Service Information S. X Home X Community Specify other: 45 minutes 36 X Home X Community Other Specify other:
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- Garey Adam Stone
- 5 years ago
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1 Scenario: Xavier s initial IFSP team consisted of an EIS and OT. The team recommended SST three times a and OT once a. Sally, Xavier s mom, wants more OT. The team believed Xavier would benefit from PT and ST as well, but the ECI contractor has no PTs or SLPs who work in the county where Xavier lives. The team recommends the family see Gina, a PT with a private practice in the area. The program uses Gina for PT services frequently because she has completed the ECI orientation training, agrees to serve as a member of the IFSP team, and provides progress notes that meet ECI requirements. Gina will bill Xavier s insurance directly for the services she provides. They also recommend a speech evaluation by Carol, the only SLP in the area who sees children under five. Carol has declined to complete ECI orientation and does not wish to be a member of the IFSP team. The PT recommends services four times a and the SLP recommends ST once a. The team reconvenes for a Periodic Review to discuss these recommendations. The parents and all other team members agree with the recommendations, and add the services, which will be provided by Gina and Carol, to the IFSP Services Page. Services designated as follows: SST and OT as Program Provided Additional OT on case management page PT as Program Arranged ST as Not Part C Service Information S Service Discipline of Provider Expected Frequency Expected Intensity Total Authorized Visits Location* Method Start Date End Date Designation** CM Service Coordinator s Name: Sally Worth Ongoing As Needed Not Applicable X Home X Community Other Not Applicable SST EIS 3 x per 45 minutes 36 X Home X Community Other OT OT 1 x per 60 minutes 12 X Home X Community Other 1
2 Need Identified Outcome developed Need Identified Outcome declined No needs initially identified Resource Identified PT PT 4 x per 45 minutes 48 X Home X Community Other PA ST SLP 1 x per 60 minutes 12 Home Community X Other SLP Office NP Child and Family Resources and Case Management Needs Areas of Need and Resources Related to the Family s Ability to Enhance the Child's Development Check appropriate boxes for each Educational Child care or Head Start Private Therapy Occupational Therapy in addition to team recommendations. Mom requesting assistance in locating (see progress notes). Transition Other (specify) 2
3 Explanation: The SST and OT are Program Provided because they are being provided by an employee and subcontractor of the ECI contractor. The additional OT goes on the case management page because it exceeds the IFSP team s recommendations. The PT is Program Arranged because the therapist, while not an employee or subcontractor of the ECI contractor, is trained per ECI rules, will be a member of the team, will provide progress notes for inclusion in the child s record, and will complete her own billing. The ST is Not Part C because at this time, an SLP who has completed the orientation to ECI is not available to provide services. When the services are delivered, the SST and OT services identified as Program Provided will be the only two services entered into TKIDS. Practice Read the following scenarios and use the decision trees and grids to help you determine the correct answers. Then check your answers on the last page. Scenario 1: I am a PT working for Rehability ECI. A service coordinator and I evaluate a 5- old with primary concerns for motor who is eligible based on motor. The baby is also low weight and I note a high probability of feeding/oral motor issues as well as fine motor issues which I am no expert in. Team recommends an OT assessment, but our OT quit and her last day was 2 weeks ago. We have not even interviewed one. On the team s recommendation, the family takes the baby to an outpatient pediatric therapy clinic for the OT assessment, and they recommend OT once a week. The team agrees to the recommendation that the child should receive OT 1 x per week. I attempt to recruit one of my friends who is an OT. She agrees to do the training and sign off on the IFSP prior to service delivery. She will also provide detailed notes, but will do her own billing. The OT service is identified as. Is service delivery entered into TKIDS?. Scenario 2: Mahan s evaluation team included an EIS and a PT. The team recommends SST twice a and PT four times a. The ECI contractor has an EIS but currently the PT s workload does not allow her to take on another child for ongoing service provision. The team knows of a local rehab clinic that can provide the PT services until another PT is hired. Historically, the therapists from the rehab clinic are agreeable to signing the IFSP but not okay with sharing their documentation. 3
4 The SST is identified as. Is the service delivery entered into TKIDS?. The PT is identified as. Is the service delivery entered into TKIDS?. Scenario 3: Ama s team recommends SST once a and PT twice a. The ECI contractor has an EIS and a PT. The family states they want to use a PT, Arthur, who helped Ama s older brother. The service coordinator explains that while it is the family s right to make that choice, ECI will not be able to help with paying for those services and cannot offer the protections offered under the FCS system, and the parent will be responsible for working out payment with Arthur. The family indicates that they understand their responsibilities in selecting a non-eci PT. The service coordinator explains the importance of the IFSP team working with Arthur. The family is agreeable to Arthur being a member of the IFSP team. The Service Coordinator obtains a release of information to allow Arthur and the IFSP team to share information about Ama and her services. The SST is identified as. Is service delivery entered into TKIDS?. The PT is identified as. Is the service delivery entered into TKIDS?. 4
5 Answer key Scenario 1: Program Arranged, No. Scenario 2: Program Provided, Yes; Not Part C, No; Scenario 3: Program Provided, Yes; Parent Choice, No. 5
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