					 letter or by personal contact.
(3)
					 Continuing education rather than restrictive actions, is the primary function
					 of the PTRC.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4226 - EARLY INTERVENTION SERVICES › GENERAL PROVISIONS › Section 4226.1 - Policy

Current through Register Vol. 54, No. 28, July 13, 2024
Early intervention services and supports are provided to
						families and infants and toddlers with disabilities and at-risk children to
						maximize the child's developmental potential. Service planning and delivery are
						founded on a partnership between families and early intervention personnel
						which is focused on meeting the unique needs of the child, addressing the
						concerns and priorities of each family and building on family and community
						resources.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4226 - EARLY INTERVENTION SERVICES › GENERAL PROVISIONS › Section 4226.2 - Purpose

Current through Register Vol. 54, No. 28, July 13, 2024
This chapter establishes administrative, financial and
						eligibility requirements, standards for personnel and service delivery, and
						procedural protections for the Department's early intervention
						program.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4226 - EARLY INTERVENTION SERVICES › GENERAL PROVISIONS › Section 4226.3 - Applicability

Current through Register Vol. 54, No. 28, July 13, 2024
This chapter applies to county MH/MR programs that
						provide early intervention services and to public and private service providers
						and agencies that contract with a county MH/MR program to provide early
						intervention services.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4226 - EARLY INTERVENTION SERVICES › GENERAL PROVISIONS › Section 4226.4 - Penalties for noncompliance

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 The failure to comply with this chapter so that needs of at-risk children and
					 infants and toddlers with disabilities are not being adequately met, shall
					 subject the county MH/MR program to penalties consistent with section 512 of
					 the Mental Health and Mental Retardation Act of 1966 (50 P.S. §
												4512), including loss or delay of early
					 intervention funding to the county MH/MR program.
(b) Appeals from Department action taken in
					 accordance with subsection (a) shall be made by the county MH/MR program in
					 accordance with
					 2
					 Pa.C.S. §§
												501-508 and
					 701-704 (relating to the
					 Administrative Agency Law).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4226 - EARLY INTERVENTION SERVICES › GENERAL PROVISIONS › Section 4226.6 - Waiver of regulations

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 Department may, upon application by a county MH/MR program and a showing of
					 good cause as specified in subsection (b), waive specific requirements
					 contained in this chapter if the waiver will not result in violation of another
					 provision of Federal or State law and will not jeopardize receipt of Federal
					 funding. A waiver may be granted only when the health, safety and well-being of
					 infants and toddlers with disabilities and other children and their families
					 and the quality of services are not adversely affected.
(b) The Department may waive one or more
					 requirements of this chapter upon written request for a waiver from a county
					 MH/MR program on a form prescribed by the Department, which includes:
(1) The specific regulatory sections for
					 which a waiver is requested.
(2) A
					 detailed description of the unusual or special circumstances that justify the
					 waiver for the county MH/MR program.
(3) An explanation of how the county MH/MR
					 program will ensure that the health, safety and well-being of infants and
					 toddlers with disabilities and other children and their families will be
					 protected if the waiver is granted.
(4) A description of how the county MH/MR
					 program will meet the objective of the requirement in another way if the waiver
					 is granted.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4226 - EARLY INTERVENTION SERVICES › FINANCIAL MANAGEMENT › Section 4226.11 - Financial administration

Current through Register Vol. 54, No. 28, July 13, 2024
Chapter 4300 (relating to county mental health and mental
						retardation fiscal manual) applies to the county MH/MR program for purposes of
						identifying allowable costs and for the general financial administration of
						early intervention services.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4226 - EARLY INTERVENTION SERVICES › FINANCIAL MANAGEMENT › Section 4226.12 - Medicaid waiver funds

Current through Register Vol. 54, No. 28, July 13, 2024
The county MH/MR program shall expend supplemental grant
						funds for the provision of early intervention services to infants and toddlers
						with disabilities and their families under the home and community waiver known
						as the Infant, Toddlers and Families Medicaid Waiver approved by the Department
						of Health and Human Services under section 1915(c) of the Social Security Act
						(42 U.S.C.A. §
												1396n(c)) to the extent that
						eligible services and eligible infants and toddlers can be identified and the
						infants' and toddlers' parents consent to participate in the
						waiver.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4226 - EARLY INTERVENTION SERVICES › FINANCIAL MANAGEMENT › Section 4226.13 - Payor of last resort

