1. (a) A medical service on the IFSP is a diagnostic service provided by a licensed physician to determine a child’s health and, or, or both developmental status and need for early intervention and may include specialized evaluation services.

2. (b) Medical services on the IFSP may be provided when determined necessary by the IFSP team to:

   1. (1) Determine a child’s initial program eligibility for a child who is not program eligible in either the MD or DD program eligibility categories but for whom the family (and, or, or both others) have concerns;
   2. (2) Support the child with a disability in reaching the goals and objectives on a current IFSP;
   3. (3) Support the parent and, or, or both family or other parent-identified caregivers in meeting an IFSP family goal or in understanding their child’s unique strengths and needs in order to know how to promote their child’s participation, early learning, and development within typical child and family activities;
   4. (4) Assist the IFSP team in developing an IFSP that aligns with the child’s unique needs, interests, daily routines, and parent concerns and priorities.
3. (c) Medical services must be performed by a licensed physician in good standing with the Arkansas State Medical Board.

4. (d) A local provider program must maintain the following documentation in the child’s service record for each medical service performed:

   1. (1) A description, date, and beginning and ending time for each medical service;
   2. (2) The name of the parent and other caregivers who participated in the medical service;
   3. (3) The name of the physician providing the medical service and the name of their employer, clinic, organization, or facility;
   4. (4) A narrative of the instruction, training, and interaction provided to the participating parent or other caregiver;
   5. (5) A description of the relationship of the medical service to either the family goal or goals on the IFSP or goals and objectives described in the child’s IFSP;
   6. (6) A copy of the diagnostic testing, specialized evaluation, or other screening or assessment uploaded into the child’s electronic record in the state-approved data system; and
   7. (7) A description of how the IFSP team will use this information to accomplish any one of the requirements in 607(2)(1-6).

Codification Notes: "DD" means developmental delay. "MD" means medical diagnosis.