IFSP
Eligibility
Exit & Transition
Forms
EdAdvance Internal Procedures
100

IFSP is an acronym for.

What is an Individualized Family Service Plan?

100

-2.00 SD in one developmental domain

What is a significant delay? 

100

2 years, 6 months (or 30 months of age)

When does the 3-8 LEA Form need to be signed by?

100

Authorization to Release. 

What document needs to be signed to share information outside of Birth to Three?

100

IFSP and Enrollment Form + Insurance Form.

What is due to the office within 7 days (by email or drop off)?

200

45 days

What is timely service delivery?

200

Moderate to severe phonological impairment

What is a biological factor to determine eligibility?

200

2 years, 5 months (or 29 months of age)

When does a child need to exit Birth to Three by to not have family information shared with the school system through CT-SEDS? 

200

Insurance Form.

What needs to be signed at every evaluation/assessment and IFSP?

200

Exit Form.

What needs to be completed and handed in when a family no longer wants Birth to Three Services? 

300

Family Outcome

What do you want to have happen?

300

Peabody Developmental Motor Scales, Third Edition

What is a secondary evaluation/assessment tool?

300

90 days before child's 3rd birthday. 

When does the Transition Meeting needs to be held by? 

300

Early Intervention Visit Note. 

What needs to be completed after every visit?

300

Data Entry Change Form.

What needs to be completed and handed in when there is a change in a child's demographic information or Service Coordinator? 

400

Transportation costs

What is reimbursable to families?

400

Authorization to Consent

What needs to be signed to complete the evaluation/assessment? 

400

Local Public School System

Who's responsibility is it to determine eligibility for Part B Services?

400

Prior Written Notice.

What form needs to be provided to parents before any change in a child's eligibility, evaluation, or services?

400

Team Meeting and Paperwork & Procedure Meeting.

What are the 2 monthly meetings for EdAdvance Birth to Three staff? 

500

DCF staff or DCF contractors

Who can NOT sign an IFSP on Section 6?

500

Epilepsy

What is a diagnosed condition for auto-eligibility? 

500

May 1 and after.

What birthday begins the EIS Over 3 qualification?

500

Service Coordination Contact Sheet. 

What document needs to be completed and filed in a child's chart after communication with a family, child's doctor, or other relevant individuals? 

500

3 business days after the 15th day, and 3 days after the last day of every month. 

When is paperwork due to the office by?