Code of Colorado Regulations
1400 - Department of Early Childhood
1405 - Early Intervention Colorado Program
8 CCR 1405-1 - EARLY INTERVENTION RULES AND REGULATIONS
Section 8 CCR 1405-1-5.114 - EARLY INTERVENTION SERVICES
Universal Citation: 8 CO Code Regs 1405-1, ยง 5.114
Current through Register Vol. 47, No. 17, September 10, 2024
This rule is promulgated pursuant to sections 26.5-3-403, 26.5-3-406, 26.5-3-408, and 26.5-3-409, C.R.S.
A. Early intervention services shall be:
1. Provided only after the development of an
Individualized Family Service Plan and written parental consent is obtained for
those services identified in the Individualized Family Service Plan;
2. Provided to meet the developmental needs
of an eligible infant or toddler, parent or guardian, or other caregivers, to
achieve the outcomes identified in the Individualized Family Service
Plan;
3. Based on appropriate
peer-reviewed, evidence-based practices, to the extent which is
practical;
4. Related to functional
outcomes and developmentally appropriate practices to support participation in
everyday routines, activities, and places;
5. Provided by qualified providers who meet
the state personnel standards for each Early Intervention Service;
6. Provided in a culturally relevant manner,
including use of an interpreter, if needed;
7. Provided in the natural environments of
the child and family to the maximum extent appropriate. If there is a
determination that an Early Intervention Service cannot be provided in a
natural environment, written justification shall be provided in the
Individualized Family Service Plan; and
8. Provided in physical settings where
community-based early intervention services are accessed that meet all fire,
building, licensing, and health regulations, as applicable.
B. Early intervention services shall include the following:
1. Assistive
Technology Services:
a. Means the direct
selection, acquisition, or use of assistive technology devices and includes:
(1) Functional evaluation of the
developmental needs of the infant or toddler in their usual
environments;
(2) Selection,
acquisition, modification, or customization and maintenance of assistive
technology devices;
(3)
Coordinating and using other therapies, interventions, or services with
assistive technology devices, such as those associated with existing
intervention plans and programs;
(4) Training or technical assistance for
professionals providing early intervention services or other individuals
identified as providing early intervention services to, or are otherwise
substantially involved in the major life functions of, an infant or toddler on
the use of assistive technology devices;
(5) Training or technical assistance for an
infant or toddler receiving early intervention services or, if appropriate, the
child's family; and
(6) 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, developmental capabilities of an infant or toddler in their
usual environments.
(a) The device must be
identified in the Individualized Family Service Plan; and
(b) Prior to purchase or lease of an
assistive technology device, an assessment shall be conducted by a qualified
early intervention provider to assure that the device is appropriate for the
child and family's needs.
b. Does not mean a device that is primarily
intended to treat a medical condition, meet life-sustaining needs, or a medical
device that is surgically implanted, including a cochlear implant. It also does
not mean the optimization, maintenance, or the replacement of such a
device.
2. Audiology
Services:
a. Means services for the
identification of an infant or toddler with an auditory impairment, using
at-risk criteria and appropriate audiologic screening techniques, and includes:
(1) Loss and communication functions, by use
of audiological evaluation procedures;
(2) Auditory training, aural rehabilitation,
speech reading and listening devices, orientation, and other training to
increase functional communication skills;
(3) The determination of the need for
individual amplification, including selecting, fitting and dispensing an
appropriate listening and vibrotactile device, and evaluating the effectiveness
of the device;
(4) Referral for
medical and other services necessary for the habilitation or rehabilitation of
an infant or toddler with a disability which is an auditory
impairment;
(5) Family training,
education, and support provided to assist a parent or guardian or other
caregivers of a child eligible for services in understanding the special needs
of the infant or toddler as related to audiology and aural rehabilitation
services; and
(6) The provision of
services for prevention of hearing loss.
b. Does not mean therapeutic services
required for an infant or toddler to recover from medical procedures such as
surgery, or pre-surgery therapeutic services required by a physician to prepare
a child for surgery and that are beyond the scope of the early intervention
services identified in the child's Individualized Family Service Plan as being
needed to meet the child's developmental outcomes.
3. Developmental Intervention Services:
a. Means developmental assessment and special
instruction to address the functional developmental needs of an infant or
toddler and includes:
(1) The design or
adaptation of learning environments, activities and materials to enhance
developmental and learning opportunities that promote the infant or toddler's
acquisition of skills in a variety of developmental areas, including cognitive
processes and social interaction;
(2) Curriculum planning, including the
planned interaction of personnel, materials, and time and space, that leads to
achieving the outcomes in the child's Individualized Family Service
Plan;
(3) Working with the child to
enhance the child's development; and
(4) Family training, education and support
provided to assist a parent or guardian or other caregivers in understanding
the special needs of the child related to enhancing the skill development of
the child.
4.
