Individualized Family Service Plan
RULE 12 CCR 2509-10
7.940 INDIVIDUALIZED FAMILY SERVICE PLAN
A. An Individualized Family Service Plan shall serve as the Individualized Plan for a child, from birth to less than three (3) years of age, receiving early intervention services.
B. A service coordinator shall ensure that an Individualized Family Service Plan is:
1. With prior written notice given to the parent, developed within a reasonable time after an eligibility determination has been made, but no later than forty-five (45) calendar days from the date of the referral, unless a delay is due to documented exceptional family circumstances; and,
2. Developed with all required participants as defined in Section 7.940, E; and,
3. Based on, and contains the results of, the evaluation and assessment, and the family's concerns and priorities; and,
4. Inclusive of early intervention services to be provided in natural environments that are necessary to meet the unique needs of the child and the parent or other caregiver, and implement the strategies to achieve the developmental outcomes of the child; and,
5. Culturally sensitive; and,
6. With prior written notice given to the parent, reviewed every six (6) months, or more frequently if necessary or if requested by the parent, in order to:
a. Determine progress toward achieving the identified outcomes; and,
b. Revise or add an outcome, if needed; and,
c. Determine if a change in early intervention services is necessary to meet the identified outcomes.
7. With prior written notice given to the parent, updated annually through a meeting of the Individualized Family Service Plan team, including the parent to:
a. Discuss and document the child's current developmental levels in all developmental domains gathered through assessment methods as defined by the Department; and,
b. Determine progress towards achieving the identified outcomes; and,
c. Determine the child's ongoing need for early intervention services; and,
d. Revise or add an outcome, if needed; and,
e. Determine the early intervention services necessary to meet the identified outcomes.
C. If it is determined during an Individualized Family Service Plan review that a child is functioning at age expected levels when compared with chronological age, as documented in current assessment results, the following shall occur:
1. The Individualized Family Service Plan team shall determine whether one (1) or more early intervention services are no longer needed for the child to continue to progress; and,
2. If the Individualized Family Service Plan team determines that early intervention services are no longer needed, the following shall occur:
a. The service coordinator shall explain to the parent the dispute resolution procedures, as defined in Section 7.990-7.994; and,
b. The service coordinator shall provide prior written notice to the parent that the members of the Individualized Family Service Plan team have determined the child no longer has any identified need for early intervention services, and the child has completed the Individualized Family Service Plan; and,
c. The child's record shall remain open for ten (10) calendar days from the prior written notice date; and,
d. Following the ten (10) calendar-day period from the prior written notice date, if there is no dispute resolution request from the parent, the early intervention services shall cease and the child's record shall be closed.
D. Completion of an Individualized Family Service Plan
1. The decision to end early intervention services for a child based on the determination by the members of the Individualized Family Service Plan team that the child no longer needs early intervention services is not to be construed with a determination of ineligibility based on a multidisciplinary evaluation. If future concerns arise and the child is still less than three (3) years of age, the family shall contact the Community Centered Board to conduct an assessment and develop a revised Individualized Family Service Plan, if appropriate.
2. An infant or toddler found eligible due to an established condition, as defined in Sections 7.901 and 7.920, H, shall not have his/her early intervention services ended unless the parent chooses to withdraw from services.
E. An initial, annual or periodic review meeting to evaluate an Individualized Family Service Plan shall include the following participants:
1. Parent of a child; and,
2. Service coordinator; and,
3. Persons directly involved in conducting the evaluations and assessments; and,
4. As appropriate, a person or persons who will be providing early intervention services to a child or family; and,
5. Additional participants may include, but are not limited to, the following:
a. Other family members, as requested by a parent; and,
b. An advocate or person outside of a family, as requested by a parent.
F. If any person who conducted an evaluation and/or assessment is unable to participate in person, he or she shall participate by:
1. Telephone or Internet web conference;
2. A knowledgeable authorized representative attending the meeting in his or her place; or,
3. The provision of appropriate reports for use at the meeting.
G. If the evaluation and assessment report is provided and there is no authorized representative at the meeting, the Community Centered Board shall ensure that at least one qualified early intervention professional reviews and interprets the developmental information in the report in order to inform the team completing the Individualized Family Service Plan.
