New Hampshire Code of Administrative Rules
He - Department of Health and Human Services
Subtitle He-M - Former Division of Mental Health and Developmental Services
Chapter He-M 500 - DEVELOPMENTAL SERVICES
Part He-M 510 - FAMILY-CENTERED EARLY SUPPORTS AND SERVICES
Section He-M 510.04 - Provision of Supports and Services

Universal Citation: NH Admin Rules He-M 510.04

Current through Register No. 40, October 3, 2024

(a) FCESS shall:

(1) Be selected in collaboration with parents and provided under public supervision by personnel qualified pursuant to He-M 510.11;

(2) Be provided under the system of payment described in He-M 510.14;

(3) Include those of the services listed in He-M 510.03 (a)-(u), and other services provided by personnel identified in He-M 510.11 (b), that meet the developmental needs of the child and family and enhance the child's development;

(4) Comply with state laws regulating the professional practice of persons providing services, as well as the requirements of Part C of the IDEIA;

(5) To the maximum extent appropriate, be provided in natural environments; and

(6) Be provided in conformity with an IFSP.

(b) FCESS shall be provided in a variety of natural environments where children and families of the community gather, such as:

(1) The family's own home;

(2) Neighborhood playgrounds;

(3) Child care settings;

(4) Foster placements;

(5) Relatives' or friends' homes;

(6) Libraries;

(7) Recreational programs;

(8) Places of worship;

(9) Grocery stores;

(10) Shopping malls; and

(11) Other similar settings.

(c) FCESS shall incorporate the concerns, priorities, and resources of the family to:

(1) Identify and promote the use of natural supports as a principal way of assisting in the development of the child, including supports from:
a. Relatives;

b. Fiends;

c. Neighbors;

d. Co-workers; and

e. Cultural, ethnic, or religious organizations;

(2) Foster the family's capacity to make decisions and provide care and learning opportunities for their child;

(3) Respect the cultural and ethnic beliefs and traditions, and the personal values and lifestyle of the family;

(4) Respond to the changing needs of the family and to critical transition points in the family's life; and

(5) Facilitate access to community resources to support families and link them with other families with similar concerns and interests.

(d) FCESS shall include training, support, evaluation, special instruction, and therapeutic services that maximize the family's and other caregivers' ability to understand and care for the child's developmental, functional, medical, and behavioral needs at home as well as in settings described in (b) above.

(e) FCESS to the child and family and other caregivers shall be founded on scientifically-based research to the extent practicable, and include assistance in the following areas as identified in the family's IFSP:

(1) Understanding the child's special needs;

(2) Support and counseling for families;

(3) Management and coordination of health and medical issues in collaboration with the primary physician or medical home;

(4) Enhancement of the cognitive, social interactive, and play competencies of the child at home and in community settings;

(5) Enhancement of the ability of the child to develop age-appropriate fine and gross motor skills and overall sensory and physical awareness and development;

(6) Enhancement of the ability of the child to develop functional communication methods and expressive and receptive language skills;

(7) Guidance and management of a child with very active, inappropriate, or life-threatening behaviors;

(8) Consultation regarding appropriate diet and the child's eating and oral motor skills to insure proper nutrition;

(9) Linkage with assistive technology services that might enhance the child's growth and development; and

(10) Assessments conducted throughout the period of the child's eligibility.

(f) FCESS shall promote local and statewide prevention efforts to reduce and, where possible, eliminate the causes of disabling conditions.

(See Revision Note at part heading for He-M 510) #5745, eff 12-1-93, EXPIRED: 12-1-99

New. #7234, eff 4-22-00; ss by #9135, INTERIM, eff4-22-08, EXPIRED: 10-19-08

New. #9594, eff 11-11-09; ss by #10325, eff 4-26-13

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