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 ยง 350.405
Current through Reg. 49, No. 38; September 20, 2024
(a) Case management means services provided to assist an eligible child and their family in gaining access to the rights and procedural safeguards under IDEA Part C, and to needed medical, social, educational, developmental, and other appropriate services. Case management includes:
(1) coordinating the performance of
evaluations and assessments;
(2)
facilitating and participating in the development, review, and evaluation of
the individualized family service plan in accordance with Subchapter J of this
chapter (relating to Individualized Family Service Plan (IFSP)) which is based
upon:
(A) the child's applicable history;
(B) the parent's input;
(C) input from others providing services and
supports to the child and family; and
(D) the results of all evaluations and
assessments;
(3)
assisting families in:
(A) identifying unmet
needs;
(B) identifying available
providers of services and supports;
(C) making appropriate referrals and
facilitating application; 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 discuss the status of referrals to determine if the services have met the
child's identified needs, and if ongoing assistance to ensure continued access
will be necessary;
(5) monitoring
and assessment of the delivery of and effectiveness of services that:
(A) occurs at least once every six months, or
more frequently as needed;
(B) is
individualized and clearly related to the needs of the child and family;
(C) collects information from
family members, service providers, and other entities and individuals who
provide service or supports to the child and family to assess if:
(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 service providers 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 and service
arrangements 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 preschool or other appropriate services
and supports.
(b) Medicaid reimbursement is available for the provision of targeted case management if the following criteria are met:
(1) the contact occurs with the parent or
routine caregiver;
(2) the contact
occurs face to face or by telephone;
(3) the contact is of 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; and
(5) during the
contact the service coordinator performs a case management activity as
described in subsection (a) of this section.
(c) Non-billable case management contacts must be documented in a child's record. These contacts occur when:
(1) the contact is with individuals other
than a parent or routine caregiver;
(2) the desired outcome of the contact is of
direct benefit to a child who is eligible for ECI services; and
(3) during the contact the service
coordinator performs a case management activity as defined in subsection (a) of
this section.
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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