Common use of Professional Conduct Clause in Contracts

Professional Conduct. The EIS provider shall maintain professional relationships and boundaries with families served by IDEA/Part C, and is prohibited from the following: • Bringing children, minors, or other individuals not directly involved in the provision of services to the family or child to the service site. Parents may not be requested to waive this provision. With prior consent of the family, interns or practicum students who are supervised by the EIS provider are excluded from this provision. • Soliciting business from or entering personal business with families. • Soliciting business from or for a private agency, spouse, or relative. • Selling, purchasing, or marketing products while providing EIS services. • Providing services to members of eligible child’s immediate family or individuals with whom a professional relationship would be compromised. • Loaning or giving money to a family while involved in a professional relationship. • Giving or receiving gifts from those involved in a professional relationship. • Imposing personal, political, or religious beliefs on others. • Using alcohol or illegal drugs while working with eligible families and children, or in a manner that will affect provision of IDEA/Part C services. EIS Provider Scope of Work EIS services are only available to children ages birth to 36 months of age who have been found eligible for IDEA/Part C in South Carolina. All EIS providers must: • Meet federal statute and regulations, follow the current IDEA/Part C policy and procedure manual, all other applicable federal, state, or local laws, and all applicable standards of diligence and care. Please see the policy for early intervention services in natural environments for definitions of services under Part C of IDEA. • Initiate services within 30 calendar days of identification as a new planned service on any IFSP. If the EIS provider is unable to meet this timeframe, the referral should be declined, and the Service Coordinator should refer to another EIS provider. • Address the priorities and concerns determined by the routines-based family assessment. • Provide services only when an IFSP outcome is identified for which the family requires support to either accomplish the outcome or to assist the child in accomplishing the outcome. • Provide services in the context of the family’s home and community routines and activities, according to the outcome the service is intended to address, and at the service frequency, duration, intensity, location, and method determined by the IFSP. • Make up any provider-driven cancelled visits if the family agrees to or has requested the visit be made up. EIS providers must offer make up visits and this must be documented in the service note/log. o Make-up visits must: ⮚ Be made up in the same month unless the visit was missed during the last week of the month. When cancelled during the last week, the provider must make up the visit within the first week of the following month. ⮚ Be documented in service notes/logs that specify if the visit was made up in one visit or incrementally over multiple visits throughout the month. • All service delivery must include training the family, teaming with other EIS providers on the IFSP team, and consultation with the family and other IFSP team members to ensure integration of the EIS in the family’s activities and routines. • Employ use of evidence-based practices (EBP) as identified in the IDEA/Part C policies and procedures (xxxxx://xxx.xxxxxx.xxx/babynet/site-page/babynet-policies-and-procedures), the national professional association relevant to the EIS provider’s licensure, or, if unavailable, those established by the Council for Exceptional Children, Division of Early Childhood of 2014 (xxxxx://xxx.xxx-xxxx.xxx/dec-recommended- practices). • Discuss any proposed change to the service with the Service Coordinator. • Implement any change to the service only after an IFSP Review meeting has occurred. • Participate in all reviews of the IFSP (six-month and annual) and in formal change reviews of the plan as appropriate. • Complete ratings of child progress for the Early Childhood Outcomes summary process at the time of the child’s exit from IDEA/Part C.

Professional Conduct. The EIS provider shall maintain professional relationships and boundaries with families served by IDEA/Part C, and is prohibited from the following: • Bringing children, minors, or other individuals not directly involved in the provision of services to the family or child to the service site. Parents may not be requested to waive this provision. With prior consent of the family, interns or practicum students who are supervised by the EIS provider are excluded from this provision. • Soliciting business from or entering personal business with families. • Soliciting business from or for a private agency, spouse, or relative. • Selling, purchasing, or marketing products while providing EIS services. • Providing services to members of eligible child’s immediate family or individuals with whom a professional relationship would be compromised. • Loaning or giving money to a family while involved in a professional relationship. • Giving or receiving gifts from those involved in a professional relationship. • Imposing personal, political, or religious beliefs on others. • Using alcohol or illegal drugs while working with eligible families and children, or in a manner that will affect provision of IDEA/Part C services. EIS Provider Scope of Work EIS services are only available to children ages birth to 36 months of age who have been found eligible for IDEA/Part C in South Carolina. All EIS providers must: • Meet federal statute and regulations, follow the current IDEA/Part C policy and procedure manual, all other applicable federal, state, or local laws, and all applicable standards of diligence and care. Please see the policy for early intervention services in natural environments APPENDIX B for definitions of early intervention services under Part C of IDEA. • Initiate services within 30 calendar days of identification as a new planned service on any IFSP. If the EIS provider is unable to meet this timeframe, the referral