Health Services:
a. Means services by a
licensed health care professional that enable an eligible infant or toddler to
benefit from other allowable early intervention services and includes:
(1) Assessment to determine the health status
and special health care needs that will impact the provision of other early
intervention services;
(2) Services
such as clean intermittent catheterization, tracheostomy care, tube feeding,
the changing of dressings or colostomy bags, and other health services;
and
(3) Consultation by a health
care professional with a parent or guardian or other service provider regarding
the impact of the infant or toddler's health status on the provision of other
early intervention services.
b. Does not mean:
(1) Services that are:
(a) Purely medical in nature, such as
hospitalization, or the prescribing of medicine or other drugs for any
purpose;
(b) Surgical in nature,
such as cleft palate surgery or shunting for hydrocephalus;
(c) Medical diagnostic procedures, services
that are primarily intended to treat a medical condition; or
(d) Related to the implementation,
optimization, maintenance, or replacement of a medical device that is
surgically implanted.
(2) Devices necessary to control or treat a
medical condition, or that are medical or health services routinely recommended
for all infants and toddlers.
c. Nothing in this section of the rules
limits the rights of an infant or toddler with a disability, that has a
surgically implanted device, to receive the early intervention services
identified in the child's Individualized Family Service Plan as being needed to
meet the child's developmental outcomes.
d. Nothing in this section of the rules
prevents the early intervention services provider from routinely checking that
either the hearing aid or the external components of a surgically implanted
device, such as a cochlear implant, used by an infant or toddler with a
disability are functioning properly.
5. 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.
6. Nursing Services:
a. Means assessment of health status for the
purpose of providing:
(1) Nursing care,
including the identification of patterns of human response to actual or
potential health problems;
(2)
Nursing care to prevent health problems, restore or improve functioning, and
promote health and development; and
(3) The administration of medications,
treatments, and regimens prescribed by a licensed physician.
7. Nutrition Services:
a. Means development of a plan to address the
nutritional and feeding needs of an infant or toddler related to their
development, and includes:
(1) The assessment
of the nutritional history, dietary intake, body measurements such as height
and weight, and feeding status;
(2)
Consultation to develop, implement and monitor appropriate plans to address the
nutritional needs;
(3) Referral to
appropriate community resources to carry out nutritional plans; and
(4) Family training, education and support
provided to assist a parent or guardian or other caregivers in understanding
the special needs of the child related to nutrition and feeding and enhancing
the child's development.
8. Occupational Therapy Services:
a. Means assessment and intervention services
with an emphasis on adaptive skills, motor and sensory development, mobility,
play and oral-motor functioning and includes:
(1) Intervention strategies to address the
functional developmental needs, including oral motor functioning of an infant
or toddler, minimizing the impact of initial or future impairment, and delay in
development or loss of functional ability;
(2) Consultation to adapt the environment to
promote development, access and participation in everyday routines, activities
and places;
(3) The selection,
design, or fabrication of assistive and orthotic devices to promote mobility or
participation in everyday routines, activities, and places; and
(4) Family training, education, and support
provided to assist a parent or guardian or other caregivers in understanding
the special needs of the child as related to occupational therapy strategies
and enhancing the child's motor development.
b. Does not include therapeutic services
required due to, or as part of, a medical procedure, a medical intervention or
an injury that is expected to heal without a long-term impact to child
development and that is beyond the scope of the early intervention services
identified in the child's Individualized Family Service Plan as being needed to
meet the child's developmental outcomes.
9. Physical Therapy Services:
a. Means assessment and intervention services
with an emphasis on mobility, positioning, motor development, and both strength
and endurance and includes:
(1) Intervention
strategies to address the functional developmental needs of an infant or
toddler;
(2) Through individual or
group services, to obtain, interpret, and integrate information for program
planning to prevent, alleviate, or compensate for movement dysfunction and
related functional problems;
(3)
The design or acquisition of assistive and orthotic devices, and effective
adaptation of the child's environment to promote mobility and participation in
everyday routines, activities and places, and minimize 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 a parent or guardian or other caregivers in
understanding the special needs of the child as related to physical therapy
strategies and enhancing the child's motor development.
b. Does not include therapeutic services
required due to, or as part of, a medical procedure, a medical intervention or
an injury that is expected to heal without a long-term impact to the child's
development and that is beyond the scope of the early intervention services
identified in the child's Individualized Family Service Plan as being needed to
meet the child's developmental outcomes.
10. Psychological Services:
a. Means assessment and intervention services
that address the development, cognition, behavior, and social or emotional
development of an infant or toddler and includes:
(1) The administration of psychological and
developmental tests and other assessment procedures to identify the
developmental, cognitive, behavioral and social emotional status;
(2) The acquisition, integration and
interpretation of test results, other information about development and
behavior and the family and living situation related to learning, social or
emotional development and behavior;
(3) The provision of individual or parent or
guardian counseling;
(4) Planning
and managing a child's program of psychological services;
(5) Consultation on child behavior, child and
family conditions related to learning, mental health, and development to a
parent or guardian, other caregivers, and other service providers;
and
(6) Family training, education,
and support provided to assist a parent or guardian or other caregivers in
understanding the special needs of the child as related to psychological
strategies and enhancing the child's psychological and cognitive
development.
