Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES
Subchapter D - CASE MANAGEMENT FOR INFANTS AND TODDLERS WITH DEVELOPMENTAL DISABILITIES
Section 350.405 - Case Management Services
Universal Citation: 26 TX Admin Code § 350.405
Current through Reg. 50, No. 13; March 28, 2025
(a) Case management services may be provided via telehealth with the prior written consent of the parent. If the parent declines to consent to telehealth services, case management must still be provided.
(b) All case management activities must be documented in the child's record. Case management activities include:
(1) coordinating the performance of
evaluations and assessments;
(2)
facilitating and participating in the development, review, and evaluation of
the IFSP in accordance with Subchapter J of this chapter (relating to
Individualized Family Service Plan);
(3) supporting families to meet their needs
by:
(A) assisting families with identifying
unmet needs;
(B) assisting families
with identifying available providers of services and supports;
(C) making appropriate referrals and
facilitating applications for services and supports; and
(D) assisting with initial and ongoing
contact to obtain services from medical, social, and educational providers to
address identified needs and achieve goals specified in the IFSP;
(4) following up with families and
providers of services and supports to assist the child with timely access to
services, and discussing the status of referrals to determine whether the
services have met the child's identified needs, and whether ongoing assistance
to ensure continued access will be necessary;
(5) monitoring and assessment of the delivery
and effectiveness of services at least every six months after the IFSP is
developed. This process must:
(A) be
individualized and clearly related to the needs of the child and
family;
(B) collect information
from family members, ECI professionals, and other entities and individuals who
provide services or supports to the child and family to assess whether:
(i) services are being provided in accordance
with the child's IFSP;
(ii)
services are adequate to meet the child's and family's needs;
(iii) all ECI professionals are effectively
collaborating to address the child's and family's needs; and
(iv) parents and routine caregivers are able
to use the interventions being presented;
(6) adjusting the IFSP if new needs,
ineffectiveness, or barriers to services are identified;
(7) assisting the parent or routine caregiver
in advocating for the child;
(8)
coordinating with medical and other health providers to ensure services are
effective in meeting the child's and family's needs; and
(9) facilitating the child's transition to
ECSE or other appropriate community services and supports.
(c) TCM is case management that meets the following criteria.
(1) The contact occurs
with the parent or routine caregiver.
(2) The contact occurs face-to-face or by
telephone.
(3) Contacts made in one
day total at least eight minutes in duration.
(4) The desired outcome of the contact is of
direct benefit to a child who is eligible for ECI services.
(5) During the contact the service
coordinator performs a case management activity as described in subsection (a)
of this section.
(d) TCM must be offered to all families and documented in a child's record, regardless of the child's Medicaid enrollment.
(e) Case management activities not defined as TCM occur when the service coordinator performs a case management activity as defined in subsection (a) of this section; and
(1) the contact is with individuals other
than a parent or routine caregiver;
(2) the desired outcome of the contact is not
of direct benefit to a child who is eligible for ECI services;
(3) the contact is less than eight minutes in
duration; or
(4) the contact does
not occur face-to-face or by telephone.
Disclaimer: These regulations may not be the most recent version. Texas 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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