H. An Individualized Family Service Plan shall be conducted in accordance with 34 C.F.R. Sections 303.340 - 303.345, which are incorporated by reference as defined in Section 7.900, A, 5:
1. In a setting and at a time that is convenient to the parent; and,
2. In the language or mode of communication normally used by the parent, unless clearly not feasible to do so.
I. The content of an Individualized Family Service Plan shall, at a minimum, meet the requirements of 34 C.F.R. Section 303.344, which is incorporated by reference as defined in Section 7.900, A, 5, and be completed using the department required form available at the Early Intervention Program website at www.eicolorado.org, and shall include the following:
1. The type of model for each service shall be one of the following, as defined in Section 7.901:
a. Primary service provider; or,
b. Multidisciplinary service providers; or,
c. Single provider, or,
d. Other model approved by the state.
2. The type of method for each service shall be one of the following as defined in Section 7.901:
a. Individual; or,
b. Co-visit; or,
c. Teaming; or,
e. Telehealth, with parental consent.
J. A parent may withhold consent for an early intervention service without jeopardizing the delivery of any other early intervention service for which consent is given.
K. If a parent and an Individualized Family Service Plan team member(s) do not agree on any aspect of an early intervention service, a service coordinator shall implement the sections of the plan that are not in dispute.
L. A parent may exercise his or her rights, as defined in Section 7.990, to resolve a dispute while continuing to receive those services in an Individualized Family Service Plan that are not subject to a dispute.
M. An interim Individualized Family Service Plan shall be developed to provide a temporary early intervention service prior to completion of an evaluation and assessment, only when the service is determined by qualified professionals to be immediately necessary and when the following conditions are met:
1. A child has been determined to be eligible for early intervention services; and,
2. Written parental consent is obtained; and,
3. An evaluation and assessment are completed within forty-five (45) calendar days of the date of the referral.
PROCEDURES - Individualized Family Service Plan MEETING
A. An initial Individualized Family Service Plan meeting shall be convened within 45 days from the date of referral for an eligible child for the purpose of developing the individualized family service plan and shall include, at a minimum, each of the following:
1. Required participants;
2. Measurable evaluation and assessment results that document all developmental levels that support and convey the eligibility determination of the child, including the results of the family assessment;
3. Documentation of the evaluation instrument and family assessment tool used;
4. Names and roles of each multidisciplinary evaluation team member;
5. Signature and date of the Community Centered Board representative confirming the child's eligibility status; and,
6. The signature of the parent confirming their understanding of the child's eligibility status and date of participation in the initial plan development, if the Individualized Family Service Plan is not completed at the initial meeting.
B. The required content of a complete Individualized Family Service Plan includes the following:
1. The name of the service coordinator who will be responsible for the implementation of the plan and coordination with other agencies and persons, including transition services;
2. An objective statement of an infant's or toddler's present levels of development in the areas of adaptive development, cognitive development, communication development, physical development, including vision and hearing and general health status, and social and emotional development;
3. For an annual Individualized Family Service Plan, the Evaluation/Assessment Results Page that documents the signatures and roles of the Individualized Family Service Plan team members, methods and procedures used and measurable results of ongoing assessment of all developmental domains to support the ongoing need for early intervention services;
4. The measurable result for each of the five (5) developmental domains is determined by the multidisciplinary team as a way to represent the integrated results of all evaluation/ assessment methods and procedures using informed clinical opinion. The results are used to:
a. Support the rigorous definition of developmental delay for early intervention services;
b. Establish a starting point for the child's development upon entry into early intervention services;
c. Help the parent(s) better understand the child's current level of development and developmental progress;
d. Help the parent(s) and provider(s) carefully plan for early intervention services and next steps;
e. Help the State and local programs understand the population receiving early intervention services; and,
f. Support the child's ongoing need for early intervention services.
