Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES
Subchapter G - REFERRAL, PRE-ENROLLMENT, AND DEVELOPMENTAL SCREENING
Section 350.709 - Optional Developmental Screenings

Universal Citation: 26 TX Admin Code § 350.709

Current through Reg. 50, No. 13; March 28, 2025

(a) Optional developmental screenings are done to determine the need for further evaluation. When a developmental screening is completed, the subrecipient must:

(1) use an HHSC ECI-approved screening tool; and

(2) train providers to administer the selected screening tool according to the requirements of the selected tool.

(b) A parent has the right to request at any time:

(1) a comprehensive evaluation after a developmental screening; or

(2) a comprehensive evaluation instead of a developmental screening.

(c) If the results of a child's developmental screening do not indicate a concern, the subrecipient must:

(1) provide written documentation to the parent that further evaluation is not recommended;

(2) offer the parent a comprehensive evaluation; and

(3) conduct a comprehensive evaluation if requested by the parent.

(d) In accordance with the MOU between HHSC ECI and DFPS, the subrecipient must coordinate with DFPS to accept a referral for a child under 36 months of age who is:

(1) involved in a substantiated case of child abuse or neglect;

(2) suspected to have a disability or developmental delay; or

(3) identified as affected by substance abuse or withdrawal symptoms resulting from prenatal drug exposure or a Fetal Alcohol Spectrum Disorder (FASD).

(e) Requirements for optional developmental screenings or comprehensive evaluations for a child who meets the criteria in subsection (d) of this section are as follows.

(1) If the subrecipient receives a completed developmental screening from a health care provider for a child who is in DFPS conservatorship that indicates the child has a developmental delay, the subrecipient must offer a comprehensive evaluation to determine eligibility for ECI services.

(2) If the subrecipient receives a referral for a child who meets one of the criteria in subsection (d) of this section, the subrecipient must offer either a developmental screening or proceed directly to comprehensive evaluation.

(3) If the subrecipient receives a referral for a child who does not meet one of the criteria in subsection (d) of this section, the subrecipient follows their local procedures for accepting a referral, conducting a developmental screening, and completing an evaluation.

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