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Florida Early Intervention Definitions M-R
Services that are for diagnostic or evaluation purposes provided by a licensed physician to determine a child's developmental status and need for early intervention services.
Medical Savings Account
A Medical Savings Account (MSA) refers to an medical savings account program in which tax-deferred deposits can be made for medical expenses. Withdrawals from the MSA are tax-free if used to pay for qualified medical expenses. The MSA must be coupled with a high-deductible health plan (HDHP).
Medically Necessary or Medical Necessity
“Medically necessary” or “medical necessity” means that the medical or allied care, goods, or services furnished or ordered must:
Meet the following conditions:
Method/ Method of Delivery
Method means how a service is provided. Method may include, training/education activities, providing resource material, modifying the environment, positioning, equipment, coaching/consulting among providers/family, exploring/identifying options, planning, teaching, supporting, etc.
The involvement of two or more separate disciplines or professions with respect to–-
The language or mode of communication normally used by a person, or in the case of a child, the language used by the parents or caregiver(s) of the child, except for the purposes of evaluation and assessment, the language normally used by the child, if determined developmentally appropriate for the child by qualified personnel conducting the evaluation or assessment.
Native language, when used with respect to an individual who is deaf or hard of hearing, blind or visually impaired, or for an individual with no written language, means the mode of communication that is normally used by the individual (such as sign language, Braille, or oral communication).
The day-to-day routines, activities and places that promote learning opportunities for an individual child and family. This means settings, including home and community settings that are natural or typical for the child’s age peers who have no disabilities.
A norm referenced test is one that has been given to a large number of children intended to be representative of the general population that then defines how average or "typically-developing" children score. A score on this type of tests permits comparison between a child's performance and the performance of a group of children of similar age.
For all children enrolled in Early Steps, without regard to reason for eligibility, the LES provides (unless the parent opts out as set forth in the Early Steps “Understanding Notification” brochure) the following information to the Department of Education (SEA) and the local school district for Child Find Purposes only: child’s name, child’s date of birth, parent(s) name(s), and parent contact information.
Services to address the functional needs of a child related to adaptive development, adaptive behavior and play, and sensory, motor, and postural development. These services are designed to improve the child's functional ability to perform tasks in home, school, and community settings, and include:
A process by which parents of a child served under IDEA, Part C may object in writing to notification to the Department of Education (SEA) and the local school district (LEA), after being informed that notification will occur in the absence of objection by the parent.
A statement of change that a family wants to see for their child or family as a result of their involvement in Early Steps.
A trained person who serves as an assistant or aide to a certified or licensed professional.
A "parent" means:
Personally Identifiable Information
Personally identifiable information includes:
Services to address the promotion of sensorimotor function through enhancement of musculoskeletal status, neurobehavioral organization, perceptual and motor development, cardiopulmonary status, and effective environmental adaptation. These services include:
Entails the service setting and location.
Plan of Care (POC)
A comprehensive and individualized written plan for implementation of Early Intervention Services and Therapy Services for an eligible child and the child's family enrolled in Early Steps.
Point of Service Plan (POS)
In a POS plan, insured members may choose, at the point of service, whether to receive care from a physician within the plan’s network or to go out of the network for services. The POS plan provides less coverage for health care expenses provided outside the network than for expenses incurred within the network. Also, the POS plan will usually require insured members to pay deductibles and coinsurance costs for medical care received out of network.
Preferred Provider Organizations (PPOs)
PPOs offer a provider network to meet the health care needs of insured individuals. A traditional insurance carrier provides the health benefits. An insurer contracts with a group of health care providers to control the cost of providing benefits to insured individuals. These providers charge lower-than-usual fees because they require prompt payment and serve a greater number of patients. Insured individuals usually choose who will provide their health care, but pay less in coinsurance with a preferred provider than with a non-preferred provider.
Prekindergarten Program for Children with Disabilities
The Prekindergarten Program for Children with Disabilities (the preschool component of Part B in Florida), is provided by the local school district to meet the child’s needs for specially designed instruction and related services, ages three through five. Eligibility for special education is based on criteria in State Board of Education rules.
An infant born prior to 37 weeks gestation.
Primary Service Provider (PSP)
The identified professional on the IFSP team that works with the child/family/primary caregivers on a regular basis and with other members of the team providing services directly, through consultation and/or joint visits.
Private insurance refers to health coverage that can be issued to individuals, to employees of an employer offering health coverage, or to individuals that are members of association groups. Some health coverage in Florida is provided by self insured funds, not regulated by the State of Florida. Although there are other forms of health insurance, the three main categories of health insurance are:
A systematic approach to observing or checking a child’s progress and evaluating the effectiveness of intervention strategies. In progress monitoring, a child’s current levels of functioning and measurable goals or outcomes are determined. Progress toward specific skills is then measured on a regular basis (e.g., weekly or monthly). Progress monitoring generates useful data for determining whether intervention strategies need to be adjusted and may provide evidence related to the child’s continuing eligibility. Progress monitoring data may be in one or more of the following formats: compilation forms, graphs, or narrative explaining any changes or specific circumstances.
Provider Service Network (PSN)
In this type of plan there is a network established or organized and operated by a health care provider or group of affiliated health care providers.
Includes the lead agency (Florida Department of Health, Children’ Medical Services), and any other political subdivision of the state that is responsible for providing early intervention services to children eligible under Part C of the IDEA. This may include agencies receiving funds under Part C of the IDEA as well as agencies that are involved in the state's Early Steps system or carry out a function required under IDEA, Part C, but do not directly receive IDEA, Part C funds.
Public Awareness and Education
Activities that focus on the early identification of children who are eligible for Early Steps and include the preparation and dissemination by the lead agency to all primary referral sources, especially hospitals and physicians, of materials for parents on the availability of early intervention services.
As discussed in these policy and guidance documents, public insurance refers to Medicaid. Medicaid provides medical coverage to individuals and families who are categorically eligible (e.g., low income families with children, low income people who have disabilities, and foster children). The family-related Medicaid coverage groups in Florida are based on three pieces (or titles) of the federal Social Security Act:
Qualified (qualified personnel)
IDEA, Part C regulations define qualified as personnel who have met State approved or recognized certification, licensing, registration or other comparable requirements that apply to the area in which the person is providing early intervention services.”
Provision of information regarding a child who is potentially eligible for early intervention services through Early Steps due to possible developmental delay or established condition.
An individual, facility or agency that refers a child to the appropriate public agency within the system. Referral sources include: hospitals, (including prenatal and postnatal facilities), physicians, parents, day care programs, local educational agencies, public health facilities, other social service agencies, and other health care providers.
Referral to Preschool Special Education
In Florida, referral to preschool special education is a separate and distinct process and should occur as outlined in the transition plan in the child’s IFSP.
Appropriate short-term, episodic care which is provided due to the planned or emergency absence of a family member or primary caregiver. Respite is provided to meet a unique, temporary need. The purpose of respite services is to minimize stress that families and caregivers experience from addressing all the needs related to having a child with a disability or an emergency need of the caregiver. Respite is an early intervention service if it is identified on the IFSP as necessary to enable the family or caregiver to successfully meet the developmental outcomes for their child.
Florida Early Steps Policy Manual Definitions