Effective General Supervision / CHILD FIND (SPP)
Submitted 2/1/12
Indicator 7: Evaluation and initial IFSP within 45 days
Percent of eligible infants and toddlers with IFSPs for whom an evaluation and assessment and an initial IFSP meeting were conducted within Part C’s 45-day timeline. 20 USC 1416(a)(3)(B) and 1442 |
Measurement:
Percent =[( # of eligible infants and toddlers with IFSPs for whom an evaluation and assessment and an initial IFSP meeting was conducted within Part C’s 45-day timeline) divided by (# of eligible infants and toddlers evaluated and assessed for whom an initial IFSP meeting was required to be conducted)] times 100.
Account for untimely evaluations, assessments, and initial IFSP meetings including the reasons for delays. (Not required until FFY 2010.)
Overview of Issue/Description of System or Process:
Nebraska’s Early Development Network (EDN) requires that every infant and toddler referred to early intervention services receives a comprehensive multidisciplinary assessment in all domains, and if eligible, an Individualized Family Service Plan (IFSP) meeting conducted within Part C’s 45-day timeframe. The procedural timelines are documented in Nebraska Administrative Code (NAC) Rule 51 and Nebraska’s Health and Human Services 480 Manual as follows:
- A referral must be made by the school district to the agency responsible for providing services coordination in the Planning Region within two (2) working days of the district becoming aware of an infant or toddler who may be eligible for services.
- A multidisciplinary team evaluation and assessment must be completed within 45 calendar days of the date of referral.
- Upon completion of a multidisciplinary team verification decision, and within 45 calendar days of the referral, schools districts shall participate in an IFSP.
In the event of family-driven exceptional circumstance that makes it impossible to complete the evaluation and assessment within the 45 days, the school district and services coordinator will document those circumstances, inform the parent of the time estimated by the district to complete the evaluation and develop and implement an interim IFSP as necessary. If the 45-calendar-day timeline is not met due to exceptional circumstances, the services coordinator must document this in the file narrative. If a family has declined services coordination, then the school district must document exceptional circumstances in the IFSP.
The Early Development Network IFSP data is collected through Medicaid Waiver reviews on infants and toddlers receiving services through the Aged and Disabled HCBS Waiver and the Early Intervention Waiver, along with the on-site file reviews completed within the Improving Learning for Children with Disabilities (ILCD) process. ILCD was developed to enhance identification of noncompliance and assist programs to meet full compliance. (See Indicator #9 for a full description of ILCD process.) Agencies that do not reach full compliance on this indicator are required to submit a corrective action plan.
Baseline Data for FFY 2004 (2004-2005):
The Individualized Family Service Plan (IFSP) on-site file review for ILCD gathers data on the initial IFSP completion within 45 calendar days. One-third of the Planning Regions within the (3) year monitoring cycle participated in an IFSP file review. Ten Planning Regions were reviewed for a total of 99 applicable files.
2004-2005 IFSP on-site file reviews for compliance with the 45-day timeline |
|||
Planning Region Team |
Number of Files Reviewed |
||
Completed within 45 days |
Outside of 45-days with |
Outside of 45-days without |
|
1 |
9 |
1 |
0 |
2 |
7 |
0 |
0 |
4 |
9 |
4 |
0 |
5 |
17 |
2 |
0 |
6 |
15 |
1 |
0 |
7 |
11 |
2 |
0 |
8 |
8 |
1 |
0 |
17 |
1 |
1 |
0 |
25 |
4 |
0 |
0 |
29 |
5 |
1 |
0 |
Total |
86 |
13 |
0 |
Percentages |
86.9% |
13.1% |
0.0% |
Discussion of Baseline Data:
Applicable files reviewed include those infants and toddlers who were referred and determined eligible for early intervention services. There were ten planning regions monitored based on the 3-year cycle, but these regions are not necessarily representative of regions statewide.
A total of 86 or 86.9% applicable infant and toddler files completed the IFSP within 45 calendar days of the initial referral date. There were 13.1% files that exceeded the 45-day timeline. These thirteen files contained appropriate documentation to indicate family choice to exceed the IFSP time frame. Of the thirteen files that exceeded 45-day timeframe, one file contained an interim IFSP. No files exceeded the timeframe without appropriate documentation or provided documentation that would suggest exceeding the timeframe was outside of family choice or due to provider availability.
FFY |
Measurable and Rigorous Target |
2005 ('05-'06) |
100% of eligible infants and toddlers with IFSPs will receive an evaluation and assessment and an initial IFSP meeting within Part C’s 45-day timeline. |
2006 ('06-'07) |
100% of eligible infants and toddlers with IFSPs will receive an evaluation and assessment and an initial IFSP meeting within Part C’s 45-day timeline. |
2007 ('07-'08) |
100% of eligible infants and toddlers with IFSPs will receive an evaluation and assessment and an initial IFSP meeting within Part C’s 45-day timeline. |
2008 ('08-'09) |
100% of eligible infants and toddlers with IFSPs will receive an evaluation and assessment and an initial IFSP meeting within Part C’s 45-day timeline. |
2009
('09-'10) |
100% of eligible infants and toddlers with IFSPs will receive an evaluation and assessment and an initial IFSP meeting within Part C’s 45-day timeline. |
2010 ('10-'11) |
100% of eligible infants and toddlers with IFSPs will receive an evaluation and assessment and an initial IFSP meeting within Part C’s 45-day timeline. |
2011 ('11-'12) |
100% of eligible infants and toddlers with IFSPs will receive an evaluation and assessment and an initial IFSP meeting within Part C’s 45-day timeline. |
2012 ('12-'13) |
100% of eligible infants and toddlers with IFSPs will receive an evaluation and assessment and an initial IFSP meeting within Part C’s 45-day timeline. |
Performance Plans
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