should be declined, and the Service Coordinator should refer to another EIS provider. • Address the priorities and concerns determined by the routines-based family assessment. • Provide services only when an IFSP outcome is identified for which the family requires support to either accomplish the outcome or to assist the child in accomplishing the outcome. • Provide services in the context of the family’s home and community routines and activities, according to the outcome the service is intended to address, and at the service frequency, duration, intensity, location, and method determined by the IFSP. • Make up any provider-driven cancelled visits if the family agrees to or has requested the visit be made up. EIS providers must offer make up visits and this must be documented in the service note/log. o Make-up visits must: ⮚ Be made up in the same month unless the visit was missed during the last week of the month. When cancelled during the last week, the provider must make up the visit within the first week of the following month. ⮚ Be documented in service notes/logs that specify if the visit was made up in one visit or incrementally over multiple visits throughout the month. • All service delivery must include training the family, teaming with other EIS providers on the IFSP team, and consultation with the family and other IFSP team members to ensure integration of the EIS in the family’s activities and routines. • Employ use of evidence-based practices (EBP) as identified in the IDEA/Part C policies and procedures (xxxxx://xxx.xxxxxx.xxx/babynet/site-page/babynet-policies-and-procedures), the national professional association relevant to the EIS provider’s licensure, or, if unavailable, those established by the Council for Exceptional Children, Division of Early Childhood of 2014 (xxxxx://xxx.xxx-xxxx.xxx/dec-recommended- practices). • Discuss any proposed change to the service with the Service Coordinator. • Implement any change to the service only after an IFSP Review meeting has occurred. • Participate in all reviews of the IFSP (six-month and annual) and in formal change reviews of the plan as appropriate. • Complete ratings of child progress for the Early Childhood Outcomes summary process at the time of the child’s exit from IDEA/Part C.C. Non-Covered Activities and Services The following are NOT Medicaid-reimbursable activities/services. For additional guidance, please visit the appropriate Medicaid Manual at xxxxx://xxxxxx.xxx/provider-manual-list. • Activities on behalf of deceased children or their families. • Appointment reminders. • Attempted phone calls, home visits or attempted face to face contacts. • Attending provider, regional, and/or central office training or other agency training. IDEA/Part C and Medicaid only pay for meetings attended as a member of a child’s IFSP team. • Billing for services after the IFSP expires. • Billing for services if the provider has not completed all credential requirements within the required time period frame. • Clerical duties such as scheduling, confirming, and/or canceling appointments and notifying the provider of such, accessing voice mail, copying, filing, mailing reports, etc. • Delivering services prior to the development/review of the IFSP, or in excess of what is authorized on the IFSP. • Delivery of services at agency-sponsored events or functions. • Delivery of services by personnel that do not have an IDEA/Part C provider contract except when specifically approved by IDEA/Part C State Office. • Delivery of services directly to the child in the absence of a parent or caregiver. • Delivery of services to a child in an institutional setting. • Delivery of services to children who reside in a nursing home, a correctional facility, or an intermediate care facility. • Developing activities in bulk for multiple children. Activities must be individualized and based on the needs of the child and family. • Developing and/or mailing form letters that do not substantiate a billable activity specific to the child and/or reflective of a child’s need. • Foreign language or Braille translation of non-IFSP documents such as applications for Supplemental Security Income (SSI), Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), Medicaid, etc. • Foreign language or sign language interpretation for services listed in the “Other Services” section of the IFSP. • Helping the family identify/access other services/resources that IDEA/Part C does not pay for or time spent collecting medical documents or other written medical information from physicians, hospitals, nurses, etc. Exception: Service Coordinators. • Internet searches. • Medicaid eligibility determinations, re-determinations or verification of Medicaid number. • Observing a child. Exception: Observation for assessment and IFSP development purposes. • Participating in court sessions related to a child or family. • Preparing claims for reimbursement, regardless of payor source. • Providing emotional support. Exception: Intake Coordinators and Service Coordinators may bill for providing information in a crisis. • Providing more than one Part C service on the same day at the same time, unless providing foreign language or sign language interpretation for the provider/family. • Providing services during a child’s lunch/snack time; nap time; or recreational, leisure, or social activities. Exception: the activity or routine is specifically addressed in an IFSP outcome. • Providing unauthorized services – Services not authorized on an IFSP • Re-examining records (record reviews) for the purposes of familiarization. • Services provided outside of the family’s natural environments without review and authorization by the IFSP team. • Submitting changes to any beneficiary information system, data tracking system, review of documents regarding such systems, entering/updating information previously decided with parent or professional. • Supervisory time. • Time spent writing service logs. • Transportation of child or family for any purpose, including traveling to and from Part C service visits, including transportation to and from medical appointments with the family, and no shows. • Weekly or daily preparatory activities for direct service sessions.