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Unless
					 otherwise permitted or mandated by Federal law, State early intervention funds
					 may not be used to satisfy a financial commitment for early intervention
					 services if another public or private funding source is available to pay for
					 the services.
(b) Unless otherwise
					 permitted or mandated by Federal law, private insurance may be used with the
					 consent of the parent to pay for early intervention services as long as such
					 use will not result in a cost to the family, including but not limited to the
					 following:
(1) A decrease in available
					 lifetime coverage or any other benefit under an insurance policy.
(2) An increase in premiums or the
					 discontinuation of the policy.
(3)
					 An out-of-pocket expense such as the payment of a deductible amount in filing a
					 claim.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4226 - EARLY INTERVENTION SERVICES › FINANCIAL MANAGEMENT › Section 4226.14 - Documentation of other funding sources

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The county MH/MR program shall develop
					 and maintain a written policy that sets forth the procedures used to identify
					 and exhaust all other public and private sources of funding for early
					 intervention services, as required in §
											4226.13 (relating to payor of last
					 resort).
(b) The service
					 coordinator shall maintain written documentation that attempts have been made
					 to exhaust all other private and public funding sources available to an infant
					 or toddler with a disability and the infant or toddler's family, as required by
					 § 4226.13, in the infant or toddler's record, in accordance with §
											4226.36(d) and (e)
					  (relating to child records).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4226 - EARLY INTERVENTION SERVICES › FINANCIAL MANAGEMENT › Section 4226.15 - Interim payments

Current through Register Vol. 54, No. 28, July 13, 2024
(a) When
					 necessary to prevent a delay in the receipt of early intervention services by
					 an infant or toddler with a disability or the infant or toddler's family, State
					 early intervention funds may be used to pay the provider of services pending
					 reimbursement from the funding source that has ultimate responsibility for the
					 payment.
(b) The county MH/MR
					 program shall seek reimbursement from the responsible funding source to cover
					 the interim payments made for early intervention services.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4226 - EARLY INTERVENTION SERVICES › GENERAL REQUIREMENTS › Section 4226.21 - Nondelegation of responsibilities

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The county MH/MR program may contract
					 with another agency for delivery of early intervention services under this
					 chapter.
(b) If the county MH/MR
					 program contracts with another agency as permitted in subsection (a), the
					 county MH/MR program retains responsibility for compliance with the
					 requirements of this chapter and shall ensure compliance by all agencies under
					 contract to provide early intervention services.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4226 - EARLY INTERVENTION SERVICES › GENERAL REQUIREMENTS › Section 4226.22 - Eligibility for early intervention services

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The county MH/MR program shall ensure
					 that early intervention services are provided to all children who meet one or
					 more of the following eligibility criteria:
(1) A developmental delay, as measured by
					 appropriate diagnostic instruments and procedures, of 25% of the child's
					 chronological age in one or more of the developmental areas of cognitive
					 development; physical development, including vision and hearing; communication
					 development; social or emotional development; and adaptive
					 development.
(2) A developmental
					 delay in one or more of the developmental areas of cognitive development;
					 physical development, including vision and hearing; communication development;
					 social or emotional development; and adaptive development, as documented by
					 test performance of 1.5 standard deviations below the mean on accepted or
					 recognized standard tests for infants and toddlers.
(3) A diagnosed physical or mental condition
					 which has a high probability of resulting in a developmental delay as specified
					 in paragraphs (1) and (2), including a physical or mental condition identified
					 through an MDE, conducted in accordance with §
												4226.61 (relating to MDE), that is
					 not accompanied by delays in a developmental area at the time of
					 diagnosis.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4226 - EARLY INTERVENTION SERVICES › GENERAL REQUIREMENTS › Section 4226.23 - Eligibility for Medicaid waiver services

