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EXITING EARLY INTERVENTION

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IFSP Exits

A child may exit Early ACCESS services at various times and for various reasons. However, all children receiving Early ACCESS services must exit by the time they reach their third birthday. When a child is exited from services, the IFSP team must accurately document the exit including the exit reason.

For all children who exit Early ACCESS, the present level of development and progress must be reported for all three Early Childhood Outcome areas. For children who transition from early intervention to early childhood special education, it is important that staff from both programs work together with the family when determining the child’s progress. The early intervention exit ECO information is the entry ECO information for early childhood special education. For more information on completing the ECO process, go to Early Childhood Outcomes (ECO) for Early ACCESS.

During a final home visit or a periodic meeting, if requested by the family, the service coordinator ensures the family knows that Early ACCESS services are ending.  If a meeting is requested by the family, follow periodic meeting procedures. For children reaching their third birthday, the service coordinator ensures that the transition plan has been carried out and updates documentation.  In all cases, provide a prior written notice that indicates the final date of services which will be the day before the child’s third birthday for children transitioning to early childhood special education (IDEA Part B 619) or other community services.

Exiting Prior to Age 3

Completion of Early ACCESS

A child who is younger than 2 years 9 months, has no diagnosed condition and, upon an evaluation, does not have a 25% delay in any area of development, may be exited. The IFSP team must complete an evaluation to confirm that the child no longer has a 25% delay in any area of development and assure there is not a need for Early ACCESS support and service in order for the child to make developmental progress. If no delay or need for services exist, the child will be exited using the reason “program completion prior to age 3” which is the data system exit code PMA (program completion prior to age 3).

Notes:

  • PMA would not be an appropriate code to use for a child age 2 years 9 months and older because of the transition activities or services that are required at least 3 months prior to the child’s third birthday.
  • PMA would not be an appropriate code to use if an evaluation was not conducted to confirm if the child had a 25% delay. If the parent did not consent to evaluation but wanted to exit, the data system exit reason is “services declined by the parent” which is the data system exit code SDP (services declined by the parent).
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Examples:

  • Judy is due for a periodic review. Prior to her periodic review, the IFSP team thinks Judy no longer has a need for early intervention supports and services based on their ongoing data collection. The service coordinator obtains consent and an evaluation is conducted. At the periodic IFSP meeting, the team reviews outcomes and the evaluation results. The team determines that no early intervention supports and services are needed and the evaluation results confirm she no longer has a 25% delay in any area of development and no diagnosed disability. The IFSP is updated and Judy exits from Early ACCESS.
  • Mike is enrolled in Early ACCESS at 6 months of age due to a 25% developmental delay and received services until 1½ years of age. In preparation for the annual IFSP review, a re-evaluation was completed and showed that Mike was functioning within age-expected levels. The IFSP team held the annual IFSP meeting, determined that Mike was no longer eligible and early intervention supports and services were no longer needed. Mike was exited from Early ACCESS.

 

 

Child Moved out of State

When a child moves out of state prior to age three, the child should be exited from Early ACCESS in Iowa. The child will exit using the reason “child moved out of state” which is the data system exit code CMV​ (child moved out of state).

Examples:

  • Elsa is 15 months old and was receiving early intervention services at home. Her dad got a job in another state, and the family moved.
  • Jose is two years 10 months. Parents have signed consent for early childhood special education (Part B) evaluation; however, the family has moved out of state and the team cannot complete evaluation for Part B services.

Services Declined by the Parent

When the parent declines all services after an IFSP has been in place, or declines to consent to all services on an IFSP and provides a written or verbal indication of withdrawal from Early ACCESS, the child will exit using the reason “services declined by parents” which is the data system exit code SDP (services declined by parents).

Examples:

  • Lila was determined eligible for Early ACCESS and an IFSP was implemented. Prior to Lila receiving her first intervention service, the family verbally declined all services. Lila exits from Early ACCESS.
  • Liam was determined eligible for Part C services due to a diagnosed condition at 12 months old. An IFSP was implemented. At age two, in preparation for his annual meeting, Liam showed no delays in development and it was determined that Early ACCESS services are not needed in order for progress in development to continue. The IFSP team, including the parents, decide to exit Liam from Early ACCESS.
  • After the IFSP was in place, the family withdrew 3-month-old John from Early ACCESS because they were not satisfied with services.

Child Passes Away

When a child passes away prior to their third birthday, even if the child’s death occurred during the transition process, the exit reason would be “child decease” and the data system exit code would be DEC (deceased).

 

 

Location of the Child is Unknown or Unable to Contact Family

When Early ACCESS personnel are unable to contact or locate the family of a child with an active IFSP after repeated, documented attempts, the exit reason is “child’s location is unknown or unable to contact the family” which is the data system exit code UNK​ (unknown).

Note: Include in this category any child who did not complete an IFSP, exited Part C before reaching age 3, and who has not been reported as DEC, CMV, or SDP.

Examples:

  • Hector is 8 months old and has been receiving early intervention services through Early ACCESS. The service provider scheduled four visits over the last month, and each time the family has not been home when he arrived. He tried to contact the family by phone, but the phone is no longer connected. He sent a letter by the United States Postal Service notifying the family that services would terminate if he cannot schedule a visit. The family has not responded.  The child is exited from Early ACCESS.
  • Michael is living with his grandmother who is acting as his parent. The whereabouts of Michael’s biological parents are unknown. Grandma moves without giving a contact or forwarding address. All phone calls to known numbers are unanswered.  After following the procedures for attempting to contact the Grandma, the child is exited from Early ACCESS.

