902 KAR 30:160 - Covered services
RELATES TO: KRS 200.656, 34 C.F.R. 303.13, 303.421(c), 20 U.S.C. 1435,
NECESSITY, FUNCTION, AND CONFORMITY: KRS 200.660 requires the Cabinet for Health and Family Services to administer all funds appropriated to implement provisions of KRS 200.650 to 200.676, to enter into contracts with service providers, and to promulgate administrative regulations. This administrative regulation establishes the provisions of covered services under First Steps, Kentucky's Early Intervention Program.
Section 1. Covered Services.
(1) Services shall be covered if the services
are included and authorized through parent signature on the Individualized
Family Service Plan (IFSP) developed by an IFSP team which shall include, at a
minimum, the family and two (2):
(a)
Professionals as identified in
902 KAR
30:150, Section 2(1);
(b) Paraprofessionals as identified in
902 KAR
30:150, Section 2(2); or
(c) Service positions as identified in
902 KAR
30:150, Section 2(3).
(2) Services covered shall include:
(a) Service coordination as provided in
accordance with
902 KAR
30:110, Section 3, and this paragraph:
1. A child shall have only one (1) designated
service coordinator at a given time;
2. Service coordination shall be provided by
qualified professionals in accordance with
902 KAR
30:150, Section 2(3)(b); and
3. Service coordination shall be provided
under the limitations of
902 KAR
30:200, Sections 2(3)(b)-(d);
(b) Initial evaluation as provided in
accordance with
902 KAR
30:120 and this paragraph. Initial evaluation shall
be:
1. Considered the first level of a two (2)
tier system of evaluation; and
2.
Provided by qualified professionals in accordance with
902 KAR
30:150, Section 2(3)(c) and (d);
(c) Intensive team evaluation as provided in
accordance with
902 KAR
30:120, Section 1(4) and (5)(b), and this paragraph.
Intensive team evaluation shall be:
1.
Considered the second level of a two (2) tier system of evaluation;
and
2. Provided by qualified
professionals in accordance with
902 KAR
30:150, Section 2(3)(e);
(d) Assessment of the child as provided in
accordance with
902
KAR 30:130, Section 1, and
902 KAR
30:200, Section 3(1);
(e) Early intervention.
1. Early intervention shall be provided in
accordance with
34 C.F.R. 303.13(a)
through (b).
2. Except as provided in subparagraph 3. of
this paragraph, early intervention, which is face-to-face intervention with the
child and caregivers within the context of the environment, shall include four
(4) types of service:
a. Individual home or
community service which shall include intervention provided by a First Steps
qualified professional to an eligible child at the child's home or other
natural setting in which children under three (3) years of age are typically
found (including non-First Steps provider day care centers or family day care
homes) under the limitations of
902 KAR
30:200, Section 3(2);
b. Individual office or center-based service
which shall include intervention provided by First Steps qualified
professionals to an eligible child at the professional's office or center site
under the limitations of
902 KAR
30:200, Section 3(2);
c. Group intervention which shall include the
provision of early intervention services by First Steps qualified personnel in
a group, with two (2) or more eligible children, at an early intervention
professional's site, office, center, or other community-based setting where
children under three (3) years of age are typically found.
(i) The group may also include children
without disabilities as long as a three (3) to one (1) ratio of children to
staff is maintained.
(ii) Group
intervention shall be provided under the limitations of
902 KAR
30:200, Section 3(2)(b); or
d. Co-treatment which shall occur if more
than one (1) provider is present and providing early intervention services at
the same time. Each provider's service log shall document:
(i) Why this approach is being
used;
(ii) The outcomes and
activities;
(iii) Who is performing
the activities; and
(iv) That the
service providers involved are providing or learning about the early
intervention at the same time.
3. If early intervention services are
provided by a psychologist, counselor, marriage and family therapist, or social
worker, the child shall not be required to attend the intervention. The reason
the child's presence is clinically contraindicated shall be documented in the
service note.
4. Disciplines
providing early intervention shall be qualified professionals in accordance
with
902 KAR
30:150, Section 2(1), or qualified paraprofessionals
in accordance with
902 KAR
30:150, Section 2(2), and shall include the following:
a. An audiologist;
b. A marriage and family therapist;
c. A developmental interventionist;
d. A nurse;
e. A dietician;
f. An occupational therapist;
g. An occupational therapy
assistant;
h. An orientation and
mobility specialist;
i. A physical
therapist;
j. A physical
therapist's assistant;
k. A
licensed psychologist, a certified psychologist with autonomous functioning, a
licensed psychological practitioner, certified psychologist, or licensed
psychological associate;
l. A
speech-language pathologist;
m. A
licensed social worker;
n. A
licensed professional clinical counselor (LPCC);
o. A teacher of the visually
impaired;
p. A teacher of the deaf
and hard of hearing;
q. A
physician;
r. An
optometrist;
s. An ophthalmologist;
or
t. A sign language and cued
language specialist;
(f) Collateral service as provided in
accordance with
902 KAR
30:200, Section 3(4);
(g) Assistive technology in accordance with
902 KAR
30:001, Section 1(3), and 30:130, Section 4;
(h) Respite which shall be a service provided
to the family of an eligible child for the purpose of providing relief from the
care of the child in order to strengthen the family's ability to attend to the
child's developmental needs under the limitations of
902 KAR
30:200, Section 3(3);
(i) Transportation and related cost which
shall be the costs of travel that are necessary to enable an eligible child to
receive early intervention services; and
(j) Language access services for all families
consistent with the provisions of the Individuals with Disabilities Education
Improvement Act (IDEA),
34 C.F.R.
303.421(c), that, at a
minimum, assists the family in understanding the purpose of First Steps and the
family's procedural safeguards during referral, eligibility determination
activities, and IFSP meetings.
Notes
STATUTORY AUTHORITY: KRS 194A.030, 194A.050, 200.660
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