Iowa Code r. 281-120.13 - Early intervention services
(1)
General. "Early
intervention services" means developmental services that:
a. Are provided under public
supervision;
b. Are selected in
collaboration with the parents;
c.
Are provided at no cost, except, subject to rules
281-120.520 ( 34CFR303 ) and
281-120.521 ( 34CFR303 ), where
federal or state law provides for a system of payments by families, including,
if applicable, a schedule of sliding fees;
d. Are designed to meet the developmental
needs of an infant or toddler with a disability and the needs of the family to
assist appropriately in the infant's or toddler's development, as identified by
the IFSP team, in any one or more of the following areas, including:
(1) Physical development;
(2) Cognitive development;
(3) Communication development;
(4) Social or emotional development;
or
(5) Adaptive
development;
e. Meet the
standards of the state in which the early intervention services are provided,
including but not limited to the then-applicable version of Iowa's Early
Learning Standards and Part C of the Act;
f. Include services identified under subrule
120.13(2);
g. Are provided by
qualified personnel (as that term is defined in rule
281-120.31 ( 34CFR303 )),
including the types of personnel listed in subrule 120.13(3);
h. To the maximum extent appropriate, are
provided in natural environments, as defined in rule
281-120.26 ( 34CFR303 ) and
consistent with rule 281-120.126 ( 34CFR303 ) and
subrule 120.344(4); and
i. Are
provided in conformity with an IFSP adopted in accordance with Section 636 of
the Act and rule 281-120.20 ( 34CFR303
).
(2)
Types of
early intervention services. Subject to subrule 120.13(4), early
intervention services include the following services defined in this subrule:
a. "Assistive technology device" and
"assistive technology service" are defined as follows:
(1) "Assistive technology device" means any
item, piece of equipment, or product system, whether acquired commercially off
the shelf, modified, or customized, that is used to increase, maintain, or
improve the functional capabilities of an infant or toddler with a disability.
"Assistive technology device" does not include a medical device that is
surgically implanted, including a cochlear implant, or the optimization (e.g.,
mapping), maintenance, or replacement of that device.
(2) "Assistive technology service" means any
service that directly assists an infant or toddler with a disability in the
selection, acquisition, or use of an assistive technology device. "Assistive
technology service" includes:
1. The
evaluation of the needs of an infant or toddler with a disability, including a
functional evaluation of the infant or toddler with a disability in the child's
customary environment;
2.
Purchasing, leasing, or otherwise providing for the acquisition of assistive
technology devices by infants or toddlers with disabilities;
3. Selecting, designing, fitting,
customizing, adapting, applying, maintaining, repairing, or replacing assistive
technology devices;
4. Coordinating
and using other therapies, interventions, or services with assistive technology
devices, such as those associated with existing education and rehabilitation
plans and programs;
5. Training or
technical assistance for an infant or toddler with a disability or, if
appropriate, that child's family; and
6. Training or technical assistance for
professionals (including individuals providing education or rehabilitation
services) or other individuals who provide services to, or are otherwise
substantially involved in the major life functions of, infants and toddlers
with disabilities.
b. "Audiology services" includes:
(1) Identification of children with auditory
impairments, using at-risk criteria and appropriate audiologic screening
techniques;
(2) Determination of
the range, nature, and degree of hearing loss and communication functions, by
use of audiological evaluation procedures;
(3) Referral for medical and other services
necessary for the habilitation or rehabilitation of an infant or toddler with a
disability who has an auditory impairment;
(4) Provision of auditory training, aural
rehabilitation, speech reading and listening devices, orientation and training,
and other services;
(5) Provision
of services for prevention of hearing loss; and
(6) Determination of the child's individual
amplification, including selecting, fitting, and dispensing appropriate
listening and vibrotactile devices, and evaluating the effectiveness of those
devices.
c. "Family
training, counseling, and home visits" means services provided, as appropriate,
by social workers, psychologists, and other qualified personnel to assist the
family of an infant or toddler with a disability in understanding the special
needs of the child and enhancing the child's development.
d. "Health services" has the meaning given
the term in rule 281-120.16 ( 34CFR303
).
e. "Medical services" means
services provided by a licensed physician for diagnostic or evaluation purposes
to determine a child's developmental status and need for early intervention
services.
f. "Nursing services"
includes:
(1) The assessment of health status
for the purpose of providing nursing care, including the identification of
patterns of human response to actual or potential health problems;
(2) The provision of nursing care to prevent
health problems, restore or improve functioning, and promote optimal health and
development; and
(3) The
administration of medications, treatments, and regimens prescribed by a
licensed physician.
g.
"Nutrition services" includes:
(1) Conducting
individual assessments in:
1. Nutritional
history and dietary intake;
2.
