Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 350 - EARLY CHILDHOOD INTERVENTION SERVICES
Subchapter H - ELIGIBILITY, EVALUATION, AND ASSESSMENT
Section 350.833 - Autism Screening

Universal Citation: 26 TX Admin Code ยง 350.833

Current through Reg. 49, No. 38; September 20, 2024

(a) Autism screening is not required if the child has been screened for autism by another entity or has been identified as having autism.

(b) The contractor does not diagnose autism.

(c) If an enrolled child is 18 months or older, the interdisciplinary team must determine if the child:

(1) has a family history of autism;

(2) has lost previously acquired speech or social skills; or

(3) exhibits a language or cognitive delay or unusual communication patterns combined with a social, emotional or behavioral concern, including repetitive or stereotypical behaviors.

(d) If the interdisciplinary team identifies any of the issues in subsection (c) of this section, a member of the team must:

(1) explain to the family the importance of early screening for autism;

(2) request and obtain written consent for the screening;

(3) complete the Modified Checklist for Autism in Toddlers Revised (M-CHAT-R) if the child is not screened by the child's licensed health care provider or is unable to receive the screening from the child's licensed health care provider in a timely manner; and

(4) complete the M-CHAT-R follow-up interview for a child who does not pass the M-CHAT-R screening.

(e) The contractor must make appropriate referrals if needs are identified. This could include:

(1) a referral to appropriate clinicians for a child who does not pass both the M-CHAT-R and the follow-up interview; and

(2) the provision of case management to assist the parent with having an autism screening done by the child's licensed health care provider if they do not consent to a screening by the contractor.

(f) The use of the M-CHAT-R screening does not take the place of the appropriate evaluation of the child required under this subchapter.

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