Section 2070.55 Early Intervention Services/Devices

Section 500

TITLE 23: EDUCATION AND CULTURAL RESOURCES

SUBTITLE A: EDUCATION

CHAPTER XI: DEPARTMENT OF EARLY CHILDHOOD

PART 2070 EARLY INTERVENTION PROGRAM

SECTION 2070.55 EARLY INTERVENTION SERVICES/DEVICES

Section 2070.55  Early

Intervention Services/Devices

EI services may include the

following as deemed necessary under the IFSP:

a)         Assistive

technology, including:

1)         Assistive technology devices, meaning any item, piece of

equipment or product system, whether acquired commercially off the shelf,

modified or customized, that is used to increase, maintain or improve the

functional capabilities of children with disabilities.  The term does not

include a medical device that is surgically implanted, including cochlear

implant, or the optimization (e.g., mapping), maintenance or replacement of

that device.  Devices must be approved prior to purchase by the Department.

Prior approval will not exclude assistive technology devices as defined in this

Part that are required in order to meet the child's EI needs.  Devices that

meet the medical, life sustaining or routine daily needs of the child do not

fall within the definition of assistive technology device.

2)         Assistive technology services, meaning services that directly

assist an infant or toddler with a disability in selection, acquisition or use

of an assistive technology device. Assistive technology services include:

A)        Evaluating the needs of an infant or toddler with a disability,

including a functional evaluation of the infant or toddler with a disability in

the child's customary environment;

B)        Selecting, designing, fitting, customizing, adapting,

maintaining or repairing assistive technology devices;

C)        Coordinating and using other therapies, interventions or

services with assistive technology devices, such as those associated with

existing education and rehabilitation plans and programs; and

D)        Training or technical assistance for an infant or toddler with

a disability or, if appropriat

g, fitting, customizing, adapting,

maintaining or repairing assistive technology devices;

C)        Coordinating and using other therapies, interventions or

services with assistive technology devices, such as those associated with

existing education and rehabilitation plans and programs; and

D)        Training or technical assistance for an infant or toddler with

a disability or, if appropriate, that child's family.

b)         Audiology, aural rehabilitation/other related services for the

purposes of:

1)         Identification of children with auditory impairment, using at

risk criteria and appropriate audiologic screening techniques;

2)         Determination of the range, nature, and degree of hearing loss

and communication functions by use of audiological evaluation procedures;

3)         Referral for medical and other services necessary for the

habilitation or rehabilitation of an infant or toddler with a disability who

has an auditory impairment;

4)         Provision of auditory training, aural rehabilitation, speech

reading and listening device orientation and training, and other related

services;

5)         Determination of the child's individual amplification,

including selecting, fitting, and dispensing appropriate listening and

vibrotactile devices, and evaluating the effectiveness of those devices;

6)         Provision of services for prevention of hearing loss; and

7)         Family training, education and support provided to assist the

child's family in understanding the child's special needs as related to

audiology, aural rehabilitation and other related services and to enhancing the

child's development

ening and

vibrotactile devices, and evaluating the effectiveness of those devices;

6)         Provision of services for prevention of hearing loss; and

7)         Family training, education and support provided to assist the

child's family in understanding the child's special needs as related to

audiology, aural rehabilitation and other related services and to enhancing the

child's development.

c)         Developmental therapy services for the purposes of:

1)         Evaluation to determine a child's developmental status and

need for EI services;

2)         The design of learning environments and activities that

promote the infant's or toddler's acquisition of skills in a variety of

developmental areas, including cognitive processes and social interaction;

3)         Curriculum planning, including the planned interaction of

personnel, materials, and time and space, that leads to achieving the outcomes

in the IFSP for the infant or toddler with a disability;

4)         Providing families with information, skills and support

related to enhancing the skill development of the child;

5)         Working with the infant or toddler with a disability to

enhance the child's development; and

6)         Family training, education and support provided to assist the

child's family in understanding the child's special needs as related to

developmental therapy services and to enhance the child's development.

d)         Family training and support that can include education

provided to assist the family of an eligible child in understanding the needs

of the child as related to the provider's specific discipline and to enhance

the child's development

ist the

child's family in understanding the child's special needs as related to

developmental therapy services and to enhance the child's development.

d)         Family training and support that can include education

provided to assist the family of an eligible child in understanding the needs

of the child as related to the provider's specific discipline and to enhance

the child's development.

e)         Health consultation by a licensed physician who has provided

recent and/or ongoing medical treatment for the child with service providers

who are identified on a child's IFSP as members of the child's

multidisciplinary team concerning the health care needs of infants and toddlers

with disabilities that will need to be addressed in the course of providing

other EI services.

f)         Medical services for diagnostic or evaluation purposes

provided by a licensed physician to determine a child's developmental status

and need for EI services.

g)         Nursing

services for the purposes of:

1)         Evaluation to determine a child's developmental status and

need for EI services;

2)         Assessment to determine a child's health status for the

purpose of providing nursing care, including the identification of patterns of

human response to actual or potential health problems;

3)         Provision of required nursing care to prevent health problems,

restore or improve functioning, and promote optimal health and development during

the time the child is receiving other EI services, such as:

