Coordination of Services

The Division pays for early intervention services only when the following conditions are met. (A) Case Coordinator. The program must assign to each member a service coordinator who is responsible for the following: (1) coordinating services provided to the member; and (2) coordinating the development of the member’s individualized family service plan. (B) Physician or Clinic Care. The program must ensure that the member is under the routine care of a physician or clinic and that, if the member has not been examined by this clinic or physician more recently than six months before admission to the program, the member is examined within 90 days after admission. Such examination must, if appropriate, meet the requirements of the EPSDT Medical Protocol and Periodicity Schedule. If the member is enrolled in managed care, such examination must be delivered in accordance with the requirements of 130 CMR 508.000. If the program is unable to fulfill this requirement, it must submit to the Division documentation of its attempts to do so. (C) Translation Services. An early intervention program must be responsive to the needs of the non-English-speaking population living within its service area. If interpretive assistance is not readily available, the case coordinator or the program must establish contact with appropriate community agencies that can aid the program by helping members and their families with language or cultural barriers.