Professional Conduct. The EIS provider shall maintain professional relationships and boundaries with families served by IDEA/Part C, and is prohibited from the following: • Bringing children, minors, or other individuals not directly involved in the provision of services to the family or child to the service site. Parents may not be requested to waive this provision. With prior consent of the family, interns or practicum students who are supervised by the EIS provider are excluded from this provision. • Soliciting business from or entering personal business with families. • Soliciting business from or for a private agency, spouse, or relative. • Selling, purchasing, or marketing products while providing EIS services. • Providing services to members of eligible child’s immediate family or individuals with whom a professional relationship would be compromised. • Loaning or giving money to a family while involved in a professional relationship. • Giving or receiving gifts from those involved in a professional relationship. • Imposing personal, political, or religious beliefs on others. • Using alcohol or illegal drugs while working with eligible families and children, or in a manner that will affect provision of IDEA/Part C services. EIS Provider Scope of Work EIS services are only available to children ages birth to 36 months of age who have been found eligible for IDEA/Part C in South Carolina. All EIS providers must: • Meet federal statute and regulations, follow the current IDEA/Part C policy and procedure manual, all other applicable federal, state, or local laws, and all applicable standards of diligence and care. Please see the policy for early intervention services in natural environments for definitions of services under Part C of IDEA. • Initiate services within 30 calendar days of identification as a new planned service on any IFSP. If the EIS provider is unable to meet this timeframe, the referral should be declined, and the Service Coordinator should refer to another EIS provider. • Address the priorities and concerns determined by the routines-based family assessment. • Provide services only when an IFSP outcome is identified for which the family requires support to either accomplish the outcome or to assist the child in accomplishing the outcome. • Provide services in the context of the family’s home and community routines and activities, according to the outcome the service is intended to address, and at the service frequency, duration, intensity, location, and method determined by the IFSP. • Make up any provider-driven cancelled visits if the family agrees to or has requested the visit be made up. EIS providers must offer make up visits and this must be documented in the service note/log. o Make-up visits must: ⮚ Be made up in the same month unless the visit was missed during the last week of the month. When cancelled during the last week, the provider must make up the visit within the first week of the following month. ⮚ Be documented in service notes/logs that specify if the visit was made up in one visit or incrementally over multiple visits throughout the month. • All service delivery must include training the family, teaming with other EIS providers on the IFSP team, and consultation with the family and other IFSP team members to ensure integration of the EIS in the family’s activities and routines. • Employ use of evidence-based practices (EBP) as identified in the IDEA/Part C policies and procedures (xxxxx://xxx.xxxxxx.xxx/babynet/site-page/babynet-policies-and-procedures), the national professional association relevant to the EIS provider’s licensure, or, if unavailable, those established by the Council for Exceptional Children, Division of Early Childhood of 2014 (xxxxx://xxx.xxx-xxxx.xxx/dec-recommended- practices). • Discuss any proposed change to the service with the Service Coordinator. • Implement any change to the service only after an IFSP Review meeting has occurred. • Participate in all reviews of the IFSP (six-month and annual) and in formal change reviews of the plan as appropriate. • Complete ratings of child progress for the Early Childhood Outcomes summary process at the time of the child’s exit from IDEA/Part C.C. Non-Covered Activities and Services The following are NOT Medicaid-reimbursable activities/services. For additional guidance, please visit the appropriate Medicaid Manual at xxxxx://xxxxxx.xxx/provider-manual-list. • Activities on behalf of deceased children or their families. • Appointment reminders. • Attempted phone calls, home visits or attempted face to face contacts. • Attending provider, regional, and/or central office training or other agency training. IDEA/Part C and Medicaid only pay for meetings attended as a member of a child’s IFSP team. • Billing for services after the IFSP expires. • Billing for services if the provider has not completed all credential requirements within the required time period frame. • Clerical duties such as scheduling, confirming, and/or canceling appointments and notifying the provider of such, accessing voice mail, copying, filing, mailing reports, etc. • Delivering services prior to the development/review of the IFSP, or in excess of what is authorized on the IFSP. • Delivery of services at agency-sponsored events or functions. • Delivery of services by personnel that do not have an IDEA/Part C provider contract except when specifically approved by IDEA/Part C State Office. • Delivery of services directly to the child in the absence of a parent or caregiver. • Delivery of services to a child in an institutional setting. • Delivery of services to children who reside in a nursing home, a correctional facility, or an intermediate care facility. • Developing activities in bulk for multiple children. Activities must be individualized and based on the needs of the child and family. • Developing and/or mailing form letters that do not substantiate a billable activity specific to the child and/or reflective of a child’s need. • Foreign language or Braille translation of non-IFSP documents such as applications for Supplemental Security Income (SSI), Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), Medicaid, etc. • Foreign language or sign language interpretation for services listed in the “Other Services” section of the IFSP. • Helping the family identify/access other services/resources that IDEA/Part C does not pay for or time spent collecting medical documents or other written medical information from physicians, hospitals, nurses, etc. Exception: Service Coordinators. • Internet searches. • Medicaid eligibility determinations, re-determinations or verification of Medicaid number. • Observing a child. Exception: Observation for assessment and IFSP development purposes. • Participating in court sessions related to a child or family. • Preparing claims for reimbursement, regardless of payor source. • Providing emotional support. Exception: Intake Coordinators and Service Coordinators may bill for providing information in a crisis. • Providing more than one Part C service on the same day at the same time, unless providing any of the following: o Foreign language or sign language interpretation. o Health services. o Nursing services. o Services related to positioning or use of an AT device. • Providing services during routines or activities not identified in an IFSP. • Providing unauthorized services – Services not authorized on an IFSP • Re-examining records (record reviews) for the purposes of familiarization. • Services provided outside of the family’s natural environments without review and authorization by the IFSP team. • Submitting changes to any beneficiary information system, data tracking system, review of documents regarding such systems, entering/updating information previously decided with parent or professional. • Supervisory time. • Time spent writing service logs. • Transportation of child or family for any purpose, including traveling to and from Part C service visits, including transportation to and from medical appointments with the family, and no shows. • Weekly or daily preparatory activities for direct service sessions.

