Prescription for Services: EIDT core services require a written prescription signed and dated by the client’s primary care provider (PCP) or attending license physician. (Section 212.200). Prescriptions are valid for one (1) year, unless a shorter period is specified. Prescriptions must be renewed at least once a year for covered EIDT services to continue.
Documentation of Developmental Screening: For clients who have yet to meet the age requirement for Kindergarten enrollment or who have filed a signed Kindergarten waiver must receive one of the following (Section 212.300):
1. An age appropriate developmental screen administered by the Arkansas Department of Human Services’ (DHS) contracted third party vendor, the results of which indicate the client should be referred for further evaluation; or
2. A developmental screen waiver.
(School age clients receiving covered EIDT services only during the summer when school is not in session do not have to receive a developmental screen.)
Documentation of Comprehensive Development Evaluations for Clients yet to Reach School Age: Clients who have not yet reached the school age (up to six (6) if the Kindergarten year has been waived) must have a documented developmental disability or delay based on the results of an annual comprehensive developmental evaluation to receive covered EIDT services.
Please refer to Section 212.400 for the norm referenced standardized evaluations and criterion referenced evaluations. Evaluations must document that they are administered by qualified evaluators for each instrument and that the test protocol for each instrument were followed.
Documentation of Individual Treatment Plan:
A. Each client receiving covered EIDT services must have an individual treatment plan (ITP).
1. An ITP is a written, individualized plan to improve or maintain the client’s condition based upon evaluation of the client.
2. The ITP must be reevaluated and updated at least annually by the Early Childhood Development Specialist (ECDS) assigned to the client.
3. The ECDS’s signature and the date signed must be recorded on the ITP.
B. Each ITP must at a minimum contain:
1. A written description of the goals and objectives for each covered EIDT service. Each client goal and objective must be;
a. Written in the form of a regular function, task, or activity the client is working toward successfully performing;
b. Measurable; and
c. Specific to each individual client.
2. The specific medical and remedial services, therapies, and activities that will be provided and how those services, therapies, and activities are designed to achieve the client’s goals and objectives;
3. Any evaluations or other documentation that supports the medical necessity of the covered EDIT service specified in the ITP;
4. A schedule of service delivery that includes the frequency and duration of each type of covered EIDT service;
5. The job title(s) or credential(s) of the personnel that will furnish each covered EIDT service; and
6. The schedule for completing re-evaluations of the client’s condition and updating the ITP.
Documentation of Covered Services:
A. EIDT providers must maintain in each client’s service record sufficient, contemporaneous written documentation demonstrating the medical necessity of all covered EIDT services included on a client’s individual treatment plan (ITP).
B. The service record of a client who has yet to meet the age requirement for Kindergarten enrollment or who has filed a signed Kindergarten waiver must include:
a. A developmental screen administered by the Department of Human Services’ contracted third-party vendor, the results of which indicate the client should be referred for further evaluation; or
b. A developmental screen waiver (See Section 212.300); and
2. The results of an annual comprehensive developmental evaluation (See Section 212.400).
C. The service record of a client enrolled in school must have a documented qualifying diagnosis pursuant to Section 212.500 of this manual.
D. EIDT providers must maintain in each client’s service record the following documentation for all day habilitative and nursing services performed pursuant to Sections 214.120 and 214.140 of this manual:
1. The specific services furnished each day;
2. The date and beginning and ending time for each of the services performed each day;
3. Name(s) and credential(s) of the person(s) providing each service each day;
4. Which client ITP goal(s) and objective(s) the day’s services are intended to address; and
5. Weekly or more frequent progress notes, signed or initialed by the person(s) providing the service(s) describing the client’s status with respect to ITP goals and objectives for that service.
E. EIDT providers must maintain in the client’s service record the documentation specified in Section 204.200 of Section II of the Occupational Therapy, Physical Therapy, and Speech-Language Pathology Services Medicaid manual for all occupational therapy, physical therapy, and speech-language pathology services performed pursuant to Section 214.130 of this manual.