1. (a)

   1. (1) A health service is a service that is determined necessary in order for an otherwise program-eligible child with an active IFSP to receive, participate in, and benefit from other early intervention services on the child’s IFSP during the time of the child’s program eligibility.

   2. (2) Health services on an IFSP include such services as:

      1. (A) Clean intermittent catheterization, tracheostomy care, tube feeding, the changing of dressings or colostomy collection bags, and other health services identified as necessary to support the child’s participation in early intervention services and, or, or both an early learning program or classroom with their typically developing peers;
      2. (B) Consultation by physicians with EI service provider or providers and, or, or both classroom teacher and, or, or both childcare provider, parents, or other caregivers concerning the special health care needs of infants and toddlers with disabilities that will need to be addressed in the course of providing other early intervention services.

   3. (3) Health services do not include:

      1. (A) Services that are surgical or purely necessary to control or treat a medical condition;
      2. (B) Medical services such as immunizations or other care that is routinely for all infants and toddlers.

2. (b) A local provider program providing health services must maintain the following minimum documentation in the child’s electronic record for each health service performed:

   1. (1) The date and beginning and ending time for each health service session;
   2. (2) The name of the parent and other caregivers who participated in the health service;
   3. (3) The name and credentials of the individual providing the health service and, if the individual is not credentialed, the experience or other knowledge that qualifies them to perform the health service;
   4. (4) A narrative of the instruction, training, and interaction provided to the participating parent or other caregiver (may be included in written progress notes described in subdivision (b)(8) of this section);
   5. (5) The other early intervention services on the IFSP that the health services enable the child to participate in, receive, and benefit from;
   6. (6) A description of the relationship of the health service to the goals and objectives described in the child’s IFSP;
   7. (7) A description of carry over activities or strategies and activities the parent or other caregiver or caregivers present and participating in the health services home and community visit will do between health services sessions (may be included in the narrative of instruction described in subdivision (b)(4) of this section or in the written progress notes described in subdivision (b)(8) of this section);
   8. (8) Written progress notes on each family training, counseling session, or home visit, dated and signed by the individual conducting the family training, counseling session, or home visit; and
   9. (9) Verification of the parent and, or, or both other caregiver participation such as a completed and signed home visiting checklist, certificate of completion, sign-in sheet, or signature on written progress note or notes.

Codification Notes: "EI" means early intervention.