Professional Conduct. The EIS provider shall maintain professional relationships and boundaries with families served by IDEA/Part C, and is prohibited from the following: • Bringing children, minors, or other individuals not directly involved in the provision of services to the family or child to the service site. Parents may not be requested to waive this provision. With prior consent of the family, interns or practicum students who are supervised by the EIS provider are excluded from this provision. • Soliciting business from or entering personal business with families. • Soliciting business from or for a private agency, spouse, or relative. • Selling, purchasing, or marketing products while providing EIS services. • Providing services to members of eligible child’s immediate family or individuals with whom a professional relationship would be compromised. • Loaning or giving money to a family while involved in a professional relationship. • Giving or receiving gifts from those involved in a professional relationship. • Imposing personal, political, or religious beliefs on others. • Using alcohol or illegal drugs while working with eligible families and children, or in a manner that will affect provision of IDEA/Part C services. EIS Provider Scope of Work EIS services are only available to children ages birth to 36 months of age who have been found eligible for IDEA/Part C in South Carolina. All EIS providers must: • Meet federal statute and regulations, follow the current IDEA/Part C policy and procedure manual, all other applicable federal, state, or local laws, and all applicable standards of diligence and care. Please see the policy for early intervention services in natural environments for definitions of services under Part C of IDEA. • Initiate services within 30 calendar days of identification as a new planned service on any IFSP. If the EIS provider is unable to meet this timeframe, the referral should be declined, and the Service Coordinator should refer to another EIS provider. • Address the priorities and concerns determined by the routines-based family assessment. • Provide services only when an IFSP outcome is identified for which the family requires support to either accomplish the outcome or to assist the child in accomplishing the outcome. • Provide services in the context of the family’s home and community routines and activities, according to the outcome the service is intended to address, and at the service frequency, duration, intensity, location, and method determined by the IFSP. • Make up any provider-driven cancelled visits if the family agrees to or has requested the visit be made up. EIS providers must offer make up visits and this must be documented in the service note/log. o Make-up visits must: ⮚ Be made up in the same month unless the visit was missed during the last week of the month. When cancelled during the last week, the provider must make up the visit within the first week of the following month. ⮚ Be documented in service notes/logs that specify if the visit was made up in one visit or incrementally over multiple visits throughout the month. • All service delivery must include training the family, teaming with other EIS providers on the IFSP team, and consultation with the family and other IFSP team members to ensure integration of the EIS in the family’s activities and routines. • Employ use of evidence-based practices (EBP) as identified in the IDEA/Part C policies and procedures (xxxxx://xxx.xxxxxx.xxx/babynet/site-page/babynet-policies-and-procedures), the national professional association relevant to the EIS provider’s licensure, or, if unavailable, those established by the Council for Exceptional Children, Division of Early Childhood of 2014 (xxxxx://xxx.xxx-xxxx.xxx/dec-recommended- practices). • Discuss any proposed change to the service with the Service Coordinator. • Implement any change to the service only after an IFSP Review meeting has occurred. • Participate in all reviews of the IFSP (six-month and annual) and in formal change reviews of the plan as appropriate. • Complete ratings of child progress for the Early Childhood Outcomes summary process at the time of the child’s exit from IDEA/Part C.C. Non-Covered Activities and Services The following are NOT Medicaid-reimbursable activities/services. For additional guidance, please visit the appropriate Medicaid Manual at xxxxx://xxxxxx.xxx/provider-manual-list. • Activities on behalf of deceased children or their families. • Appointment reminders. • Attempted phone calls, home visits or attempted face to face contacts. • Attending provider, regional, and/or central office training or other agency training. IDEA/Part C and Medicaid only pay for meetings attended as a member of a child’s IFSP team. • Billing for services after the IFSP expires. • Billing for services if the provider has not completed all credential requirements within the required time period frame. • Clerical duties such as scheduling, confirming, and/or canceling appointments and notifying the provider of such, accessing voice mail, copying, filing, mailing reports, etc. • Delivering services prior to the development/review of the IFSP, or in excess of what is authorized on the IFSP. • Delivery of services at agency-sponsored events or functions. • Delivery of services by personnel that do not have an IDEA/Part C provider contract except when specifically approved by IDEA/Part C State Office. • Delivery of services directly to the child in the absence of a parent or caregiver. • Delivery of services to a child in an institutional setting. • Delivery of services to children who reside in a nursing home, a correctional facility, or an intermediate care facility. • Developing activities in bulk for multiple children. Activities must be individualized and based on the needs of the child and family. • Developing and/or mailing form letters that do not substantiate a billable activity