Annual Provider Meeting UF North Central Early Steps New IFSP – Policy and Procedures Update

New IFSP – Policy and Procedures Update Accessing and Saving the IFSP CMS Website http://www.floridahealth.gov/AlternateSites/CMS- Kids/home/resources/es_policy/es_Policy.html .docm file shared by S/C via Move It NOTE: New referrals from S/Cs will most likely come in .pdf format and cannot be edited!!!

New IFSP – Policy and Procedures Update Accessing and Saving the IFSP CMS Website -> Component 5 -> Attachments http://www.floridahealth.gov/AlternateSites/CMS- Kids/home/resources/es_policy/es_Policy.html

New IFSP – Policy and Procedures Update Accessing and Saving the IFSP CMS Website -> Component 5 -> Attachments->Electronic IFSP Form Click on the link Open Document Enable Editing & Enable Content (if applicable) File: Save as File Type: Word Macro-Enabled Document

New IFSP – Policy and Procedures Update Accessing and Saving the IFSP .docm file shared by S/C via Move It Download Open File: Save as File Type: Word Macro-Enabled Document Edit document Save and Send via Move It Tip: We recommend saving a blank copy of the IFSP on your computer.

New IFSP – Policy and Procedures Update Navigating through the IFSP Demographics Family Assessment Health Status and Insurance TCM Child Assessment/ Eligibility Determination Outcomes Services Transition Note: You cannot refer to information in the IFSP by page number because the pages change as information is entered.

New IFSP – Policy and Procedures Update Required entry on the IFSP Child Assessment/Eligibility Determination Page Outcomes Page Services Page

New IFSP – Policy and Procedures Update Required entry on the IFSP Child Assessment/Eligibility Determination Page Date of Assessment Chronological Age – automatically populates Instruments/Sources Used (at least 2) – 6 DROP DOWN BOXES Narrative in each box Scores (4 character limit) Vision and Hearing Eligibility – DROP DOWN BOX Assessor Information – Providers & S/Cs sign here!

New IFSP – Policy and Procedures Update Required entry on the IFSP Child Assessment/ Eligibility Determination Page Instruments/Sour ces Used (at least 2) – 6 DROP DOWN BOXES

New IFSP – Policy and Procedures Update Required entry on the IFSP Child Assessment/ Eligibility Determination Page Eligibility – DROP DOWN BOX

New IFSP – Policy and Procedures Update Required entry on the IFSP Outcomes Page Functional Area - 6 DROP DOWN BOXES Indication of functional area the outcome will address Multiple areas can be chosen Outcome can also be family focused & not specific to one functional area

New IFSP – Policy and Procedures Update Required entry on the IFSP Outcomes Page Functional Area – SIX DROP DOWN BOXES

New IFSP – Policy and Procedures Update Required entry on the IFSP Services Page Understanding authorizations ICD10 Medicaid Necessity Statement Physician’s signature if using IFSP as POS Plan Approval

New IFSP – Policy and Procedures Update Required entry on the IFSP Services Page

New IFSP – Policy and Procedures Update Required entry on the IFSP Services Page Understanding Authorizations Pay attention to authorization start and end date. No services will be paid outside of those dates.

New IFSP – Policy and Procedures Update Required entry on the IFSP Services Page ICD10 More than one can be listed Medicaid Necessity Required for all children regardless of their Medicaid status Children move in and out of insurance types

New IFSP – Policy and Procedures Update Required entry on the IFSP Services Page Only therapy services need a physician’s signature on POC ITDS need a licensed therapist to sign off on POC by consultation Authorized consulting therapist will be listed on the services page

New IFSP – Policy and Procedures Update What to submit for IFSP reviews Child Assessment Protocol Completed electronic Child Assessment Page of the IFSP Signed printed Child Assessment Page of the IFSP Can be completed at IFSP review Discussion with IFSP Team Updates to the child’s outcomes Recommendations for continued supports Stay the same Changes needed Frequency, duration, provider, consultations, etc.

New IFSP – Policy and Procedures Update Policy & Procedures Update Informed Clinical Opinion NEW At-Risk Eligibility Category Annual Reviews authorizations

New IFSP – Policy and Procedures Update Policy & Procedures Update Informed Clinical Opinion Re-determination of eligibility no longer needed at 6 months Considered part of the evaluation and not an eligibility category

New IFSP – Policy and Procedures Update Policy & Procedures Update At-Risk Eligibility Category At-Risk IFSP – Not currently being used at NCES Inclusive list At this time, all children will continue to go through the initial eligibility evaluation for child outcomes purposes Although scores do not indicate a developmental delay, these children remain eligible for Early Steps until their diagnosis is cleared by a medical professional or have passed 3 consecutive developmental assessments Diagnosis must be documented by a medical professional and filed in the child’s record Child will likely not have a provider assigned Development will be monitored by Early Steps Provider may be used to conduct developmental surveillance

A. A child is eligible based on an at-risk condition if the child has a physical or mental condition known to create a risk of developmental delay. B. Written confirmation from a licensed physician is required to establish at-risk eligibility and must be in the child’s Early Steps record. C. Services for infants and toddlers with a physical or mental condition known to create a risk of developmental delay will include the following: Individualized family support planning;Service coordination; Developmental surveillance; andFamily support.  

New IFSP – Policy and Procedures Update Policy & Procedures Update Annual Reviews Extended authorization period of more than 6 months If an annual review is due 45 days before a child’s third birthday, a face-to-face meeting is not required Discuss at periodic review the extended authorization period to continue services through the child’s 3rd birthday

Emily and Sharon