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Meeting the AT Needs of Preschool Students Under The IDEA. Ronald M. Hager, Esq., Senior Staff Attorney, National Disability Rights Network, Washington, D.C. This Session Will Focus On:. The IDEA Part C Program for infants and toddlers
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Meeting the AT Needs of Preschool Students UnderThe IDEA Ronald M. Hager, Esq., Senior Staff Attorney, National Disability Rights Network, Washington, D.C.
This Session Will Focus On: • The IDEA Part C Program for infants and toddlers • Selected Issues for Preschool students under Part B of the IDEA 2
Additional Materials for This Session Can be Found at: • AT Advocate Winter 2009-2010 available at http://www.nls.org/av/Winter%2009-10.pdf 3
IDEA Part C: Early Intervention Program • strong emphasis on prevention • services are designed to meet • developmental needs of each child • the “needs of the family related to enhancing child’s development • due to young age of child, services may be much less “educational” 4
Introduction • States required to develop a: • “statewide, comprehensive, coordinated, multidisciplinary, interagency system • that provides early intervention services for infants and toddlers with disabilities and their families” • Designate a lead agency that is responsible for overall implementation 5
Eligibility for Part C • Child must: • be between birth and age two • have developmental delay in one or more of the following: • cognitive development • physical development including vision and hearing 6
Eligibility, continued • communication development • social or emotional development • adaptive development, or • diagnosed physical or mental condition high probability of resulting in developmental delay, and • at state’s discretion, at-risk infants and toddlers 7
Part C is Payor of Last Resort • Part C is payor of last resort • Child need not be eligible for Medicaid • But if available, Medicaid or private insurance must be used to pay for early intervention • Use cannot result in reduction of coverage 8
Process Begins with Referral • Comprehensive child find system • State must develop and publicize procedures for referring children • Parents may refer directly 9
Service Coordinator • Must be appointed by implementing agency • Responsible for overall implementation and coordination of services • Must be from profession most relevant to child or family needs or otherwise qualified 10
Comprehensive, Multidisciplinary Evaluation • Designed to identify: • child’s unique strengths and needs • appropriate services to meet needs • family resources, priorities and concerns • the supports and services necessary to enhance family’s capacity to meet needs Must include review of health and medical records 11
Evaluation, continued • Must assess functioning level and unique • needs of child in following areas: • Cognitive • Physical • Communication • Social and emotional, and • Adaptive behavior 12
Developing the Individualized Family Service Plan (IFSP) • IFSP must be based on professionally acceptable • objective criteria • IFSP must be written and include: • current level of physical (including vision, health, hearing), cognitive, communication, social or emotional, adaptive development 13
IFSP, continued • Family resources, priorities, concerns (if family agrees) • Expected outcomes and how progress will be evaluated • Services necessary to meet unique needs including; • Frequency, intensity, method of delivering services • Natural environments • Location of services • Payment arrangements, if any 14
IFSP, continued • any services child needs that are not required under Part C • funding sources to pay for those services • name of service coordinator • projected dates for initiation of services • anticipated duration of services • transition plan 15
Services Available are Very Broad, Include: • family training, counseling, home visits • special instruction • speech-language pathology and audiology services • physical therapy • psychological services 16
Available Services, continued • service coordination services • medical services for diagnostic or evaluation purposes • early identification, screening and assessment services • health services necessary to benefit from other early intervention services 17
Available Services, continued • social work services • vision services • AT devices and AT services • transportation and related costs necessary to receive other services List is not exhaustive 18
Assistive Technology is Covered Service • AT device: • any item or piece of equipment • used to increase, maintain, or improve functional capabilities • does not include surgically implanted devices • personally prescribed devices may be covered 19
AT Service • Directly assists in: • Selection • Acquisition • Use of AT device • Includes training or technical assistance for professionals, individual or family 20
Examples of AT Used by Infants/Toddlers • Manual or power wheelchairs • Specialized strollers or car seats • Specially adapted toys and recreational equipment 21
Examples of AT, continued • Assistive listening devices including hearing aids, personal FM units, CCTV • Assistive feeding devices including electric feeders • Augmentative communication devices 22
Right to Appeal • Right to impartial hearing • Right to confidentiality of records • Stay put • All services not in dispute continue to be provided • All services currently being provided continue to be provided • Systemic complaints 23
Services to preschool students under Part B • All general rights available to school age students apply • States may elect to allow parents to have continue to receive services under Part C until they reach kindergarten age • Services must include an educational component that promotes school readiness • Including pre-literacy, language and numbers 24
Transition to Part B • Transition plan must be included in IFSP • Planning meeting must be held at least 90 days before student ages out of Part C • Must ensure uninterrupted provision of services • No stay put for Part C services 25
FAPE and LRE Apply • School district must meet LRE even if it does not operate a public preschool • In such cases, if the district determines that placement in a private preschool program is necessary as a means to provide services to a student in the LRE, the program must be at no cost to the family. 71 Fed. Reg. 46589. 26
Transition to School Age Services • Must be a seamless process • Due Process rights apply • Stay put rights apply