003.06A Early intervention services means developmental services that --
003.06A1 Are provided under public supervision;
003.06A2 Are selected in collaboration with parents;
003.06A3 Are provided at no cost, except subject to 34 CFR
303.520 and
303.521, where Federal or State law provides for a system of payments by families, including a schedule of sliding fees;
003.06A4 Are designed to meet the developmental needs of an infant or toddler with a disability and the needs of the family to assist appropriately in the infant's or toddler's development, as identified by the IFSP Team, in any one or more of the following areas, including --
003.06A4a Physical development;
003.06A4b Cognitive development;
003.06A4c Communication development;
003.06A4d Social or emotional development; or
003.06A4e Adaptive development;
003.06A5 Meet the standards of the State in which the early intervention services are provided, including the requirements of Part C of the IDEA;
003.06A6 Include services identified under 003.06B;
003.06A7 Are provided by qualified personnel as that term is defined in 92 NAC 52-003.22, including the types of personnel listed in 003.06B;
003.06A8 To the maximum extent appropriate, are provided in natural environments as defined in 92 NAC 52-003.18 and consistent with 92 NAC 52-007.06; and
003.06A9 Are provided in conformity with an IFSP adopted in accordance with 92 NAC 52-007.
003.06B Subject to 92 NAC 52-003.06D, early intervention services include the following services defined in this paragraph:
003.06B1
Assistive Technology device means 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 an infant or toddler with a disability. The term does not include a medical device that is surgically implanted, including a cochlear implant, or the optimization (e.g. mapping), maintenance, or replacement of that device.
003.06B2
Assistive technology service means any service that directly assists an infant or toddler with a disability in the selection, acquisition, or use of an assistive technology device. The term includes;
003.06B2a The evaluation of 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;
003.06B2b Purchasing, leasing, or otherwise providing for the acquisition of assistive technology devices by infants or toddlers with disabilities;
003.06B3c Selecting, designing, fitting, customizing, adapting, applying, maintaining, repairing, or replacing assistive technology devices;
003.06Bd Coordinating and using other therapies, interventions, or services with assistive technology devices, such as those associated with existing education and rehabilitation plans and programs;
003.06Be Training or technical assistance for an infant or toddler with a disability or, if appropriate, that child's family; and
003.06Bf Training or technical assistance for professionals (including individuals providing education or rehabilitation services) or other individuals who provide services to, or are otherwise substantially involved in the major life functions of, infants and toddlers with disabilities.
003.06B3
Audiology services include:
003.06B3a Identification of children with auditory impairments, using at-risk criteria and appropriate audiological screening techniques;
003.06B3b Determination of the range, nature, and degree of hearing loss and communication functions, by use of audiological evaluation procedures;
003.06B3c 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;
003.06B3d Provision of auditory training, aural rehabilitation, speech reading and listening devices, orientation and training, and other services;
003.06B3e Provision of services for prevention of hearing loss; and
003.06B3f Determination of the child's individual amplification, including selecting, fitting, and dispensing appropriate listing and vibrotactile devices, and evaluating the effectiveness of those devices.
003.06B4
Family training; counseling; and home visits means services provided, as appropriate, by social workers, psychologists, and other qualified personnel to assist the family of an infant or toddler with a disability in understanding the special needs of the child and enhancing the special needs of the child and enhancing the child's development.
003.06B5
Health services means services necessary to enable an otherwise eligible child to benefit from the other early intervention services during the time that the child is eligible to receive early intervention services.
003.06B5a The term includes such services as clean intermittent catherization, tracheotomy care, tube feeding, the changing of dressings or colostomy collection bags, and other health services; and consultation by physicians with other service providers concerning the special health care needs of infants and toddlers with disabilities that will need to be addressed in the course of providing other early intervention services.
003.06B5b The term does not include:
003.06B5b1 Services that are surgical in nature (such as cleft palate surgery, surgery for club foot, or the shunting of hydrocephalus); purely medical in nature (such as hospitalization for management of congenital heart ailments, or the prescribing of medicine or drugs for any purpose); or related to the implementation, optimization (e.g., mapping), maintenance, or replacement of a medical device that is surgically implanted, including a cochlear implant.
003.06B5b1(a) Nothing in this Chapter limits the right of an infant or toddler with a disability with a surgically implanted device (e.g., cochlear implant) to receive the early intervention services that are identified in the child's IFSP as being needed to meet the child's developmental outcomes.