11. Sign Language and Cued Language Services
means instruction that includes sign language, cued language, auditory or oral
language, providing oral transliteration services, and providing sign and cued
language interpretation for an infant or toddler.
12. Social and Emotional Services:
a. Means assessment and intervention services
that address social and emotional development in the context of a family and
parent or guardian-child interaction and includes:
(1) Home visits to evaluate an infant or
toddler's living conditions and patterns of parent or guardian-child
interaction;
(2) The completion of
social or emotional developmental assessment;
(3) The provision of individual or group
counseling to an infant or toddler or a parent or guardian in order to
understand the parental needs related to their child's development and how to
enhance the development of the child;
(4) The provision of social skill building
activities with the child and parent or guardian;
(5) Intervention strategies to address issues
in the living or caregiving situation that may affect the child's development
and/or utilization of other allowable early intervention services;
(6) The identification, mobilization and
coordination of community resources and services to enable an infant or toddler
and their parent or guardian to receive maximum benefit from other early
intervention services; and
(7)
Family training, education, and support provided to assist a parent or guardian
or other caregivers in understanding the special needs of the child as related
to strategies for enhancing the child's social or emotional development.
"Social and emotional services" means assessment and intervention services that
address social emotional development in the context of a family and parent or
guardian-child interaction and includes:
(a)
Home visits to evaluate an infant or toddler's living conditions and patterns
of parent or guardian-child interaction;
(b) The completion of social or emotional
developmental assessment;
(c) The
provision of individual or group counseling to an infant or toddler or a parent
or guardian in order to understand the parental needs related to their child's
development and how to enhance the development of the child;
(d) The provision of social skill building
activities with the child and parent or guardian;
(e) Intervention strategies to address issues
in the living or caregiving situation that may affect the child's development
and/or utilization of other allowable early intervention services;
(f) The identification, mobilization and
coordination of community resources and services to enable an infant or toddler
and their parent or guardian to receive maximum benefit from other early
intervention services; and
(g)
Family training, education, and support provided to assist a parent or guardian
or other caregivers in understanding the special needs of the child as related
to strategies for enhancing the child's social or emotional
development.
13. Speech Language Pathology Services:
a. Means assessment and intervention services
to address the functional and communication needs of an infant or toddler, and
includes:
(1) Language and speech
development;
(2) Oral motor
functioning, including the identification of specific communication
disorders;
(3) Consultation to
adapt an environment and activities to promote speech and language development
and participation in everyday routines, activities and places;
(4) Habilitation, rehabilitation or
prevention of communication disorders, and delays in language and speed
development;
(5) Referral for
medical or other professional services necessary for the habilitation or
rehabilitation of an infant or toddler with communication disorders or delays;
and
(6) Family training, education
and support provided to assist a parent or guardian or other caregivers in
understanding the special needs of the child as related to speech language
pathology strategies and enhancing the child's communication
development.
b. Does not
include therapeutic services required due to, or as part of, a medical
procedure, a medical intervention or an injury that is expected to heal without
a long-term impact to the child's development and that is beyond the scope of
the early intervention services identified in the child's Individualized Family
Service Plan as being needed to meet the child's developmental
outcomes.
14.
Transportation Services means reimbursement for the cost of travel, including
mileage, taxis, common carriers, and tolls or parking, that are necessary to
enable an infant or toddler and their parent or guardian to receive an Early
Intervention Service identified in the Individualized Family Service
Plan.
15. Vision Services:
a. Means evaluation and assessment of visual
functioning, including the diagnosis and appraisal of specific visual disorders
and delays that affect child development, and the intervention services to
address the functional visual needs of an infant or toddler with significant
vision impairment and includes:
(1)
Communication skills training;
(2)
Orientation and mobility training for all environments;
(3) Visual and other training necessary to
activate visual motor abilities;
(4) Referral for medical or other
professional services necessary for the habilitation or rehabilitation of
visual functioning disorders, or both;
(5) Consultation to adapt an environment and
activities for a child with a visual impairment to promote development, access
and participation in everyday routines, activities, and places; and
(6) Family training, education and support
provided to assist a parent or guardian or other caregivers in understanding
the special needs of the child as related to vision strategies and enhancing
the child's overall development.
b. Does not mean therapeutic services
required due to, or as part of, a medical procedure, a medical intervention, or
an injury and that is beyond the scope of the early intervention services
identified in the child's Individualized Family Service Plan as being needed to
meet the child's developmental outcomes.
Disclaimer: These regulations may not be the most recent version. Colorado may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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