A)        administration of medications, treatments, and regimens

prescribed by a licensed physician; and

B)        clean intermittent catheterization, tracheostomy care, tube

feeding, the changing of dressings or colostomy collection bags, and other

health services as required to allow the child to participate in other EI

services;

4)         Family training, education and support provided to assist the

child's family in understanding the child's needs as related to nursing

services and to enhancing the chi

ean intermittent catheterization, tracheostomy care, tube

feeding, the changing of dressings or colostomy collection bags, and other

health services as required to allow the child to participate in other EI

services;

4)         Family training, education and support provided to assist the

child's family in understanding the child's needs as related to nursing

services and to enhancing the child's development.  Nursing services do not

include hospital or home health nursing care required due to surgical or

medical intervention or medical health services such as immunizations and

regular "well child" care that are routinely recommended for all

children.

h)         Nutrition

services for the purposes of:

1)         Conducting individual assessments in nutritional history and

dietary intake, anthropometric, biochemical, and clinical variables, feeding

skills and feeding problems, and food habits and food preferences;

2)         Developing and monitoring appropriate plans to address the

nutritional needs of the eligible child based upon individual assessment;

3)         Making referrals to appropriate community resources to carry

out nutrition goals; and

4)         Family training, education and support provided to assist the

child's family in understanding the child's needs as related to nutrition

services and to enhancing the child's development.

i)          Occupational therapy services to address the functional needs

of an infant or toddler with a disability related to adaptive development;

adaptive behavior and play; and sensory, motor, and postural development

ing, education and support provided to assist the

child's family in understanding the child's needs as related to nutrition

services and to enhancing the child's development.

i)          Occupational therapy services to address the functional needs

of an infant or toddler with a disability related to adaptive development;

adaptive behavior and play; and sensory, motor, and postural development.

These services are designed to improve the child's functional ability to

perform tasks in home, school, and community settings and include:

1)         Identification, evaluation, assessment and intervention;

2)         Adaptation of the environment and selection, design and

fabrication of assistive and orthotic devices to facilitate development and

promote the acquisition of functional skills;

3)         Prevention or minimization of the impact of initial or future

impairment, delay in development, or loss of functional ability; and

4)         Family training, education and support provided to assist the

child's family in understanding the child's needs as related to occupational

therapy services and to enhancing the child's development.

j)          Physical therapy services to address the promotion of

sensorimotor function through enhancement of musculoskeletal status,

neurobehavioral organization, perceptual and motor development, cardiopulmonary

status, and effective environmental adaptation.  These services include:

1)         Evaluation, screening and assessment of infants and toddlers

to identify movement dysfunction;

2)         Obtaining, interpreting, and integrating information

appropriate to program planning to prevent, alleviate, or compensate for

movement dysfunction and related functional problems;

3)         Providing individual and group services or treatment to

prevent, alleviate, or compensate for movement dysfunction and related

functional problems; and

4)         Family training, education and support provided to assist the

child's family in understanding the child's needs as related

ning to prevent, alleviate, or compensate for

movement dysfunction and related functional problems;

3)         Providing individual and group services or treatment to

prevent, alleviate, or compensate for movement dysfunction and related

functional problems; and

4)         Family training, education and support provided to assist the

child's family in understanding the child's needs as related to physical

therapy services and to enhancing the child's development.

k)         Psychological services for the purposes of:

1)         Evaluation to determine a child's developmental status and

need for EI services;

2)         Administering psychological and developmental tests and

assessment procedures to determine the need for psychological or other

counseling services;

3)         Interpreting assessment results;

4)         Obtaining, integrating and interpreting information about

child behavior and child and family conditions related to learning, mental

health and development;

5)         Planning and managing a program of psychological or other

counseling services, including psychological or other counseling for children

and parents, family counseling, consultation on child development, parent

training and education programs;

6)         Family training, education and support provided to assist the

child's family in understanding the child's needs as related to psychological

or other counseling services and to enhancing the child's development; and

7)         Identifying, mobilizing and coordinating community resources

and services to enable the child and family to receive maximum benefit from EI

services

programs;

6)         Family training, education and support provided to assist the

child's family in understanding the child's needs as related to psychological

or other counseling services and to enhancing the child's development; and

7)         Identifying, mobilizing and coordinating community resources

and services to enable the child and family to receive maximum benefit from EI

services.

l)          Service coordination carried out by a Service Coordinator to

assist and enable an infant or toddler with a disability and the child's family

to receive the services and rights, including procedural safeguards, and

services that are authorized to be provided through the State's EI Program,

including:

1)         Assisting parents of infants and toddlers with disabilities in

obtaining access to needed EI services and other services identified in the

IFSP, including making referrals to providers for needed services and

scheduling appointments for infants and toddlers with disabilities and their

families;

2)         Coordinating the provision of EI services and other services

(such as educational, social and medical services that are not provided for

diagnostic or evaluative purposes) that the child needs or is being provided;

3)         Coordinating evaluations and assessment;

4)         Facilitating and participating in the development, review and

evaluation of IFSPs;

5)         Conducting referral and other activities to assist families in

identifying available EI services providers;