specific to the child and/or reflective of a child’s need. • Helping the family identify/access other services/resources that IDEA/Part C does not pay for or time spent collecting medical documents or other written medical information from physicians, hospitals, nurses, etc. Exception: Service Coordinators. • Internet searches. • Medicaid eligibility determinations, redeterminations or verification of Medicaid number. • Observing a child. Exception: Observation for assessment and IFSP development purposes. • Participating in court sessions related to a child or family. • Preparing claims for reimbursement, regardless of payor source. • Providing emotional support. Exception: Intake Coordinators and Service Coordinators may bill for providing information in a crisis. • Providing more than one Part C service on the same day at the same time, unless providing any of the following: o Foreign language or sign language interpretation. o Health services. o Nursing services. o Services related to positioning or use of an AT device. o Participation in an IFSP Team Meeting. • Providing services during routines or activities not identified in an IFSP. • Providing unauthorized services – Services not authorized on an IFSP • Re-examining records (record reviews) for the purposes of familiarization. • Services provided outside of the family’s natural environments without review and authorization by the IFSP team. • Submitting changes to any beneficiary information system, data tracking system, review of documents regarding such systems, entering/updating information previously decided with parent or professional. • Supervisory time. • Time spent writing service logs. • Transportation of child or family for any purpose, including traveling to and from Part C service visits, including transportation to and from medical appointments with the family, and no shows. • Weekly or daily preparatory activities for direct service sessions.

Professional Conduct. The EIS provider shall maintain professional relationships and boundaries with families served by IDEA/Part C, and is prohibited from the following: • Bringing children, minors, or other individuals not directly involved in the provision of services to the family or child to the service site. Parents may not be requested to waive this provision. With prior consent of the family, interns or practicum students who are supervised by the EIS provider are excluded from this provision. • Soliciting business from or entering personal business with families. • Soliciting business from or for a private agency, spouse, or relative. • Selling, purchasing, or marketing products while providing EIS services. • Providing services to members of eligible child’s immediate family or individuals with whom a professional relationship would be compromised. • Loaning or giving money to a family while involved in a professional relationship. • Giving or receiving gifts from those involved in a professional relationship. • Imposing personal, political, or religious beliefs on others. • Using alcohol or illegal drugs while working with eligible families and children, or in a manner that will affect provision of IDEA/Part C services. EIS Provider Scope of Work EIS services are only available to children ages birth to 36 months of age who have been found eligible for IDEA/Part C in South Carolina. All EIS providers must: • Meet federal statute and regulations, follow the current IDEA/Part C policy and procedure manual, all other applicable federal, state, or local laws, and all applicable standards of diligence and care. Please see the policy for early intervention services in natural environments for definitions of services under Part C of IDEA. • Initiate services within 30 calendar days of identification as a new planned service on any IFSP. If the EIS provider is unable to meet this timeframe, the referral should be declined, and the Service Coordinator should refer to another EIS provider. • Address the priorities and concerns determined by the routines-based family assessment. • Provide services only when an IFSP outcome is identified for which the family requires support to either accomplish the outcome or to assist the child in accomplishing the outcome. • Provide services in the context of the family’s home and community routines and activities, according to the outcome the service is intended to address, and at the service frequency, duration, intensity, location, and method determined by the IFSP. • Make up any provider-driven cancelled visits if the family agrees to or has requested the visit be made up. EIS providers must offer make up visits and this must be documented in the service note/log. o Make-up visits must: ⮚ Be made up in the same month unless the visit was missed during the last week of the month. When cancelled during the last week, the provider must make up the visit within the first week of the following month. ⮚ Be documented in service notes/logs that specify if the visit was made up in one visit or incrementally over multiple visits throughout the month. • All service delivery must include training the family, teaming with other EIS providers on the IFSP team, and consultation with the family and other IFSP team members to ensure integration of the EIS in the family’s activities and routines. • Employ use of evidence-based practices (EBP) as identified in the IDEA/Part C policies and procedures (xxxxx://xxx.xxxxxx.xxx/babynet/site-page/babynet-policies-and-procedures), the national professional association relevant to the EIS provider’s licensure, or, if unavailable, those established by the Council for Exceptional Children, Division of Early Childhood of 2014 (xxxxx://xxx.xxx-xxxx.xxx/dec-recommended- practices). • Discuss any proposed change to the service with the Service Coordinator. • Implement any change to the service only after an IFSP Review meeting has occurred. • Participate in all reviews of