003.06B5b1(b) Nothing in this Chapter prevents the early intervention service provider from routinely checking that either the hearing aid or the external components of a surgically implanted device (e.g., cochlear implant) of an infant or toddler with a disability are functioning properly;
003.06B5b2 Devices (such as heart monitors, respirators and oxygen, and gastrointestinal feeding tubes and pumps) necessary to control or treat a medical condition; and
003.06B5b3 Medical-health services (such as immunizations and regular "well-baby" care) that are routinely recommended for all children.
003.06B6
Medical services means services provided by a licensed physician for diagnostic or evaluation purposes to determine a child's developmental status and need for early intervention services.
003.06B7
Nursing services include the assessment of health status for the purpose of providing nursing care, including the identification of patterns of human response to actual or potential health problems; the provision of nursing care to prevent health problems, restore or improve functioning, and promote optimal health and development; and the administration of medications, treatments, and regimens prescribed by a licensed physician.
003.06B8
Nutrition services include:
003.06B8a Conducting individual assessments in nutritional history and dietary intake; in anthropometric, biochemical and clinical variables; in feeding skills and feeding problems; and in food habits and food preferences;
003.06B8b Developing and monitoring appropriate plans to address the nutritional needs of children eligible under 92 NAC 52, based on the findings of the individual assessments in 92 NAC 52-003.06B 8a; and
003.06B8b1 Making referrals to appropriate community resources to carry out nutrition goals.
003.06B9
Occupational therapy includes 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: identification, assessment, and intervention; adaptation of the environment, and selection, design, and fabrication of assistive and orthotic devices to facilitate development and promote the acquisition of functional skills; and prevention or minimization of the impact of initial or future impairment, delay in development, or loss of functional ability.
003.06B10
Physical Therapy includes 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:
003.06B10a Screening, evaluation, and assessment of children to identify movement dysfunction;
003.06B10b Obtaining, interpreting and integrating information appropriate to program planning to prevent, alleviate, or compensate for movement dysfunction and related functional problems; and
003.06B10c Providing individual and group services or treatment to prevent, alleviate, or compensate for, movement dysfunction and related functional problems.
003.06B11
Psychological services includes:
003.06B11a Administering psychological and developmental tests and other assessment procedures;
003.06B11b Interpreting assessment results;
003.06B11c Obtaining, integrating and interpreting information about child behavior and child and child family conditions related to learning, mental health, and development; and
003.06B11d Planning and managing a program of psychological services, including psychological counseling for children and parents, family counseling, consultation on child development, parent training, and education programs.
003.06B12
Services coordination services means services provided by a services 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.
003.06B13
Sign language and cued language services include teaching sign language, cued language, and auditory/oral language, providing oral transliteration services (such as amplification), and providing sign and cued language interpretation.
003.06B14
Social work services includes:
003.06B14a Making home visits to evaluate a child's living conditions and patterns of parent-child interaction;
003.06B14b Preparing a social or emotional developmental assessment of the infant or toddler within the family context;
003.06B14c Providing individual and family-group counseling with parents and other family members, and appropriate social skill-building activities with the infant or toddler with a disability and parents;
003.06B14d Working with those problems in the living situation (home, community, and any center where early intervention 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 early intervention services; and
003.06B14e Identifying, mobilizing and coordinating community resources and services to enable the infant or toddler with a disability and the family to receive maximum benefit from early intervention services.
003.06B15
Special Instruction includes:
003.06B15a 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;
003.06B15b 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;
003.06B15c Providing families with information, skills, and support related to enhancing the skill development of the child; and
003.06B15d Working with the infant or toddler with a disability to enhance the child's development.
003.06B16
Speech-language pathology services includes:
003.06B16a Identification of children with communication or language disorders and delays in development of communication skills, including the diagnosis and appraisal of specific disorders and delays in those skills;
003.06B16b Referral for medical or other professional services necessary for the habilitation or rehabilitation of children with communication or language disorders and delays in development of communication skills; and
003.06B16c Provision of services for the habilitation, rehabilitation, or prevention of communication or language disorders and delays in development of communication skills.
003.06B17
Transportation and related costs include the cost of travel and other costs that are necessary to enable an infant or toddler with a disability and the child's family to receive early intervention services.
003.06B18
Vision Services mean:
003.06B18a Evaluation and assessment of visual functioning, including the diagnosis and appraisal of specific visual disorders, delays and abilities that affect early childhood development;
003.06B18b Referral for medical or other professional services necessary for the habilitation or rehabilitation of visual functioning disorders or both; and
003.06B18c Communication skills training, orientation and mobility training for all environments, visual training, and additional training necessary to activate visual motor abilities.
