26 Tex. Admin. Code § 350.817 - Developmental Delay

(a) The subrecipient must:
(1) comply with all requirements in 34 CFR § 303.321(b);
(2) maintain all test protocols and other documentation used to determine eligibility and continuing eligibility in the child's record; and
(3) ensure that all evaluations are conducted by qualified personnel.
(b) The subrecipient must ensure evaluations to determine initial and continuing eligibility based on developmental delay, as defined in § 350.809 of this subchapter (relating to Initial Eligibility Criteria), are conducted by at least two professionals from different disciplines with participation by the parent.
(1) An LPHA must be one of the two professionals.
(2) Service coordination is not considered a discipline for evaluation.
(3) The evaluation procedures must include:
(A) administration of a standardized tool designated by HHSC ECI;
(B) taking the child's history, including interviewing the parent;
(C) identifying the child's level of functioning in each of the developmental areas in 34 CFR § 303.21(a)(1);
(D) gathering information from other sources such as family members, other caregivers, medical providers, social workers, and educators, if necessary, to understand the full scope of the child's unique strengths and needs;
(E) reviewing medical, educational, and other records;
(F) in addition to requirements in 34 CFR § 303.321(b), determining the most appropriate setting, circumstances, time of day, and participants for the evaluation to capture the most accurate picture of the child's ability to function in his or her natural environment; and
(G) interpreting scores and determining delay through the application of informed clinical opinion to test results.
(4) When a child's chronological or adjusted age is zero months or younger, use of the standardized tool or another protocol is not required. While the interdisciplinary team does not need to administer the standardized tool or protocol, the interdisciplinary team must complete a qualitative determination of developmental delay as described in § 350.821 of this subchapter (relating to Qualitative Determination of Developmental Delay).
(c) The subrecipient must consider other evaluations and assessments performed by outside entities when requested by the family.
(1) The subrecipient must determine whether outside evaluations and assessments:
(A) are consistent with HHSC ECI policies;
(B) reflect the child's current status; and
(C) have implications for IFSP development.
(2) The subrecipient may discount or disregard evaluations and assessments performed by outside entities if the family:
(A) does not allow full access to those records or entities;
(B) does not consent to evaluations or assessments; or
(C) does not cooperate in evaluations or assessments to verify their findings.

Notes

26 Tex. Admin. Code § 350.817
The provisions of this §108.817 adopted to be effective September 1, 2013, 38 TexReg 5524; amended to be effective May 1, 2014, 39 TexReg 3445; amended by Texas Register, Volume 40, Number 09, February 27, 2015, TexReg 949, eff. 3/7/2015; amended by Texas Register, Volume 44, Number 26, June 28, 2019, TexReg 3289, eff. 6/30/2019; entire chapter transferred from Title 40, Part 2, Chapter 208 by Texas Register, Volume 46, Number 06, February 5, 2021, TexReg 0941, eff. 3/1/2021; Amended by Texas Register, Volume 47, Number 10, March 11, 2022, TexReg 1287, eff. 3/17/2022; Amended by Texas Register, Volume 50, Number 06, February 7, 2025, TexReg 0782, eff. 2/13/2025

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