the IFSP (six-month and annual) and in formal change reviews of the plan as appropriate. • Complete ratings of child progress for the Early Childhood Outcomes summary process at the time of the child’s exit from IDEA/Part C.C. Non-Covered Activities and Services The following are NOT Medicaid-reimbursable activities/services. For additional guidance, please visit the appropriate Medicaid Manual at xxxxx://xxxxxx.xxx/provider-manual-list. • Activities on behalf of deceased children or their families • Appointment reminders, phone calls to caregivers to confirm upcoming appointments • Attempted phone calls, home visits or attempted face to face contacts • Attending provider, regional, and/or central office training or other agency training • Billing for services after the IFSP expires • Copying, filing, completing, and mailing reports, and other administrative duties • Delivering services prior to the development/review of the IFSP, or in excess of what is authorized on the IFSP Services provided at agency/organization sponsored functions • Services provided directly to the child in the absence of a parent or caregiver • Delivery of services to a child in an institutional setting • Developing activities in bulk for multiple children. Activities must be individualized and based on the needs of the child and family • Developing and/or mailing form letters that do not substantiate a billable activity specific to the child and/or reflective of a child’s need • Helping the family identify/access other services/resources that IDEA/Part C does not pay for or time spent collecting medical documents or other written medical information from physicians, hospitals, nurses, etc. Exception: Service Coordinators • Internet searches • Medicaid eligibility determinations, redeterminations, or verification of Medicaid number • Observing a child. Exception: Observation for assessment and IFSP development purposes • Participating in court proceedings • Preparing claims for reimbursement, regardless of payor source • Preparation time for family training activities • Providing emotional support. Exception: Intake Coordinators and Service Coordinators may bill for providing information in a crisis • Providing services during routines or activities not identified in an IFSP • Providing unauthorized services – Services not authorized on an IFSP • Re-examining records (record reviews) for the purposes of familiarization • Services provided outside of the family’s natural environments without review and authorization by the IFSP team • Services provided to children enrolled in childcare settings where the number of children with disabilities is more than 50% of the total enrollment • Services provided to children in a childcare setting, but away from other children (in a hallway, empty classroom, etc.) • Submitting changes to any beneficiary information system, data tracking system, review of documents regarding such systems, entering/updating information previously decided with parent or professional • Supervisory time • Time spent writing service logs • Transportation of child or family for any purpose • Texting parents and caregivers General Supervision and Monitoring Timely provision of early intervention services is a state performance indicator reported to the U.S. Department of Education each year in the Annual Performance Report (APR). In South Carolina, timely is defined as services beginning within 30 days of being added to an IFSP. Should the EIS provider fail to meet the state definition of timely service delivery, the IDEA/Part C State Office will require the EIS provider to submit all documentation necessary to demonstrate sustained correction of any finding(s) of non-compliance. All correction must occur within one year of identification of the finding, per the IDEA/Part C general supervision and monitoring procedures in effect at the time the finding is issued. Provision of EIS Services Service Coordinator Responsibilities in Service Provision:

Professional Conduct. The EIS provider shall maintain professional relationships and boundaries with families served by IDEA/Part C, and is prohibited from the following: • Bringing children, minors, or other individuals not directly involved in the provision of services to the family or child to the service site. Parents may not be requested to waive this provision. With prior consent of the family, interns or practicum students who are supervised by the EIS provider are excluded from this provision. • Soliciting business from or entering personal business with families. • Soliciting business from or for a private agency, spouse, or relative. • Selling, purchasing, or marketing products while providing EIS services. • Providing services to members of eligible child’s immediate family or individuals with whom a professional relationship would be compromised. • Loaning or giving money to a family while involved in a professional relationship. • Giving or receiving gifts from those involved in a professional relationship. • Imposing personal, political, or religious beliefs on others. • Using alcohol or illegal drugs while working with eligible families and children, or in a manner that will affect provision of IDEA/Part C services. EIS Provider Scope of Work EIS services are only available to children ages birth to 36 months of age who have been found eligible for IDEA/Part C in South Carolina. All EIS providers must: • Meet federal statute and regulations, follow the current IDEA/Part C policy and procedure manual, all other applicable federal, state, or local laws, and all applicable standards of diligence and care. Please see the policy for early intervention services in natural environments for definitions of services under Part C of IDEA. • Initiate services within 30 calendar days of identification as a new planned service on any IFSP. If the EIS provider is unable to meet this timeframe, the referral should be