6)         Coordinating, facilitating and monitoring the delivery of EI

services to ensure that the services are provided in a timely manner;

7)         Conducting follow-up activities to determine that appropriate

Part C services are being provided;

8)         Informing families of their rights and procedural safeguards and

related resources;

9)         Coordinating the funding sources for services required under

this Part;

10)         Facilitating the development of a transition plan to

preschool, school or, if

in a timely manner;

7)         Conducting follow-up activities to determine that appropriate

Part C services are being provided;

8)         Informing families of their rights and procedural safeguards and

related resources;

9)         Coordinating the funding sources for services required under

this Part;

10)         Facilitating the development of a transition plan to

preschool, school or, if appropriate, other services;

11)         Contacting the child/family at a minimum of one time per

month to coordinate and monitor the provision of needed evaluation/assessments

and services;

12)         Developing and maintaining the child's permanent and

electronic EI record at the regional intake entity; and

13)         Informing

families of the availability of advocacy services.

m)        Sign

language and cued language services, including teaching sign language, cued

language, and auditory/oral language, providing oral transliteration services

(such as amplification), and providing sign and cued language interpretation.

These services shall be covered under the existing EI services.

n)         Social

work services for the purposes of:

1)         Evaluation to determine a child's developmental status and

need for EI services;

2)         Making home visits to evaluate a child's living conditions and

patterns of parent-child interaction to determine the need for social work or

other counseling services;

3)         Preparing a social or emotional developmental assessment of

the infant or toddler within the family context;

4)         Providing individual and family group counseling with parents

and other family members, and appropriate social skill building activities with

the infant or toddler and parents;

5)         Working with those problems in the living situation (home,

community, and any center where EI services are provided) of an infant or

toddler with a disability and the family of that child that affect the child's

maximum utilization of EI services;

6)         Identifying, mobilizing, and c

mbers, and appropriate social skill building activities with

the infant or toddler and parents;

5)         Working with those problems in the living situation (home,

community, and any center where EI services are provided) of an infant or

toddler with a disability and the family of that child that affect the child's

maximum utilization of EI services;

6)         Identifying, mobilizing, and coordinating community resources

and services to enable the infant or toddler with a disability and family to

receive maximum benefit from EI services; and

7)         Family training, education and support provided to assist the

child's family in understanding the child's needs as related to social work or

other counseling services and to enhancing the child's development.

o)         Speech-language

pathology services for the purposes of:

1)         Evaluation/assessment activities to identify children with communicative

or language disorders and delays in development of communication skills,

including the diagnosis and appraisal of specific disorders, and delays in

those skills;

2)         Referral for medical or other professional services necessary

for the habilitation or rehabilitation of children with communicative or language

disorders and delays in development of communication skills;

3)         Provision of services for the habilitation, rehabilitation, or

prevention of communication or language disorders and delays in development of

communication skills; and

4)         Family training, education and support provided to assist the

child's family in understanding the child's needs as related to speech therapy

services and to enhancing the child's development

ication skills;

3)         Provision of services for the habilitation, rehabilitation, or

prevention of communication or language disorders and delays in development of

communication skills; and

4)         Family training, education and support provided to assist the

child's family in understanding the child's needs as related to speech therapy

services and to enhancing the child's development.

p)         Transportation services and related costs include the cost of

travel (e.g., loaded mileage for travel by taxi, service car or private auto)

provided in accordance with the Department's EI transportation policies that

are necessary to enable an infant or toddler with a disability and the child's

family to travel to and from the location where the child receives another EI

service.

q)         Vision

services for the purposes of:

1)         Evaluation/assessment of visual functioning, including the

diagnosis and appraisal of specific visual disorders, delays and abilities that

affect early childhood development;

2)         Referral for medical or other professional services necessary

for the habilitation and/or rehabilitation of visual functioning disorders;

3)         Communication skills training, orientation and mobility

training for all environments, visual training, and additional training

necessary to activate visual motor abilities; and

4)         Family training, education and support provided to assist the

child's family in understanding the child's needs as related to vision services

and to enhancing the child's development.

r)          Other Services

1)         The services and personnel do not comprise exhaustive lists of

the types of services that may constitute early intervention services.  Nothing

prohibits the identification in the IFSP of another type of service as long as

the service meets the criteria identified under Section 2070.20 under the

definition of "EI services" and personnel have met the requirements

of Section 2070.60 and Appendix C

e services and personnel do not comprise exhaustive lists of

the types of services that may constitute early intervention services.  Nothing

prohibits the identification in the IFSP of another type of service as long as

the service meets the criteria identified under Section 2070.20 under the

definition of "EI services" and personnel have met the requirements

of Section 2070.60 and Appendix C.

2)         EI

services do not include services that are surgical in nature; purely medical in

nature; related to the implementation, optimization, maintenance or replacement

of a medical device that is surgically implanted, including a cochlear implant;

devices (such as heart monitors, respirators and oxygen, and gastrointestinal

feeding tubes and pumps) necessary to control or treat a medical condition; and

medical-health services (such as immunizations and regular "well-baby"

care that are routinely recommended for all children).