1. (a) A child can begin receiving an urgently needed early intervention services under an interim IFSP prior to completion of the CMDE and initial IFSP process when:

   1. (1) The child is program eligible at the time of the referral for early intervention with a diagnosed condition likely to result in a developmental delay (MD category of program eligibility) or referred with a recent evaluation (other than a developmental evaluation) that documents a significant developmental delay in any one (1) of the five (5) developmental domains (DD category of program eligibility);
   2. (2) The parent confirms an urgent need for an immediate service to meet a parent concern or documented child need at the time of referral that cannot wait for the completion of the CMDE and initial IFSP forty-five-day timeline and process; and

   3. (3)

      1. (A) The available documentation demonstrates the child is eligible for First Connections in either the MD or DD program eligibility categories.
      2. (B) Informed clinical opinion of the IFSP team only cannot be used to demonstrate a child’s eligibility for purposes of an interim IFSP.

2. (b) An interim IFSP meeting should be scheduled as soon as possible after the child’s referral for early intervention and the determination of immediate need and must include the following individuals:

   1. (1) The parent;
   2. (2) The service coordinator; and
   3. (3) Evaluation interpreter or direct service provider from the discipline most closely related to the area of concern or urgent need.

3. (c) The interim IFSP must include the following, at a minimum:

   1. (1) Name of the service coordinator;
   2. (2) One (1) or more child-participation IFSP outcomes (goals) and the action steps (objectives) that will be taken to reach each outcome;
   3. (3) The date by which the child will be expected to achieve the outcomes tied to the early intervention service;
   4. (4) The early intervention service or services determined to be needed immediately to meet the outcomes;
   5. (5) The name of the local provider program selected by the parent to provide the IFSP service or services;
   6. (6) The location for the urgently needed early intervention service or services will be performed in a natural environment;
   7. (7) A schedule of service delivery that includes the frequency and intensity of the urgently needed early intervention service session and whether sessions are on an individual or group basis;
   8. (8) Funding source for the urgently needed early intervention service or services.
4. (d) The use of an interim IFSP does not excuse, delay, extend, or toll the forty-five-calendar-day requirement in 20 CAR § 1002-503(a)(i).
5. (e) The local provider program may use Part C funding to provide the urgently needed service on the IFSP while attempting to obtain any needed Rx from the child’s PCP for that service and document all efforts and activities in the child’s electronic record.
6. (f) The urgently needed service on the IFSP may not be provided in excess of forty-five (45) days from the date of the child’s referral for early intervention, at which time the full initial IFSP must be developed.

Codification Notes: "DD" means developmental delay. "MD" means medical diagnosis. "PCP" means primary care physician. "Rx" means prescription.