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.
003.06C The following
are types of qualified personnel who provide early intervention services under
Part C of the IDEA:
003.06C1
Audiologists;
003.06C2 Family
therapists;
003.06C3
Nurses;
003.06C4 Occupational
therapists;
003.06C5 Orientation
and mobility therapists;
003.06C6
Pediatricians and other physicians for diagnostic and evaluation
purposes;
003.06C7 Physical
therapists;
003.06C8
Psychologists;
003.06C9 Registered
dieticians;
003.06C10 Social
Workers;
003.06C11 Special
educators, including teachers of children with hearing impairments (including
deafness) and teachers of children with visual impairments (including
blindness);
003.06C12 Speech and
language pathologists; and
003.06C13 Vision specialists, including
ophthalmologists and optometrists.
003.06D The services and personnel identified
in
003.06B and
003.06C do not
comprise exhaustive lists of the types of services that may constitute early
intervention services or the types of qualified personnel that may provide
early intervention services. Nothing in this section prohibits the
identification in the IFSP of another type of services as an early intervention
service provided that the service meets the criteria identified in
003.06A or of
another type of personnel that may provide early intervention services in
accordance with this chapter, provided such personnel meet the requirements of
92 NAC 52-003.22.