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The county MH/MR program shall ensure
					 that infants and toddlers with disabilities enrolled in the Infant, Toddlers
					 and Families Medicaid Waiver meet the level of care criteria for an
					 intermediate care facility/mental retardation (ICF/MR) or intermediate care
					 facility/other related conditions (ICF/ORC) as set forth in subsection
					 (b).
(b) Eligibility criteria for
					 ICF/MR or ICF/ORC level of care.
(1) Minimum
					 eligibility for ICF/MR or ICF/ORC level of care is established by one of the
					 following:
(i) A licensed psychologist,
					 certified school psychologist or licensed physician shall certify that the
					 infant or toddler has significantly subaverage intellectual functioning which
					 is documented by one of the following:
(A)
					 Performance that is more than two standard deviations below the mean as
					 measured on a standardized general intelligence test.
(B) Performance that is slightly higher than
					 two standard deviations below the mean as measured on a standardized general
					 intelligence test during a period when the infant or toddler manifests serious
					 impairments of adaptive behavior.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4226 - EARLY INTERVENTION SERVICES › GENERAL REQUIREMENTS › Section 4226.24 - Comprehensive child find system

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The county MH/MR program shall develop a
					 child find system that will ensure that:
(1)
					 All at-risk children and infants and toddlers with disabilities in the
					 geographical area of the county MH/MR program are identified, located and
					 evaluated.
(2) An effective method
					 is developed and implemented to determine which at-risk children and infants
					 and toddlers with disabilities are receiving needed tracking or early
					 intervention services, and which are not receiving those
					 services.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4226 - EARLY INTERVENTION SERVICES › GENERAL REQUIREMENTS › Section 4226.25 - At-risk children

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
					 child identified as an at-risk child through the initial MDE conducted in
					 accordance with §
											4226.61 (relating to MDE) is
					 eligible for tracking as specified in §
											4226.26 (relating to tracking
					 system).
(b) If a child is referred
					 for an MDE to determine whether the child is an at-risk child and the family
					 declines the MDE, with parental consent the child may be deemed eligible for
					 tracking as specified in § 4226.26.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4226 - EARLY INTERVENTION SERVICES › GENERAL REQUIREMENTS › Section 4226.26 - Tracking system

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 county MH/MR program shall develop a system for tracking at-risk
					 children.
(b) The tracking system
					 shall include the following:
(1) Procedures
					 for contacting the at-risk child and family by telephone, in writing or through
					 a face-to-face meeting at least once every 3 months after the child is referred
					 to the tracking system, unless an MDE conducted in accordance with §
												4226.61 (relating to MDE)
					 recommends and the parent agrees to more frequent contact. The parent may also
					 request less frequent contact and may request no further contact.
(2) The use of a standardized developmental
					 checklist as approved by the Department to review the child's development to
					 determine the need for one of the following:
(i) Further tracking.
(ii) Further evaluation or reevaluation for
					 eligibility for early intervention services.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4226 - EARLY INTERVENTION SERVICES › GENERAL REQUIREMENTS › Section 4226.27 - Monitoring responsibilities

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The county MH/MR program shall be
					 responsible for monitoring early intervention services, including service
					 coordination, which the county MH/MR program provides directly or through
					 contract, including services provided in another county or state.
(b) Monitoring shall include the measurement
					 and assurance of compliance with this chapter and of the quality of services
					 provided.
(c) The county MH/MR
					 program shall conduct the monitoring required by this section on an ongoing
					 basis but at least once every 12 months and maintain written documentation of
					 the results of the monitoring for 4 years or until any audit or litigation is
					 resolved.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4226 - EARLY INTERVENTION SERVICES › GENERAL REQUIREMENTS › Section 4226.28 - Self-assessment reviews

Current through Register Vol. 54, No. 28, July 13, 2024
The county MH/MR program, in consultation with the local
						interagency coordinating council and the county MH/MR program advisory board,
						shall conduct an early intervention self-assessment review at least once every
						3 years, including assessment of family satisfaction, using the tool provided
						by and adhering to the procedures established by the
						Department.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4226 - EARLY INTERVENTION SERVICES › GENERAL REQUIREMENTS › Section 4226.29 - Preservice training

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Early
					 intervention personnel who work directly with at-risk children or infants and
					 toddlers with disabilities, including personnel hired through contract, shall
					 receive training before working alone with at-risk children or infants and
					 toddlers with disabilities or their families in the following areas:
(1) Orientation to the early intervention
					 service system of the Department, including the purpose and operation of the
					 State and local interagency coordinating councils.
(2) The requirements of this
					 chapter.
(3) The duties and
					 responsibilities of their position.
(4) Methods for working with families
					 utilizing family-centered approaches to encourage family involvement and
					 consider family preferences.
(5)
					 The interrelated social, emotional, health, developmental and educational needs
					 of children.
(6) The availability
					 and use of available local and State community resources.
(7) The principles and methods applied in the
					 provision of services in the natural environment.
(8) The fiscal operations of the early
					 intervention service system and the specific funding sources.
(9) Within 120 days of the date of hire, fire
					 safety, emergency evacuation, first aid techniques and child cardiopulmonary
					 resuscitation.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4226 - EARLY INTERVENTION SERVICES › GENERAL REQUIREMENTS › Section 4226.30 - Annual training

