Hawaii Administrative Rules
Title 11 - DEPARTMENT OF HEALTH
Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS
Chapter 140 - EARLY INTERVENTION SERVICES FOR INFANTS AND TODDLERS
Section 11-140-6 - Individual family support plan

Universal Citation: HI Admin Rules 11-140-6

Current through February, 2024

(a) A written individual family support plan shall be developed for all Part C eligible children and their families by a multidisciplinary team that includes the parent.

(b) The individual family support plan shall include each of the following components:

(1) A Statement of the child' s present levels of development in the following areas: Cognition, speech, language, physical, motor, vision, hearing, psychosocial, and self-help skills based on the Information from the child' s evaluations and assessments and from parent report;

(2) A Statement of the child' s health Status;

(3) With the concurrence of the family, a Statement of the family's resources, priorities, and concerns relating to enhancing the development of the child as identified through the assessment of the family;

(4) A Statement of the measurable results or outcomes expected to be achieved for the child and the family, and the criteria, procedures, and timelines used to determine the degree to which progress toward achieving the outcomes is being made and whether modifications or revisions of the outcomes or early Intervention Services is necessary;

(5) A Statement describing the specific early Intervention Services, based on peer-reviewed research to the extent possible, necessary to meet the unique needs of the child and the family to achieve the identified results or outcomes, including:
(A) The length, duration, frequency, intensity, and method of delivering Services;

(B) A Statement that each early Intervention Service is provided in the natural environment for that child or service to the maximum extent appropriate and a justification as to why an early Intervention service will not be provided in a natural environment; any justification for not providing an early Intervention service in the natural environment for that child shall be made by the Individual Family Support Plan team and be based on the child' s outcomes that are identified in paragraph (4);

(C) The location of the early Intervention Services; and

(D) The payment arrangements, if any. This would include payment by the department or by private insurance;

(6) To the extent appropriate, a description of medical and other Services the child or family needs or is receiving through other sources, but that are neither required nor funded by the Part C program. If these Services are not being provided, a Statement shall be provided that includes a description of the Steps the case manager or family may take to assist the child and family in securing these other Services;

(7) The projected date for the Initiation of each early Intervention Service required under paragraph (5), which is within thirty days from when the parent provides consent for the Service and the anticipated duration of each Service;

(8) The name of the case manager who shall be responsible for implementing the early Intervention Services, including transition Services, and coordination with all other agencies and persons; and

(9) The steps and Services to be taken to support a smooth transition of the child from Part C Services to preschool Services under Part B of the Act to the extent those Services are appropriate or other appropriate Services. The Steps shall include:
(A) Discussions with, and training of, parents, as appropriate, regarding future placements and other matters related to the child' s transition;

(B) Procedures to prepare the child for changes in service delivery, including how to help the child adjust to, and function in, a new setting;

(C) Any transition Services needed by the child and the child' s family; and

(D) With written parental consent, the transmission of Information about the child to the child' s home school to ensure continuity of Services, including evaluation and assessment Information of the child and family, and most recent individual family support plans.

(c) Individual family support plan meetings shall be scheduled as follows:

(1) The meeting to develop the initial individual family support plan shall be conducted within forty-five days after the Part C referral date for a child who has been evaluated for the first time and found eligible for early Intervention Services or was found eligible due to a biological risk condition;

(2) A review of the individual family support plan shall be conducted every six months or more frequently if conditions Warrant, or if the family requests such a review. The review may be carried out by a meeting or by another means that is acceptable to the parents and other participants. The purpose of the review is to determine:
(A) The degree to which progress toward achieving the outcomes is being made; and

(B) Whether modification or revision of the results, outcomes or Services is necessary; and

(3) A meeting shall be conducted on an annual basis to evaluate and revise, as appropriate, the individual family support plan for the child and the child' s family. The results of any current evaluations and other Information available from the assessment of the child and family shall be used in determining the early Intervention Services that are needed and shall be provided.

(d) Individual family support plan meetings shall include the following participants:

(1) The initial and annual meeting shall include:
(A) The parent or parents of the child;

(B) Other family members, as requested by the family, if feasible to do so;

(C) An advocate or person outside of the family, if the parent requests that the person participate;

(D) The case manager who has been designated to be responsible for the implementation of the individual family support plan;

(E) A person or persons directly involved in conducting the evaluation and assessment; and

(F) As appropriate, persons who will be providing Services to the child or family;

(2) If the person or persons directly involved in conducting the evaluation and assessment is unable to attend either the initial or annual meeting, arrangements shall be made for the person' s involvement through a telephone call, having a knowledgeable representative attend the meeting, or making pertinent records available at the meeting; and

(3) Each periodic review meeting shall provide for the participation of persons listed in paragraphs (1)(A) to (1)(D). However, if conditions Warrant, provisions shall be made for the participation of others identified in paragraph (1).

(e) Individual family support plan meetings shall be conducted in settings and at times convenient to families and in the native language of the family, through the use of Interpreters, or in any other mode of communication used by the family, unless it is clearly not feasible to do so. Meeting arrangements shall be made with, and written notice provided to, the parent, family, or other participants early enough to promote their attendance.

(f) The case manager shall fully explain the contents of the individual family support plan to the parents and obtain informed written consent, consistent with section 11-140-8(d), from the parents prior to the provision of the early Intervention Services described in the plan. The parent' s signature on the individual family support plan is the written consent so that the early Intervention Services identified in the plan shall be provided. If the parents do not provide consent with respect to a particular early Intervention Service, or withdraw consent after first providing it, that Service shall not be provided.

(g) An interim individual family support plan may be developed to allow early Intervention Services for a child and the child' s family to begin before the completion of the evaluation and assessment as described in section 11-140-5 when the following conditions are met:

(1) Written parental consent is obtained;

(2) An interim individual family support plan is developed that includes:
(A) The name of the case manager who will be responsible for implementing the interim individual family support plan; and

(B) The early Intervention Services that have been determined to be needed immediately by the child and the child' s family; and

(3) The evaluation and assessment consistent with section 11-140-5(d) is completed within the forty-five day timeline.

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