declined, and the Service Coordinator should refer to another EIS provider. • Address the priorities and concerns determined by the routines-based family assessment. • Provide services only when an IFSP outcome is identified for which the family requires support to either accomplish the outcome or to assist the child in accomplishing the outcome. • Provide services in the context of the family’s home and community routines and activities, according to the outcome the service is intended to address, and at the service frequency, duration, intensity, location, and method determined by the IFSP. • Make up any provider-driven cancelled visits if the family agrees to or has requested the visit be made up. EIS providers must offer make up visits and this must be documented in the service note/log. o Make-up visits must: ⮚ Be made up in the same month unless the visit was missed during the last week of the month. When cancelled during the last week, the provider must make up the visit within the first week of the following month. ⮚ Be documented in service notes/logs that specify if the visit was made up in one visit or incrementally over multiple visits throughout the month. • All service delivery must include training the family, teaming with other EIS providers on the IFSP team, and consultation with the family and other IFSP team members to ensure integration of the EIS in the family’s activities and routines. • Employ use of evidence-based practices (EBP) as identified in the IDEA/Part C policies and procedures (xxxxx://xxx.xxxxxx.xxx/babynet/site-page/babynet-policies-and-procedures), the national professional association relevant to the EIS provider’s licensure, or, if unavailable, those established by the Council for Exceptional Children, Division of Early Childhood of 2014 (xxxxx://xxx.xxx-xxxx.xxx/dec-recommended- practices). • Discuss any proposed change to the service with the Service Coordinator. • Implement any change to the service only after an IFSP Review meeting has occurred. • Participate in all reviews of the IFSP (six-month and annual) and in formal change reviews of the plan as appropriate. • Complete ratings of child progress for the Early Childhood Outcomes summary process at the time of the child’s exit from IDEA/Part C.C. Non-Covered Activities and Services The following are NOT Medicaid-reimbursable activities/services. For additional guidance, please visit the appropriate Medicaid Manual at xxxxx://xxxxxx.xxx/provider-manual-list. • Activities on behalf of deceased children or their families. • Appointment reminders. • Attempted phone calls, home visits or attempted face to face contacts. • Attending provider, regional, and/or central office training or other agency training. IDEA/Part C and Medicaid only pay for meetings attended as a member of a child’s IFSP team. • Billing for services after the IFSP expires. • Billing for services if the provider has not completed all credential requirements within the required time period frame. • Clerical duties such as scheduling, confirming, and/or canceling appointments and notifying the provider of such, accessing voice mail, copying, filing, mailing reports, etc. • Delivering services prior to the development/review of the IFSP, or in excess of what is authorized on the IFSP. • Delivery of services at agency-sponsored events or functions. • Delivery of services by personnel that do not have an IDEA/Part C provider contract except when specifically approved by IDEA/Part C State Office. • Delivery of services directly to the child in the absence of a parent or caregiver. • Delivery of services to a child in an institutional setting. • Delivery of services to children who reside in a nursing home, a correctional facility, or an intermediate care facility. • Developing activities in bulk for multiple children. Activities must be individualized and based on the needs of the child and family. • Developing and/or mailing form letters that do not substantiate a billable activity specific to the child and/or reflective of a child’s need. • Helping the family identify/access other services/resources that IDEA/Part C does not pay for or time spent collecting medical documents or other written medical information from physicians, hospitals, nurses, etc. Exception: Service Coordinators. • Internet searches. • Medicaid eligibility determinations, redeterminations, or verification of Medicaid number. • Observing a child. Exception: Observation for assessment and IFSP development purposes. • Participating in court sessions related to a child or family. • Preparing claims for reimbursement, regardless of payor source. • Providing emotional support. Exception: Intake Coordinators and Service Coordinators may bill for providing information in a crisis. • Providing more than one Part C service on the same day at the same time, unless providing any of the following: o Foreign language or sign language interpretation. o Health services. o Nursing services. o Services related to positioning or use of an AT device. o Participation in an IFSP Team Meeting. • Providing services during routines or activities not identified in an IFSP. • Providing unauthorized services – Services not authorized on an IFSP • Re-examining records (record reviews) for the purposes of familiarization. • Services provided outside of the family’s natural environments without review and authorization by the IFSP team. • Submitting changes to any beneficiary information system, data tracking system, review of documents regarding such systems, entering/updating information previously decided with parent or professional. • Supervisory time. • Time spent writing service logs. • Transportation of child or family for any purpose, including traveling to and from Part C service visits, including transportation to and from medical appointments with the family, and no shows. • Weekly or daily preparatory activities for direct service sessions.

