1. (1) Initial contact after screening.

   1. (a) Initial contact after screening is provided to all pregnant women and families of infants receiving positive Healthy Start screens who consent to be contacted and all women and families of children under age 3 who have been referred to the care coordination provider by a professional, themselves, or their families for Healthy Start care coordination services.
   2. (b) In the event the participant is unable to access health care services or is in need of further care coordination services, a face-to-face assessment of service needs is provided.
2. (2) Assessment of service needs. Assessment of service needs is done in collaboration with the participant or family by a health-related professional, or health paraprofessional. When provided by a health paraprofessional, assessment must be in collaboration with a health-related professional.
3. (3) Ongoing care coordination. Ongoing care coordination varies in intensity depending on the participant’s or family’s concerns, priorities, and resources. Ongoing care coordination activities range from tracking to intensive coordination of services addressing complex concerns using a Family Support Plan. Care coordination can be provided in the home, neighborhood, school, workplace, or clinic, wherever the concerns, priorities, and needs of the participant and family can best be met.

4. (4) Care coordination closure.

   1. (a) Healthy Start care coordination services include initial contact after Healthy Start risk screening, assessment of service needs, and care coordination. Care coordination closure occurs anytime during the course of Healthy Start care coordination service delivery when one of the following situations applies:

      1. The participant or family of the child requests to discontinue participation.

      2. The family and health care provider or health-related professional agree there is no longer a need for services.

      3. The participant transfers to another provider of care coordination.

      4. Three years have elapsed since the Healthy Start woman’s most recent delivery.

      5. The Healthy Start child reaches three years of age.

      6. The participant cannot be located and three documented attempts have been made to locate.

   2. (b) Care coordination closure activities include the following:

      1. Notification of the participant’s primary service providers of the date and reason for closure.

      2. Completion of referrals to other service providers if continuing or additional services are needed and desired.

      3. Transition to another care coordination provider with release of information and record transfer.

      4. Documentation of all attempts to locate participants who have been lost to follow-up.

      5. Care coordination closure within five working days in the department’s management information system.

      6. Documentation of an explanation of care coordination closure in the participant’s record.

Rulemaking Authority 383.011(2) FS. Law Implemented 383.011(1)(e) FS. History–New 3-30-94, Amended 5-8-96, Formerly 10D-114.010, Amended 9-4-05.