1. (a) An IFSP must include, at a minimum:

   1. (1) The statement of the child's program eligibility and the program eligibility category;
   2. (2) The child's initial COS 1-7 number rating;
   3. (3) The CMDE results outlining the child’s present level of development stated in months with the percentage of child’s chronological age delay in each of the five (5) developmental domains;
   4. (4) The family’s resources, priorities, and concerns related to their child’s participation in typical child and family activities;
   5. (5) One (1) or more family outcomes (family goal on the IFSP) stating what the parent or other parent-identified caregiver will work on and accomplish;
   6. (6) A minimum of at least five (5) specific child-participation goals (child outcome statements), which must be clearly linked to one (1) of the three (3) federal child outcome areas, clearly linked to typical child and family activities and interests and the parent's priorities and concerns documented on the IFSP, are developmentally appropriate and reasonably expected to be achieved in a span of time not to exceed six (6) months, and measurable in a real-world way so that all IFSP team members know when the child outcome has been met;
   7. (7) The specific action step or steps or objectives in a developmental sequence necessary to reach each IFSP goal (child outcome statement) written in such a way that the parent and, or, or both other caregivers understand how to work with their child within typical child and family activities, to reach each functional outcome;

   8. (8) The list of early intervention services necessary to reach the IFSP goals and objectives and accompanying service delivery information, which must include:

      1. (A) The location for each early intervention service session, which must be in the child’s natural environment unless there is documentation in the child’s electronic record in the state-approved data system of developmental justification of need and a conversion plan (not allowable for an initial IFSP);
      2. (B) A schedule of service delivery that includes the frequency and intensity of each early intervention service session and whether sessions are on an individual or group basis;
      3. (C) The local provider program selected by the parent to provide each IFSP service;
      4. (D) Identification of the funding source for each IFSP service;
   9. (9) A list of other services that the child or family will need or receive through sources outside of First Connections in order to achieve the child’s outcomes;
   10. (10) If a child is between twenty-seven (27) and thirty-three (33) months of age, a transition plan is required to be included in the IFSP no later than ninety (90) calendar days prior to the child’s third birthday, unless the child was referred for early intervention between one hundred thirty-five (135) and forty-six (46) calendar days prior to their third birthday; and
   11. (11) The original date of meeting and signatures of all parties participating in an IFSP meeting.

2. (b)

   1. (1) An IFSP expires at the earlier of either the child’s third birthday or after twelve (12) months.
   2. (2) The IFSP can only be renewed after the child’s redetermination of program eligibility has been established by the IFSP team at an annual IFSP review meeting.

   3. (3)

      1. (A) Early intervention services must stop when an IFSP expires.
      2. (B) Parental choice to withdraw from early intervention, refusal of the parent to grant consent, or exceptional family circumstance are the only justifications for allowing an IFSP to expire before the child’s third birthday.
      3. (C) The parent’s choice to withdraw from early intervention or the exceptional family circumstance must be documented in the child’s electronic record in the state-approved data system.
      4. (D) If exceptional family circumstance is the cause, then the annual IFSP review meeting must be held to redetermine the child’s program eligibility and, if program-eligible, to develop the new IFSP as soon as practicable after the circumstances causing the exceptional family circumstance no longer exist.

Codification Notes: "COS" means Child Outcomes Summary.