Professional Conduct. The EIS provider shall maintain professional relationships and boundaries with families served by IDEA/Part C, and is prohibited from the following: • Bringing children, minors, or other individuals not directly involved in the provision of services to the family or child to the service site. Parents may not be requested to waive this provision. With prior consent of the family, interns or practicum students who are supervised by the EIS provider are excluded from this provision. • Soliciting business from or entering personal business with families. • Soliciting business from or for a private agency, spouse, or relative. • Selling, purchasing, or marketing products while providing EIS services. • Providing services to members of eligible child’s immediate family or individuals with whom a professional relationship would be compromised. • Loaning or giving money to a family while involved in a professional relationship. • Giving or receiving gifts from those involved in a professional relationship. • Imposing personal, political, or religious beliefs on others. • Using alcohol or illegal drugs while working with eligible families and children, or in a manner that will affect provision of IDEA/Part C services. EIS Provider Scope of Work EIS services are only available to children ages birth to 36 months of age who have been found eligible for IDEA/Part C in South Carolina. All EIS providers must: • Meet federal statute and regulations, follow the current IDEA/Part C policy and procedure manual, all other applicable federal, state, or local laws, and all applicable standards of diligence and care. Please see the policy for early intervention services in natural environments for definitions of services under Part C of IDEA. • Initiate services within 30 calendar days of identification as a new planned service on any IFSP. If the EIS provider is unable to meet this timeframe, the referral should be declined, and the Service Coordinator should refer to another EIS provider. • Address the priorities and concerns determined by the routines-based family assessment. • Provide services only when an IFSP outcome is identified for which the family requires support to either accomplish the outcome or to assist the child in accomplishing the outcome. • Provide services in the context of the family’s home and community routines and activities, according to the outcome the service is intended to address, and at the service frequency, duration, intensity, location, and method determined by the IFSP. • Make up any provider-driven cancelled visits if the family agrees to or has requested the visit be made up. EIS providers must offer make up visits and this must be documented in the service note/log. o Make-up visits must: ⮚ Be made up in the same month unless the visit was missed during the last week of the month. When cancelled during the last week, the provider must make up the visit within the first week of the following month. ⮚ Be documented in service notes/logs that specify if the visit was made up in one visit or incrementally over multiple visits throughout the month. • All service delivery must include training the family, teaming with other EIS providers on the IFSP team, and consultation with the family and other IFSP team members to ensure integration of the EIS in the family’s activities and routines. • Employ use of evidence-based practices (EBP) as identified in the IDEA/Part C policies and procedures (xxxxx://xxx.xxxxxx.xxx/babynet/site-page/babynet-policies-and-procedures), the national professional association relevant to the EIS provider’s licensure, or, if unavailable, those established by the Council for Exceptional Children, Division of Early Childhood of 2014 (xxxxx://xxx.xxx-xxxx.xxx/dec-recommended- practices). • Discuss any proposed change to the service with the Service Coordinator. • Implement any change to the service only after an IFSP Review meeting has occurred. • Participate in all reviews of the IFSP (six-month and annual) and in formal change reviews of the plan as appropriate. • Complete ratings of child progress for the Early Childhood Outcomes summary process at the time of the child’s exit from IDEA/Part C.C. Non-Covered Activities and Services The following are NOT Medicaid-reimbursable activities/services. For additional guidance, please visit the appropriate Medicaid Manual at xxxxx://xxxxxx.xxx/provider-manual-list. • Activities on behalf of deceased children or their families. • Appointment reminders. • Attempted phone calls, home visits or attempted face to face contacts. • Attending provider, regional, and/or central office training or other agency training. IDEA/Part C and Medicaid only pay for meetings attended as a member of a child’s IFSP team. • Billing for services after the IFSP expires. • Billing for services if the provider has not completed all credential requirements within the required time period frame. • Clerical duties such as scheduling, confirming, and/or canceling appointments and notifying the provider of such, accessing voice mail, copying, filing, mailing reports, etc. • Delivering services prior to the development/review of the IFSP, or in excess of what is authorized on the IFSP. • Delivery of services at agency-sponsored events or functions. • Delivery of services by personnel that do not have an IDEA/Part C provider contract except when specifically approved by IDEA/Part C State Office. • Delivery of services directly to the child in the absence of a parent or caregiver. • Delivery of services to a child in an institutional setting. • Delivery of services to children who reside in a nursing home, a correctional facility, or an intermediate care facility. • Developing activities in bulk for multiple children. Activities must be individualized and based on the needs of the child and family. • Developing and/or mailing form letters that do not substantiate a billable activity specific to the child and/or reflective of a child’s need. • Foreign language or Braille translation of non-IFSP documents such as applications for Supplemental Security Income (SSI), Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), Medicaid, etc. • Foreign language or sign language interpretation for services listed in the “Other Services” section of the IFSP. • Helping the family identify/access other services/resources that IDEA/Part C does not pay for or time spent collecting medical documents or other written medical information from physicians, hospitals, nurses, etc. Exception: Service Coordinators. • Internet searches. • Medicaid eligibility determinations, re-determinations or verification of Medicaid number. • Observing a child. Exception: Observation for assessment and IFSP development purposes. • Participating in court sessions related to a child or family. • Preparing claims for reimbursement, regardless of payor source. • Providing emotional support. Exception: Intake Coordinators and Service Coordinators may bill for providing information in a crisis. • Providing more than one Part C service on the same day at the same time, unless providing foreign language or sign language interpretation for the provider/family. • Providing services during a child’s lunch/snack time; nap time; or recreational, leisure, or social activities. Exception: the activity or routine is specifically addressed in an IFSP outcome. • Providing unauthorized services – Services not authorized on an IFSP • Re-examining records (record reviews) for the purposes of familiarization. • Services provided outside of the family’s natural environments without review and authorization by the IFSP team. • Submitting changes to any beneficiary information system, data tracking system, review of documents regarding such systems, entering/updating information previously decided with parent or professional. • Supervisory time. • Time spent writing service logs. • Transportation of child or family for any purpose, including traveling to and from Part C service visits, including transportation to and from medical appointments with the family, and no shows. • Weekly or daily preparatory activities for direct service sessions.