Home Visit Services
What is the maximum number of hours allowed per EI specialist for a home visit session per day?
2 hours per EI specialist per session per day
What is the maximum number of hours allowed per EI specialist for a center-based individual visit?
2 hours per EI specialist per session per day
What is the maximum number of hours per week allowed for child group services (Community & EI-Only combined)?
2.5 hours/week max, 2 sessions/week max for Community & EI-Only combined
Can two EI specialists from the same discipline bill for providing the same home visit service?
Billing not allowed for two same-discipline staff providing same service (except IFSP)
True or False: Two same-discipline EI specialists can bill for the same service if it’s an IFSP visit.
✅ True – Same-discipline staff can bill only during IFSP visits
Within how many weeks must all intake visit hours occur?
Intake visit must occur before all other services and within 2 weeks
How many EI specialists of different disciplines can bill for a co-treatment center-based visit?
One co-treatment per month; billed by up to 3 different disciplines
How is billing calculated for child group services based on attendance?
Billing based on actual attendance, not scheduled duration
What is the maximum number of EI specialists who can bill for a co-treatment session?
Co-treatment billed by up to 3 different disciplines; one per month per child
True or False: A program can bill for both parents attending a parent group without a waiver.
❌ False – Only one parent can be billed unless waiver is granted
How many co-treatment home visits are allowed per month per enrolled child?
One co-treatment per month per enrolled child; 2 hours max per EI specialist
Is a waiver required if two staff of the same discipline participate in an IFSP center-based visit?
Waiver not required if two same-discipline staff participate in IFSP center-based visit
What is the maximum duration and frequency for parent group sessions?
1.5 hours/session, 1 session/week max
What is the weekly maximum number of hours allowed for all autism services?
Autism services capped at 30 hours/week
True or False: Intake visits must occur before any other services.
✅ True – Intake must occur before other services
If a child is deemed ineligible, how many hours of service can occur after the evaluation for transition purposes?
2 hours allowed post-evaluation for ineligible children to review results and transition
What is the rule for combining center-based individual and group service times?
Combined time for center-based individual + group must not exceed group duration
How are sibling groups billed in relation to parent group requirements?
Sibling groups billed as parent groups and must meet same requirements
What is the annual limit for assessment hours per child?
Assessment capped at 10 hours/year
True or False: Co-treatment is allowed between an EI specialist and an SSP Autism provider.
✅ True – Co-treatment allowed with EI specialist and SSP Autism provider
Name all service types that fall under the Home Visit category.
Home Visit category includes:
What is the billing rule for co-treatment center-based visits involving three disciplines?
Billing allowed for up to 3 different disciplines in co-treatment center-based visit
Under what condition can a program bill for both parents attending a parent group?
Only one parent can be billed unless a waiver is granted
Is a waiver required for reimbursement when two same-discipline staff participate in an IFSP visit?
Waiver not required for IFSP home or center-based visits with same-discipline staff
True or False: Assessment hours reset one year from the date of the first billed assessment service.
✅ True – Assessment hours reset one year from first billed assessment