The analysis of any legal or medical billing is dependent on numerous specific facts — including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.
Early Intervention Referrals and Screening
The lead agency's child find system must include the State's procedures for use by primary referral sources for referring a child under the age of three to the part C program.
The procedures required must:
Referral of specific at-risk infants and toddlers
The procedures must provide for requiring the referral of a child under the age of three who –
Primary referral sources
Primary referral sources include:
Any screening (if the State has adopted a policy and elects, and the parent consents, to conduct a screening of a child); the initial evaluation and the initial assessments of the child and family; and the initial IFSP meeting must be completed within forty-five (45) days from the date the lead agency or EIS provider receives the referral of the child.
The 45-day timeline does not apply for any period when –
The lead agency must develop procedures to ensure that in the event the circumstances described above exist, the lead agency or EIS provider must:
The initial family assessment must be conducted within the 45-day timeline if the parent concurs and even if other family members are unavailable.
The lead agency may adopt procedures, consistent with the requirements of this section, to screen children under the age of three who have been referred to the part C program to determine whether they are suspected of having a disability under this part. If the lead agency or EIS provider proposes to screen a child, it must:
If the parent consents to the screening and the screening or other available information indicates that the child is:
If the parent of the child requests and consents to an evaluation at any time during the screening process, evaluation of the child must be conducted, even if the lead agency or EIS provider has determined that the child is not suspected of having a disability.
Definition of screening procedures
Condition for evaluation or early intervention services
For every child under the age of three who is referred to the part C program or screened, the lead agency is not required to:
34 CFR § 303.303
34 CFR § 303.310
34 CFR 303.320
Therapy Comply LLC Copyright 2022
Therapy Comply does not claim copyright over US Federal and State materials
CPT codes are copyright 1995-2022 American Medical Association. All rights reserved.
Therapy Comply is a healthcare compliance firm that seeks to bring high quality web-based compliance guidance and one-on-one consulting services to small and medium size physical, occupational, and speech therapy practices.
Join today as either a monthly or a yearly member and enjoy full access to the site and a significant discount to our live and recorded webinars. Members also have access to compliance and billing support.