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Early
					 intervention personnel who work directly with at-risk children and infants and
					 toddlers with disabilities, including personnel hired through contract, shall
					 have at least 24 hours of training annually, in addition to any preservice
					 training, relevant to early intervention services, child development, community
					 resources or services for children with disabilities. Specific areas shall
					 include cultural competence, mediation, procedural safeguards and universal
					 health procedures.
(b) The training
					 specified in §
											4226.29(a)(9)
					 (relating to preservice training) shall be renewed annually, unless there is a
					 formal certification for first aid or cardiopulmonary resuscitation by a
					 recognized health source that is valid for more than 1 year, in which case the
					 time period specified on the certification applies.
(c) Records of all annual training shall be
					 kept in the county MH/MR program's or provider's personnel files for as long as
					 the person is employed or under contract or for 4 years, whichever is longer,
					 or until any audit or litigation is resolved.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4226 - EARLY INTERVENTION SERVICES › GENERAL REQUIREMENTS › Section 4226.31 - Child Protective Services Law

Current through Register Vol. 54, No. 28, July 13, 2024
County MH/MR programs and service providers and agencies
						that contract with county MH/MR programs to deliver early intervention services
						shall comply with the provisions of 23 Pa.C.S. Chapter 63 (relating to Child
						Protective Services Law) and regulations in Chapter 3490 (relating to
						protective services), regarding background clearances for all employees who
						will have direct contact with children.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4226 - EARLY INTERVENTION SERVICES › GENERAL REQUIREMENTS › Section 4226.32 - Reporting and record retention

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The county MH/MR program shall submit
					 reports to the Department on a monthly, annual and periodic basis related to
					 program operations, financial expenditures and disbursements, service delivery
					 and demographic information, in the format and within the timelines as the
					 Department may require.
(b) The
					 Department will provide advance notice to the county MH/MR program of the
					 specific reports to be submitted and the deadlines for submission.
(c) The county MH/MR program is responsible
					 for keeping records and affording access to those records as the Department may
					 find necessary to assure compliance with this chapter, the accuracy of reports
					 or the proper disbursement of funds allocated under this chapter. Unless
					 otherwise specified in this chapter for specific records, records shall be kept
					 for 4 years or until any audit or litigation is resolved.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4226 - EARLY INTERVENTION SERVICES › GENERAL REQUIREMENTS › Section 4226.33 - Traditionally underserved groups

Current through Register Vol. 54, No. 28, July 13, 2024
The county MH/MR program shall ensure that:
(1) Traditionally underserved groups,
					 including minority, low-income and rural families, are provided the opportunity
					 to be active participants in the local interagency coordinating councils and
					 parent advisory groups and to participate in the development and implementation
					 of the IFSPs for their infants and toddlers with disabilities.
(2) Families have access to culturally
					 competent services within their local geographical areas.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4226 - EARLY INTERVENTION SERVICES › GENERAL REQUIREMENTS › Section 4226.34 - Local interagency coordinating council

Current through Register Vol. 54, No. 28, July 13, 2024
The county MH/MR program shall ensure that:
(1) A local interagency coordinating council
					 is established and maintained, which shall include parents and service
					 providers and agencies.
(2) The
					 local interagency coordinating council is authorized to advise and comment on
					 the development of local interagency agreements.
(3) The local interagency coordinating
					 council is authorized to communicate directly with the Department of Education,
					 the Department of Health, the Department of Human Services and the State
					 Interagency Coordinating Council regarding the local interagency agreement and
					 any other matters pertaining to this chapter.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4226 - EARLY INTERVENTION SERVICES › GENERAL REQUIREMENTS › Section 4226.35 - Confidentiality of information

