New Regulations: Questions and Answers Infant & Toddler Connection of Virginia Statewide Meeting September 25, 2012 1.

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Presentation transcript:

New Regulations: Questions and Answers Infant & Toddler Connection of Virginia Statewide Meeting September 25,

Eligibility Determination Update from OSEP Review Screening Tool Okay But must evaluate in all areas

Participants for IFSP Reviews Parent, other family members if requested Advocate if requested Service coordinator Providers only if conditions warrant

Annual IFSP Eligibility determination - by records, or multidisciplinary Assessment – by ongoing assessment, or multidisciplinary IFSP – parent plus two or more individuals, two disciplines, one must be service coordinator

IFSP Team – Blended Model 2 nd individual can participate by phone or in writing During or ahead of IFSP meeting

Example Child with Down syndrome, receiving developmental services and SC (in blended model) Eligible by records Assessment – info available from contact notes IFSP – Family, SC/DS, one other individual (family + 2 individuals)

Request for Chart

Transition: Notification and Referral At least 90 days before transition To LEA and SEA Notification = Referral

Transition Plan and Conference At least 90 days, up to 9 months before transition May be combined Must be IFSP meeting

Purpose Notification – child find and referral Plan – transition steps and services Conference – to discuss any services child may receive under Part B

Options Expected date of transition – 9/4 Conference and Plan – February Notification - March

Options Expected date of transition – 9/4 Plan – January Notification – March Conference - April

Joint Part C – Part B Meetings In all regions State reps from Part C and Part B Opportunity to plan specifics

Tools of the Trade: Checklist

Question What makes a referral? When you call to schedule a transition conference if you give Part B the address etc is this then considered a referral?

Question When does the 65 day timeline begin? Is it the day that the school receives the referral or the date the parent signs consent for testing?

Question Do new page 7s need to be placed in old IFSP or just use new page 7 from July/August forward?

Question How do we document 2 disciplines at the transition conference if it is only the family, SC and school system folks?

Family Cost Share Will the family fee procedures be reviewed given the new health care act since some are no longer applicable – financial hardship for using insurance

Family Cost Share What happens when a family always has an excuse for not applying for Medicaid or getting you information you need for billing? What happens when the family comes to us with Medicaid from another state and does not want to apply for Virginia Medicaid?

Family Cost Share IFSP Page 9 – I’m so worried that we’ll forget to check the box. Can we make it assumed that the family is still allowing us to bill private insurance unless the box is checked that they don’t want us to continue billing?

Family Cost Share Differences in the flexible benefit programs