<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".08" citation="COMAR 13A.13.01.08" title_num="13A" subtitle_num="13" chapter_num="01" heading="Individualized Family Service Plan (IFSP) Document.">
  <paragraph num="A.">
    <text>The IFSP shall include:</text>
    <paragraph num="(1)">
      <text>A statement of the child’s present levels of physical development, including:</text>
      <paragraph num="(a)">
        <text>Vision;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Hearing;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Health status;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Cognitive development;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Communication development;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Social or emotional development; and</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Adaptive development;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>A statement of the family’s concerns, priorities, and resources related to enhancing the development of the child as identified through assessment, with the concurrence of the family;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A statement of the measurable results or outcomes considered developmentally appropriate and expected to be achieved for the child and family, consistent with 34 CFR §303.344(c), including:</text>
      <paragraph num="(a)">
        <text>Preliteracy;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Numeracy;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Language skills; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Criteria, procedures, and timeline used to determine:</text>
        <paragraph num="(i)">
          <text>The degree to which progress toward achieving the results or outcomes identified in the IFSP is being made; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Whether modifications or revisions of the expected results or outcomes, or early intervention services identified in the IFSP are necessary;</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>The projected date for the initiation of each early intervention service;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>The anticipated duration of each service;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>The name of the service coordinator from the profession most relevant to the child’s or family’s needs who is responsible for:</text>
      <paragraph num="(a)">
        <text>Implementing the early intervention services identified in a child’s IFSP;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Transition services; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Coordination with other agencies and individuals;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(7)">
      <text>The steps and services to be taken to support the smooth transition of the child from EIS to:</text>
      <paragraph num="(a)">
        <text>Preschool services, in accordance COMAR 13A.05.01, to the extent that those services are appropriate;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The Extended IFSP Option, consistent with 34 CFR §303.209; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Other appropriate services; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(8)">
      <text>The steps to support the smooth transition, including:</text>
      <paragraph num="(a)">
        <text>Discussions with, and training of, parents, as appropriate, regarding future placement as other matters related to the child’s transition;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Procedures to prepare the child for changes in service delivery, including steps to help the child adjust to, and function in, a new setting;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Confirmation that:</text>
        <paragraph num="(i)">
          <text>Child find information about the child has been transmitted to the local school system or other relevant agency, in accordance with 34 CFR §303.209(b); and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>With parental consent, if required under 34 CFR §303.414, transmission of additional information needed by the local school system to ensure continuity of services from the Part C program to the Part B program, including a copy of the most recent evaluation and assessments of the child and family and most recent IFSP; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(d)">
        <text>Identification of transition services and other activities that the IFSP Team determines are necessary to support the transition of the child.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>EIS Providers. EIS providers shall:</text>
    <paragraph num="(1)">
      <text>Participate in the development of an initial IFSP within 45 days from receipt of referral for an eligible child and the child's family;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Implement and conduct periodic reviews and annual evaluations of a child’s IFSP consistent with 34 CFR §§303.342—303.343 and established local policies and procedures;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Participate in the ongoing multidisciplinary assessment of the child and the family-directed assessment of the resources, priorities and concerns of the family, as it relates to the needs of the child in the development of integrated outcomes for the IFSP;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Provide early intervention services in accordance with the IFSP of the infant or toddler with a disability; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Consult with and train parents and others regarding the provision of the early intervention services described in the IFSP of the infant or toddler with a disability.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>IFSP Services.</text>
    <paragraph num="(1)">
      <text>The IFSP shall address the needs of an infant or toddler with a disability and the needs of the family to assist appropriately in the child’s development, as identified by the IFSP team, in one or more of the following areas, including:</text>
      <paragraph num="(a)">
        <text>Physical development;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Cognitive development;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Communication development;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Social or emotional development;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Adaptive development.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>The IFSP shall include, to the extent practicable a statement of the specific early intervention services based on peer-reviewed research that are necessary to meet the unique needs of the child and the family to achieve the results or outcomes identified in §A(3) of this regulation, including:</text>
      <paragraph num="(a)">
        <text>The length, duration, frequency, intensity, and method of delivering the early intervention service, as defined in Regulation.03B of this chapter;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A statement that an early intervention service is provided on a year-round basis in the natural environment of the child or service, to the maximum extent appropriate, or a justification as to why an early intervention service will not be provided in the natural environment;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The determination of the appropriate setting for providing an early intervention service, including any justification for not providing a particular early intervention service in the natural environment shall be:</text>
        <paragraph num="(i)">
          <text>Made by the IFSP Team;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Consistent with the provisions of 34 CFR §§303.13(a)(8), 303.26, and 303.126; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Based on the child’s outcomes identified by the IFSP Team;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(d)">
        <text>The location of the early intervention services; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>The agency fiscally responsible for the service.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>To the extent appropriate, the IFSP shall:</text>
      <paragraph num="(a)">
        <text>Identify medical and other services that the child or family needs or is receiving through other sources, but that are neither required nor funded in accordance with Part C of the Act; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Include a description of the steps the service coordinator or family may take to assist the child and family in securing the services above, if those services are not currently being provided.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>A public agency or EIS provider who has a direct role in the provision of early intervention services is responsible for making a good faith effort to assist each eligible child in achieving the outcomes in the child’s IFSP.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>A public agency or EIS provider cannot be held accountable if a child does not achieve the growth projected in the child’s IFSP, consistent with 34 CFR §303.346.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>The local lead agency shall ensure appropriate early intervention services are based on scientifically based research and are available to infants and toddlers with disabilities and their families, including infants and toddlers with disabilities who are homeless and their families consistent with 34 CFR §303.112.</text>
    </paragraph>
  </paragraph>
</regulation>