D.C. Municipal Regulations (Last Updated: September 13, 2017) |
Title 29. PUBLIC WELFARE |
Chapter 29-71. MEDICAID REIMBURSEMENT FOR EARLY INTERVENTION SERVICES |
Section 29-7199. DEFINITIONS
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For the purposes of this chapter, the following terms shall have the meanings ascribed as follows:
Applied Behavioral Analysis (ABA) - The science of applying interventions based on principles of learning and motivation to promote socially significant behavior changes by teaching new skills, promoting generalization of these skills, and reducing challenging behaviors with systematic reinforcement.
Assessment – Assessment refers to the process of determining the beneficiary’s need, nature, amount, scope, and duration of treatment; determining the level of coordination between varying forms of treatment; and the detailed documentation of the assessment findings.
Autism Spectrum Disorder (ASD) – Refers to any of a group of developmental disorders marked by impairments in the ability to communicate and interact socially and by the presence of repetitive behaviors or restricted interests.
Department of Health Care Finance (DHCF) – Single State Agency for the administration of medical assistance programs.
Early and Periodic Screening, Diagnostic and Treatment (EPDST) services benefit – Services designed for Medicaid-eligible beneficiaries from birth through age twenty (20) that include periodic and inter-periodic screenings to identify physical and mental conditions, vision, hearing, and dental, as well as diagnostic and medically necessary treatment services to correct conditions identified during screenings.
Office of the State Superintendent of Education (OSSE) – The Lead Agency for IDEA Part C for the District of Columbia responsible for establishing District-wide policies, providing resources and support, and exercising accountability to ensure a statewide, comprehensive, coordinated, multidisciplinary, interagency system to provide early intervention services for infants and toddlers with disabilities and their families.
Individualized Family Service Plan (IFSP) – A written plan for providing early intervention services to an infant or toddler who is eligible for EI services based on an evaluation and assessment, including outcome measurements, as required under Section 636 of the IDEA, 20 U.S.C. § 1436.
Individuals with Disabilities Education Act (IDEA) – 20 U.S.C. §§ 1432 et seq.
IFSP Team– Each initial and annual IFSP is required to have: the parent or parents of the child; other family members, as requested by the parent; an advocate ore person outside the family, if parent requests that person to participate; the service coordinator; a person or persons directly involved in conducting the evaluations or assessments, and; as appropriate, persons who will be providing early intervention services to the child or family. The team determines the frequency, intensity, method, duration, and location of EI services required in order to carry out the beneficiaries care plan.
Pre-Kindergarten – the year immediately preceding kindergarten.