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 The county MH/MR program shall ensure the protection of all personally
					 identifiable information collected, used or maintained under this
					 chapter.
(b) The county MH/MR
					 program shall ensure that parents are informed of their rights to written
					 notice of and written consent to the exchange of personally identifiable
					 information among agencies in accordance with
					 34 CFR
					 300.560-300.576 (relating to
					 confidentiality of information); 34 CFR Part 99 (relating to family educational
					 rights and privacy); and section 305(d) of the Early Intervention Services
					 System Act (11 P.S. §
												875-305(d)).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4226 - EARLY INTERVENTION SERVICES › GENERAL REQUIREMENTS › Section 4226.36 - Child records

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 county MH/MR program and every provider that contracts with a county MH/MR
					 program to deliver early intervention services shall maintain a separate file
					 for each child referred or accepted for tracking or early intervention
					 services.
(b) Entries in a child's
					 record shall be legible, dated and signed by the person making the
					 entry.
(c) Each child's record
					 shall contain, as applicable:
(1) Personally
					 identifiable information.
(2)
					 Intake information.
(3) Child
					 evaluation and assessment information.
(4) IFSPs.
(5) Service support plans specifying the
					 therapy services to be provided.
(6) Letters of medical necessity.
(7) Service coordination and service delivery
					 activity logs.
(8) Health
					 records.
(9) Notices issued under
					 §
												4226.95 (relating to prior
					 notice).
(10) Other information, as
					 specified in this chapter.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4226 - EARLY INTERVENTION SERVICES › PERSONNEL › Section 4226.51 - Provision of service coordination

Current through Register Vol. 54, No. 28, July 13, 2024
(a) As soon as possible after the referral of
					 a child and family to determine eligibility for early intervention services,
					 the county MH/MR program, either directly or through contract, shall assign a
					 service coordinator to the family.
(b) Each child and the child's family shall
					 be provided with one service coordinator who is responsible for serving as the
					 single point of contact in helping the parent to obtain the services and
					 assistance needed and for the activities specified in §
											4226.52 (relating to service
					 coordination activities).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4226 - EARLY INTERVENTION SERVICES › PERSONNEL › Section 4226.52 - Service coordination activities

Current through Register Vol. 54, No. 28, July 13, 2024
Service coordination is an active, ongoing process that
						includes the following activities:
(1)
					 Coordinating the performance of initial and ongoing evaluations and
					 assessments.
(2) Referring at-risk
					 children to the tracking system and tracking at-risk children.
(3) Facilitating and participating in the
					 development, implementation, review and evaluation of IFSPs.
(4) Assisting the family of an infant or
					 toddler with a disability in gaining access to the early intervention services
					 and other services identified on the IFSP.
(5) Facilitating the timely delivery of early
					 intervention services.
(6)
					 Assisting the family in identifying available service providers and
					 facilitating communication with and between the family and the service
					 provider.
(7) Coordinating and
					 monitoring the delivery of early intervention services.
(8) Informing the family of the availability
					 of advocacy services.
(9) Assisting
					 the family in arranging for the infant or toddler with a disability to receive
					 medical and health services, if the services are necessary, and coordinating
					 the provision of early intervention services and other services (such as
					 medical services for other than diagnostic and evaluation purposes) that the
					 infant or toddler needs or is being provided.
(10) Offering the family opportunities and
					 support for the infant or toddler with a disability to participate in community
					 activities with other children.
(11) Informing the family of appropriate
					 community resources.
(12)
					 Facilitating the development of a transition plan as part of the
					 IFSP.
This section cited in 55 Pa. Code §
													4226.5 (relating to definitions);
						  and 55 Pa. Code §
													4226.51 (relating to provision of
						  service coordination).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4226 - EARLY INTERVENTION SERVICES › PERSONNEL › Section 4226.53 - Service coordinator requirements and qualifications

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A county MH/MR program shall employ a
					 minimum of one service coordinator directly or through contract.
(b) Before performing service coordination
					 activities, a service coordinator shall demonstrate knowledge and understanding
					 about the following:
(1) At-risk children and
					 infants and toddlers with disabilities.
(2) Part C of IDEA (20 U.S.C.A. §§
													1431-1445) and accompanying regulations
					 (currently codified at 34 CFR Chapter 303 (relating to early intervention
					 program for infants and toddlers with disabilities)), and the Early
					 Intervention Services System Act (11 P.S. §§
													875-101-875-503).
(3) The nature and scope of services
					 available under this chapter and the funding sources
					 available.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4226 - EARLY INTERVENTION SERVICES › PERSONNEL › Section 4226.54 - Early interventionist responsibilities

