PREVIOUS
20 CAR § 1002-622. Teleintervention services
20 CAR § 1002-622. Teleintervention services.
(a) Teleintervention services are one (1) of the following early intervention services conducted via a live interactive video-capable telecommunication device in accordance with the requirements of this section:
(1) Developmental therapy services;
(2) Occupational therapy services;
(3) Physical therapy services;
(4) Speech-language pathology services; and
(5) Sign language and cued language services.
(b) Developmental therapy, occupational therapy, physical therapy, and speech-language pathology evaluations may not be provided via teletherapy and must be performed through home and community visit in-person methods.
(c) The child electronic record in the state-approved data system must include the following documentation for teleintervention services:
(1) An assessment of the child and family that determines they are an appropriate candidate for teleintervention services based on the participating parent's or caregiver's availability to participate and engage in the sessions with their child throughout each remotely delivered service session;
(2) A detailed explanation of all onsite assistance or participation that will be used to ensure:
(A) The effectiveness of teleintervention service delivery is equivalent to face-to-face parent consultation, training, coaching, and mentoring in traditional early intervention home and community visits service delivery methods; and
(B) A plan and estimated timeline for returning to home and community visits (in person) service delivery if a child is not progressing towards IFSP goals and outcomes through remote teleintervention service delivery;
(3) Parent consent for teleintervention (teletherapy) as well as the traditional for services form.
(d)(1) The local provider program is responsible for ensuring teleintervention services are the equivalent to in-person, face-to-face home and community service delivery.
(2) The local provider program is responsible for ensuring the calibration of all clinical instruments and the proper functioning of all video-capable telecommunications equipment.
(3) All teleintervention services must be delivered in a synchronous manner, meaning through real-time interaction between the practitioner and the parent or other caregiver working with their child throughout the session.
(4) A store and forward telecommunication method of remote teleintervention service delivery where either the child and parent or other caregiver or the practitioner records and stores data in advance for the other party to review at a later time is prohibited.
(5) A telecommunication method of remote teleintervention service delivery that does not have two-way video capability (parent and, or, or both caregiver can see the therapy local provider program modeling and, or, or both demonstrating and therapy local provider program can see the parent and, or, or both caregiver modeling and, or, or both demonstrating) is prohibited.
(e) Teleservices are subject to all the same limits and requirements as in-person, face-to-face home and community visit style of delivery of the early intervention service.
(f) Teleintervention services may be combined with in-person home and community visit service delivery with parent consent and when a child is making adequate progress toward IFSP goals and objectives.