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

2. New IFSP – Policy and Procedures Update
Accessing and Saving the IFSP
CMS Website
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!!!

3. New IFSP – Policy and Procedures Update
Accessing and Saving the IFSP
CMS Website -> Component 5 -> Attachments
Kids/home/resources/es_policy/es_Policy.html

4. 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

5. 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.

6. 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.

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

8. 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!

9. 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

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

11. 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

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

13. 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

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

15. 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.

16. 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

17. 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

18. 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.

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

20. 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

21. 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

22. 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.

23. 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

24. Emily and Sharon