Current through Register Vol. 54, No. 28, July 13, 2024
An early interventionist is responsible for the
						following:
(1) Designing the learning
					 environments and activities that promote the acquisition of skills by an infant
					 or toddler with a disability in a variety of developmental areas, including
					 cognitive processes and social interaction.
(2) Providing the family with information,
					 skills and support related to enhancing the skill development of the infant or
					 toddler with a disability.
(3)
					 Working with the infant or toddler with a disability and family to enhance the
					 infant or toddler's development.
This section cited in 55 Pa. Code §
													4226.55 (relating to early
						  interventionist qualifications).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4226 - EARLY INTERVENTION SERVICES › PERSONNEL › Section 4226.55 - Early interventionist qualifications

Current through Register Vol. 54, No. 28, July 13, 2024
An early interventionist shall have one of the following
						groups of minimum qualifications:
(1)
					 A bachelor's degree from an accredited college or university in early
					 intervention, early childhood special education, early childhood education,
					 child development, special education or family studies, and 1 year of full-time
					 or full-time-equivalent experience working directly with preschool children
					 with disabilities and their families or a university-supervised or
					 college-supervised student practicum or teaching experience with preschool
					 children with disabilities and their families.
(2) A bachelor's degree from an accredited
					 college or university which includes 15 credit hours in early intervention,
					 early childhood special education, early childhood education, child
					 development, special education or family studies; and 1 year of full-time or
					 full-time-equivalent experience working directly with preschool children with
					 disabilities and their families; and demonstrated knowledge, understanding and
					 skills needed to perform the functions specified in §
											4226.54 (relating to early
					 interventionist responsibilities).
This section cited in 55 Pa. Code §
													4226.56 (relating to effective
						  date of personnel qualifications).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4226 - EARLY INTERVENTION SERVICES › PERSONNEL › Section 4226.56 - Effective date of personnel qualifications

Current through Register Vol. 54, No. 28, July 13, 2024
Sections
						4226.53 and
						4226.55 (relating to service
						coordinator requirements and qualifications; and early interventionist
						qualifications) apply to service coordinators and early interventionists hired
						or promoted on and after July 1, 2003.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4226 - EARLY INTERVENTION SERVICES › EVALUATION AND ASSESSMENT › Section 4226.61 - MDE

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Requirements for MDE.
The county MH/MR program shall ensure
					 that:
(1) Each child referred for evaluation
					 receives a timely, comprehensive MDE and a family-directed assessment of the
					 needs of the child's family to assist in the development of the
					 child.
(2) The initial MDE is
					 conducted by personnel independent of service provision.
(3) An MDE is conducted for each infant or
					 toddler with a disability at least annually.
(4) A written MDE report is provided to the
					 parent within 30 calendar days of the MDE.
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4226 - EARLY INTERVENTION SERVICES › EVALUATION AND ASSESSMENT › Section 4226.62 - Nondiscriminatory procedures

Current through Register Vol. 54, No. 28, July 13, 2024
Each county MH/MR program shall adopt nondiscriminatory
						procedures for the evaluation and assessment of children and families that
						ensure, at a minimum, that:
(1) Tests
					 and other evaluation materials and procedures are administered in the native
					 language of the parent, unless it is clearly not feasible to do so.
(2) Assessment and evaluation procedures and
					 materials are selected and administered so as not to be racially or culturally
					 discriminatory.
(3) No single
					 procedure is used as the sole criterion for determining a child's eligibility
					 under this chapter.
(4) Evaluations
					 and assessments are conducted by qualified personnel.
This section cited in 55 Pa. Code §
													4226.24 (relating to comprehensive
						  child find system).
Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VI - Mental Health/Intellectual Disability/Autism Manual › Subpart C - Administration and Fiscal Management › Chapter 4226 - EARLY INTERVENTION SERVICES › IFSPs › Section 4226.71 - General

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Each county
					 MH/MR program shall adopt policies and procedures regarding IFSPs.
(b) The IFSP shall:
(1) Be developed in accordance with
					 §§
												4226.72 and
					 4226.73 (relating to procedures
					 for IFSP development, review and evaluation; and participants in IFSP meetings
					 and periodic reviews).
(2) Be based
					 on the evaluation and assessment described in §
												4226.61 (relating to
					 MDE).
(3) Include the matters
					 specified in §
												4226.74 (relating to content of
					 the IFSP).
(4) Be developed prior
					 to funding source decisions.