Anthropometric, biochemical, and clinical variables;
3. Feeding skills and feeding problems;
and
4. Food habits and food
preferences;
(2)
Developing and monitoring appropriate plans to address the nutritional needs of
children eligible under this chapter, based on the findings in subparagraph
120.13(2)"g"(1) ; and
(3) Making referrals to appropriate community
resources to carry out nutrition goals.
h. "Occupational therapy" includes services
to address the functional needs of an infant or toddler with a disability
related to adaptive development, adaptive behavior, and play, and sensory,
motor, and postural development. These services are designed to improve the
child's functional ability to perform tasks in home, school, and community
settings, and include:
(1) Identification,
assessment, and intervention;
(2)
Adaptation of the environment, and selection, design, and fabrication of
assistive and orthotic devices to facilitate development and promote the
acquisition of functional skills; and
(3) Prevention or minimization of the impact
of initial or future impairment, delay in development, or loss of functional
ability.
i. "Physical
therapy" includes services to address the promotion of sensorimotor function
through enhancement of musculoskeletal status, neurobehavioral organization,
perceptual and motor development, cardiopulmonary status, and effective
environmental adaptation. These services include:
(1) Screening, evaluation, and assessment of
children to identify movement dysfunction;
(2) Obtaining, interpreting, and integrating
information appropriate to program planning to prevent, alleviate, or
compensate for movement dysfunction and related functional problems;
and
(3) Providing individual and
group services or treatment to prevent, alleviate, or compensate for movement
dysfunction and related functional problems.
j. "Psychological services" includes:
(1) Administering psychological and
developmental tests and other assessment procedures;
(2) Interpreting assessment
results;
(3) Obtaining,
integrating, and interpreting information about child behavior and child and
family conditions related to learning, mental health, and development;
and
(4) Planning and managing a
program of psychological services, including psychological counseling for
children and parents, family counseling, consultation on child development,
parent training, and education programs.
k. "Service coordination services" has the
meaning given the term in rule
281-120.34 ( 34CFR303
).
l. "Sign language and cued
language services" includes teaching sign language, cued language, and
auditory/oral language, providing oral transliteration services (such as
amplification), and providing sign and cued language interpretation.
m. "Social work services" includes:
(1) Making home visits to evaluate a child's
living conditions and patterns of parent-child interaction;
(2) Preparing a social or emotional
developmental assessment of the infant or toddler within the family
context;
(3) Providing individual
and family-group counseling with parents and other family members, and
appropriate social skill-building activities with the infant or toddler and
parents;
(4) Working with those
problems in the living situation (home, community, and any center where early
intervention services are provided) of an infant or toddler with a disability
and the family of that child that affect the child's maximum utilization of
early intervention services; and
(5) Identifying, mobilizing, and coordinating
community resources and services to enable the infant or toddler with a
disability and the family to receive maximum benefit from early intervention
services.
n. "Special
instruction" includes:
(1) The design of
learning environments and activities that promote the infant's or toddler's
acquisition of skills in a variety of developmental areas, including cognitive
processes and social interaction;
(2) Curriculum planning, including the
planned interaction of personnel, materials, and time and space, that leads to
achieving the outcomes in the IFSP for the infant or toddler with a
disability;
(3) Providing families
with information, skills, and support related to enhancing the skill
development of the child; and
(4)
Working with the infant or toddler with a disability to enhance the child's
development.
o.
"Speech-language pathology services" includes:
(1) Identification of children with
communication or language disorders and delays in development of communication
skills, including the diagnosis and appraisal of specific disorders and delays
in those skills;
(2) Referral for
medical or other professional services necessary for the habilitation or
rehabilitation of children with communication or language disorders and delays
in development of communication skills; and
(3) Provision of services for the
habilitation, rehabilitation, or prevention of communication or language
disorders and delays in development of communication skills.
p. "Transportation and related
costs" includes the cost of travel and other costs that are necessary to enable
an infant or toddler with a disability and the child's family to receive early
intervention services.
q. "Vision
services" means:
(1) Evaluation and assessment
of visual functioning, including the diagnosis and appraisal of specific visual
disorders, delays, and abilities that affect early childhood
development;
(2) Referral for
medical or other professional services necessary for the habilitation or
rehabilitation of visual functioning disorders, or both; and
(3) Communication skills training,
orientation and mobility training for all environments, visual training, and
additional training necessary to activate visual motor abilities.
(3)
Qualified
personnel. The following are the types of qualified personnel who
provide early intervention services under this chapter:
a. Audiologists.
b. Family therapists.
c. Nurses.
d. Occupational therapists.
e. Orientation and mobility
specialists.
f. Pediatricians and
other physicians for diagnostic and evaluation purposes.
g. Physical therapists.
h. Psychologists.
i. Registered dieticians.
j. Social workers.
k. Special educators, including teachers of
children who are deaf or hard of hearing and teachers of children with visual
impairments (including blindness).
l. Speech and language
pathologists.
m. Vision
specialists, including ophthalmologists and optometrists.
(4)
Other services. The
services and personnel identified and defined in subrules 120.13(2) and
120.13(3) do not comprise exhaustive lists of the types of services that may
constitute early intervention services or the types of qualified personnel that
may provide early intervention services. Nothing in rule
281-120.13 ( 34CFR303 )
prohibits the identification in the IFSP of another type of service as an early
intervention service provided that the service meets the criteria identified in
subrule 120.13(1) or of another type of personnel that may provide early
intervention services in accordance with this chapter, provided such personnel
satisfy rule 281-120.31 ( 34CFR303
).
(5)
Rule of
construction. "Early ACCESS services" is a synonym for the services
described in this rule.
Notes
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