1. Referrals and linkages from Medical Homes to the Early Intervention System in Washington State May 10, 2013 Karen Walker, Program Administrator Kathy Blodgett, Program Consultant Early Supports for Infants and Toddlers Program.

2. Linkages and Referral State Linkages Local Linkages Referral Process Public Awareness Outreach Materials Kids' Potential, Our Purpose

3. Formal Linkages State Agency - DEL is required to have an agreement with the state partners who have a financial responsibility for the provision of early intervention: Department of Health Department of Social & Health Services Department of Services for the Blind Health Care Authority Office of Superintendent of Public Instruction Kids' Potential, Our Purpose

4. State Interagency Agreement Purpose Facilitate the implementation and funding of Washington’s state early intervention (EI) system The State Agency Interagency Agreement is intended to ensure a system is in place and that it is -- Comprehensive Coordinated Multidisciplinary Interagency Kids' Potential, Our Purpose

5. State Interagency Agreement (SIA) The SIA Identifies Each Agency’s Role in: Early Identification Developmental Screening Child Find Referral procedures to appropriate agency (within 7 days after possible delay has been identified) Kids' Potential, Our Purpose

6. State Interagency Agreement (SIA) DEL/ESIT is required to engage in public awareness, coordinated child find, public awareness and referral efforts with all its state agency partners By contract, Local Lead Agencies engage in public awareness, coordinated child find, and primary referral source outreach efforts with community partners Kids' Potential, Our Purpose

7. Local Lead Agencies (LLAs) Establishes Community Linkages Local Interagency Agreements assist in implementing the local early identification, screening, child find and referral processes DEL/ESIT contracts with LLAs emphasize their public awareness/outreach, and child find obligations, including outreach to the medical community through the work of the LLAs/Family Resources Coordinators (FRCs) Kids' Potential, Our Purpose

8. Local Lead Agencies (LLAs) Establishes Community Linkages LLAs/FRCs coordinate local child find, public awareness, and screening activities and receive the referrals for entry into EI FRCs may assist in linking back to a child’s primary care provider as part of the referral process and good practice Kids' Potential, Our Purpose

9. How to Make a Referral to EI There are two ways to find a Family Resources Coordinator (FRC): Call the Family Health Hotline at 1-800-322-2588  Lead FRC identified based on family residence  Lead FRC name/phone number provided Go to the ESIT website at www.del.wa.gov/esit and click on ESIT Contacts (see Top Downloads in the blue column on the right)www.del.wa.gov/esit Kids' Potential, Our Purpose

10. Referral Process Any agency, organization or individual can refer to early intervention A referral must be made to the Lead Family Resources Coordinator located in the county where the family resides Regulations require referral occur as soon as possible and no later than 7 days after identification– see ESIT referral letter Kids' Potential, Our Purpose

11. Primary Referral Sources Always refer if unsure – discourage following a “wait and see” approach Any agency, organization or individual can refer to early intervention Physicians – a physician’s referral is not required Parents – parents can self-refer Child care and other early learning programs Public health facilities Kids' Potential, Our Purpose

12. Post-Referral Procedures Upon receiving a referral, the FRC’s must - Share Part C Procedural Safeguards to the Part C program Meet with the family to gather any pertinent information, including medical, evaluation or other records Coordinate the Part C evaluation/assessment process to determine Part C eligibility Kids' Potential, Our Purpose

13. Post-Referral Procedures Upon receiving a referral, the FRC’s must - If child is determined eligible, facilitates the development of the Individualized Family Service Plan (IFSP), facilitates the IFSP process and meeting Assists families in gaining access to early intervention services Coordinates timely service provision Facilitates the development of a transition plan to preschool or other services if appropriate Kids' Potential, Our Purpose

14. Public Awareness and Outreach DEL/ESIT will provide free public awareness and outreach materials in multiple languages To request printed materials, call your county’s Public Awareness contact The name of each county’s Public Awareness contact is in the ESIT Contacts Directory along with FRC and other county specific information To obtain a PDF copy of materials, go to the ESIT website, www.del.wa.gov/esit under Publications and Documentswww.del.wa.gov/esit Kids' Potential, Our Purpose

15. Discussion Questions What is working well? What are the challenges/issues? What would improve the referral processes between physicians, clinics, other medical professionals and early intervention? Do you think health care reform will affect the referral process? Kids' Potential, Our Purpose

16. ESIT or Other Resources Provider referral form Consent to exchange information form that meets FERPA and HIPPA requirements ESIT Referral Letter to Providers Other resources to share with participants? Kids' Potential, Our Purpose

17. Questions? Karen, Walker, Program Administrator, (360) 725-3516 Kathy Blodgett, Program Consultant, (360) 725-3520 ESIT WEBSITE: www.del.wa.gov/esitwww.del.wa.gov/esit Kids' Potential, Our Purpose