SECTION EARLY INTERVENTION – Question # Question Guidance/Additional Information Compliant Plan of Correction Yes/No (If not compliant) 13.001 Does the CB provide evidence based EI EI services may include service services to EI system? 5123:2-1-02 coordination, special instruction, physical, and speech and occupational therapy services. Reference federal regulations (303.302) or HMG Rule 3701-8-01 (U) to see a list of other EI services. 13.002 Does the CB participate in the If so, must be completed within the 45-day Evaluation/Assessment for children referred timeline from the date of program referral to the local EI system? (DOR) to the HMG system to the signing of 5123:2-1-04 the initial IFSP. This includes a functional child assessment and the *family directed assessment. *Families may decline to participate in the Family Directed Assessment. 13.003 Does the CB use more than one method to Assessed in all 5 developmental domains conduct functional assessments? (Required) 5123:2-1-02 Multiple methods (i.e. could include: parent interview/report, observation, record review, criterion reference tools and working through multiple strategies. Multidisciplinary to attachment A, Child Assessment section to verify assessment methods/disciplines. 13.004 Does the CB use one of the DODD Approved tools for evaluation: Bayley or approved tools to evaluate children? Battelle 5123:2-1-02
SECTION – EARLY INTERVENTION Question # Question Guidance/Additional Information Compliant Yes/No Plan of Correction (If not compliant) 13.001 Does the CB provide evidence based EI services to EI system? 5123:2-1-02 EI services may include service coordination, special instruction, physical, and speech and occupational therapy services. Reference federal regulations (303.302) or HMG Rule 3701-8-01 (U) to see a list of other EI services. 13.002 Does the CB participate in the Evaluation/Assessment for children referred to the local EI system? 5123:2-1-04 If so, must be completed within the 45-day timeline from the date of program referral (DOR) to the HMG system to the signing of the initial IFSP. This includes a functional child assessment and the *family directed assessment. *Families may decline to participate in the Family Directed Assessment. 13.003 Does the CB use more than one method to conduct functional assessments? 5123:2-1-02 Assessed in all 5 developmental domains (Required) Multiple methods (i.e. could include: parent interview/report, observation, record review, criterion reference tools and working through multiple strategies. Multidisciplinary to attachment A, Child Assessment section to verify assessment methods/disciplines. 13.004 Does the CB use one of the DODD approved tools to evaluate children? 5123:2-1-02 Approved tools for evaluation: Bayley or Battelle
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