5. With concurrence of the family, a statement of the family's resources, priorities and concerns related to enhancing their child's development;
6. A statement of the measurable outcomes expected to be achieved, including pre-literacy and language skills, as developmentally appropriate for a child and the criteria, procedures and timelines used to determine the degree to which progress is being made;
7. A statement of specific early intervention services to be provided based on peer-reviewed research, to the extent practicable that includes, for each early intervention service the following:
a. Model and method of service delivery;
b. Projected dates of services showing the date services start, which must be within twenty-eight (28) days of parental consent unless otherwise noted in the Individualized Family Service Plan, and the dates the services will end;
c. Intensity showing the length of time the service is provided during each session and, if applicable, whether the service is provided in a group; and,
d. Frequency of the services showing the number of days or sessions that a service will be provided.
8. A statement of the location in which early intervention services will be provided. Services in settings other than a natural environment occur only when the desired outcomes cannot be achieved satisfactorily in a natural environment and the Individualized Family Service Plan includes a justification of the extent, if any, to which the services will not be provided in a natural environment. If a justification is necessary, documentation is recorded on the Individualized Family Service Plan page designed for this purpose and includes:
a. The identification of which outcome(s) cannot be achieved satisfactorily in a natural environment and why there is a need to provide a service in a non-natural setting;
b. A description of the proposed setting and how the setting may result in progress toward meeting the outcome(s); and,
c. Documentation of the steps and timelines to be taken to move towards the provision of services in a child's natural environment.
9. A statement that includes, to the extent appropriate, medical or other supports and services necessary to achieve an outcome on the Individualized Family Service Plan but not required under early intervention services definitions and funding sources to be used in paying for those services or the steps that will be taken to secure those services through public or private sources. This requirement does not apply to routine medical services, unless a child needs those services and the services are not otherwise available;
10. The steps and services needed to support the transition of the toddler at three (3) years of age into other services and/or environments and, if appropriate, into Part B preschool services; and,
11. The signatures, titles and dates of all parties in attendance at the meeting who participated in the development of the Individualized Family Service Plan. The Individualized Family Service Plan is not considered complete without the signature of at least the following:
a. The parent(s);
b. Service coordinator; and,
c. For the initial and annual Individualized Family Service Plan, at least one member of the team involved in the evaluation and/or assessment.
C. Parental consent for early intervention services
1. The contents of the Individualized Family Service Plan shall be fully explained to the parent prior to obtaining informed written consent; and,
2. A parent may withdraw consent after first providing it; and,
3. Only those services for which written consent has been obtained shall be provided; and,
4. If telehealth is offered as a service delivery option, a service coordinator shall provide to the parent the "consent for the use of telehealth" form and gain consent prior to the use of this method.
D. The service coordinator shall provide to the parent a copy of their child's Individualized Family Service Plan without unnecessary delay and in no case more than ten (10) days after parental request.
E. Translation of the Individualized Family Service Plan
1. The Individualized Family Service Plan shall be translated into the family's primary language within a timely manner, unless not feasible to do so, and a copy in English shall be maintained in the child's record.
2. The service coordinator shall ensure that the early intervention service provider(s) documented in the Individualized Family Service Plan shall receive an English copy of the plan within a timely manner.
F. A review of the Individualized Family Service Plan may be carried out in an in-person meeting or another means that is acceptable to the parent and other members of the Individualized Family Service Plan team.
G. An in-person meeting shall be conducted to complete the annual Individualized Family Service Plan and shall occur no later than one year from the date of the initial Individualized Family Service Plan meeting or the date of the last annual Individualized Family Service Plan meeting.
Other Individualized Family Service Plan Documents
"Colorado Individualized Family Service Plan Form (English and Spanish)"
"Instruction Manual: Completing Colorado's Individualized Family Service Plan"
"Family Guide Book II: Individualized Family Service Plan and Orientation to Early Intervention Services"
"Consent for the Use of Telehealth"
"Disclosure Statement for the Use of Recordings During Intervention Sessions"