| (a) Specialized rehabilitative services are rehabilitative
services that promote age-appropriate development by correcting deficits
and teaching compensatory skills for deficits that directly result
from medical, developmental, or other health-related conditions. Specialized
rehabilitative services include physical therapy, speech language
pathology services, occupational therapy, and specialized skills training.
(1) Physical therapy.
(A) Physical therapy services are defined in 34 CFR §303.13(b)(9).
(B) Physical therapy services must meet the requirements
of subsection (b) of this section.
(C) Physical therapy services must be provided by a
licensed physical therapist who meets the requirements of 42 CFR §440.110(a)
and all other applicable state and federal laws or a licensed physical
therapy assistant (LPTA) when the assistant is acting under the direction
of a licensed physical therapist in accordance with 42 CFR §440.110
and all other applicable state and federal laws.
(2) Speech language pathology services.
(A) Speech language pathology services are defined
in 34 CFR 303.13(b)(15).
(B) Speech therapy services must meet the requirements
of subsection (b) of this section.
(C) Speech therapy services must be provided by:
(i) a licensed speech language pathologist (SLP) who
meets the requirements of 42 CFR §440.110(c) and all other applicable
state and federal laws;
(ii) a licensed assistant in SLP when the assistant
is acting under the direction of a licensed SLP in accordance with
42 CFR §440.110 and all other applicable state and federal laws;
or
(iii) a licensed intern when the intern is acting under
the direction of a qualified SLP in accordance with 42 CFR §440.110
and all other applicable state and federal laws.
(3) Occupational therapy.
(A) Occupational therapy services are defined in 34
CFR §303.13(b)(8).
(B) Occupational therapy services must meet the requirements
of subsection (b) of this section.
(C) Occupational therapy services must be provided
by a licensed occupational therapist who meets the requirements of
42 CFR §440.110(b) and all other applicable state and federal
laws or a certified occupational therapy assistant (COTA) when the
assistant is acting under the direction of a licensed occupational
therapist in accordance with 42 CFR §440.110 and all other applicable
state and federal laws.
(4) Specialized skills training.
(A) Specialized skills training seeks to reduce the
child's functional limitations across developmental domains including,
strengthening the child's cognitive skills, positive behaviors, and
social interactions.
(B) Specialized skills training includes skills training
and anticipatory guidance for family members or other routine caregivers
to ensure effective treatment and to enhance the child's development.
(C) Specialized skills training services must meet
the requirements of subsection (b) of this section.
(D) Specialized skills training must be provided by
an Early Intervention Specialist.
(b) Specialized rehabilitative services must:
(1) be designed to create learning environments and
activities that promote the child's acquisition of skills in one or
more of the following developmental areas: physical/motor, communication,
adaptive, cognitive, and social/emotional;
(2) be provided in the child's natural environment,
as defined in 34 CFR §303.26, unless the criteria listed at 34
CFR §303.126 are met and documented in the case record and may
be provided via telehealth with the prior written consent of the parent,
and if the parent does not consent to telehealth services, will be
provided in person;
(3) meet the requirements of §350.1104 of this
chapter (relating to Early Childhood Intervention Services Delivery);
and
(4) be provided on an individual or group basis.
(c) In addition to the criteria in subsection (b) of
this section, group services must meet the requirements as described
in §350.1107 of this chapter (relating to Group Services for
Children).
(d) Service Authorization.
(1) Specialized rehabilitative services must be recommended
by an interdisciplinary team that includes a licensed practitioner
of the healing arts and be documented in an Individualized Family
Service Plan (IFSP) in accordance with Subchapter J of this chapter
(relating to Individualized Family Service Plan (IFSP)).
(2) Services must be monitored by the interdisciplinary
team as described in §350.1104 of this chapter.
(e) Documentation. Documentation of each specialized
rehabilitative services contact must meet the requirements in §350.1111
of this chapter (relating to Service Delivery Documentation Requirements).
|
| Source Note: The provisions of this §350.501 adopted to be effective September 1, 2011, 36 TexReg 5403; amended to be effective June 30, 2019, 44 TexReg 3280; transferred effective March 1, 2021, as published in the Texas Register February 5, 2021, 46 TexReg 941; amended to be effective March 17, 2022, 47 TexReg 1277 |