Exits upon Reaching Age 3

Child is determined to be eligible for early childhood special education (IDEA Part B), exiting Early ACCESS (IDEA Part C) at age Three

When a child has received services in Early ACCESS (IDEA Part C), has reached at least age 2 years 9 months and has been determined to be eligible for early childhood special education (IDEA Part B) services, the reason for exit is “eligible for Part B” and the data system exit code is EFB (eligible for Part B, exiting Part C at age 3). This exit code is also used when a child is determined eligible for Part B early childhood special education services even if the parents decline the services.

Examples:

  • Antonio is 2 years and 9 months old and enrolled in Early ACCESS. He is determined eligible for early childhood special education and will enter a preschool program run by the local school district.
  • Clara is 2 years and 10 months old and is enrolled in Early ACCESS and eligible for early childhood special education services. She enters Head Start or another community program and will receive early childhood special education services.
  • Charlie is 2 years 11 months old and is enrolled in Early ACCESS and eligible for early childhood special education services. However, he is entering a community program in the fall without special education services because parents have declined early childhood special education services.

Determined to be not eligible for Part B, exited with no referrals

When a child has reached age 2 years 9 months and the team has conducted the suspected disability discussion; the child was determined not eligible for early childhood special education (IDEA Part B) either through the suspected disability discussion or a full and individual initial evaluation for special education; and the family has NOT been provided with information about other programs, the reason for exit is “not eligible for Part B with no referrals to other programs” which is the data system exit code ENR​ (not eligible for Part B, exited with no referrals).

Note: ENR is intended to reflect the rare times when the family was not referred to other community services and other community programs were not discussed with the family by the time the child turned three.

Example:

  • Mark received early intervention services and reached his third birthday. With parent consent, he was evaluated and found not eligible for Part B services prior to turning three. No recommendations for other programs or services were made.
  • Paisley received early intervention services and was nearing her third birthday. The IFSP team reviewed Paisley’s IFSP data and progress then the team had a discussion about whether or not she was suspected of having a disability.  It was determined that Paisley was not suspected of having a disability and, therefore, not eligible for early childhood special education.  The parents were not provided any information on community programs or activities for three-year-old children.
  • Samuel received early intervention services and was nearing his third birthday.  The IFSP team reviewed Samuel’s IFSP data and progress then the team had a discussion about whether or not he was suspected of having a disability.  It was determined that Samuel was not suspected of having a disability and, therefore, not eligible for early childhood special education.  The parents were not interested in information on community programs or activities for children Samuel’s age.

Determined to be not eligible for Part B, exited with referrals to other programs

When a child has reached age 2 years 9 months and the team has conducted the suspected disability discussion; and the child has been determined to be “not eligible for early childhood special education (IDEA Part B)” either through the suspected disability discussion or a full and individual initial evaluation for special education determination, the reason for exit is “not eligible for Part B with referrals to other programs” which is the data system exit code EOP (not eligible for Part B, exited with referrals to other programs).

This child has been referred to other programs which may include, but are not limited to community programs such as preschool learning centers, Head Start, child care centers, community library storytime, or health and nutrition services such as WIC.

The child does not have to be enrolled in another program, but the family must be provided with information about other programs that the child could attend.

In these situations “referral” means:

  • Sharing information with families about potential resources or services whether the families contact or access that resource or not; OR
  • A referral by an IFSP team member to a non-early childhood special education (IDEA Part B) agency or program, potential resource or service; OR
  • Continuing a non-Part B agency service after exiting from Early ACCESS such as WIC, Head Start, or child care that the child was already receiving during their time in Early ACCESS and prior to their exit.

Note: Use EOP if a child was already receiving a service (e.g. WIC, Early Head Start, Head Start, Child Care) and is going to continue. In order to use EOP, the team would have conducted the suspected disability discussion.

Examples:

  • Jonah was receiving early intervention services and nearing his third birthday. He was evaluated and found not eligible for early childhood special education services. The service coordinator discussed community options for activities and programs for children Johan’s age.  After hearing the options, his family decides he will continue in his current childcare setting when he exits Early ACCESS.
  • Rachel was receiving early intervention services and nearing her third birthday. She was evaluated for early childhood special education services and was found not eligible. Her family was given a referral to library storytime, WIC, and local health services in their county.
 

Part B eligibility not determined

When a child has reached age 2 years 9 months, and parents consented to a full and individual initial evaluation for early childhood special education (IDEA Part B), however, Part B eligibility was not determined, the data system exit code is BND. The BND code is also used for a child who was nearing their third birthday; the team conducted the suspected disability discussion; the child was suspected of having a disability, and the parent(s) declined consideration for Part B eligibility determination.

Note: Include in this category any child who reached age three years in Early ACCESS, and who has not been reported in data system exit codes EFB, EOP, or ENR. This code includes late referrals to Part C that were unable to complete Part B eligibility before the child’s third birthday.

Examples:

  • Kim was referred to Early ACCESS and was found eligible only two months before her third birthday. Her parents agree to include the early childhood special education staff member in transition planning, however, the eligibility meeting was not held prior to Kim’s third birthday.
  • Joseph has been enrolled in Early ACCESS and is now 34 months old. The team has discussed a suspected disability. However, his parents did not consent to evaluation for early childhood special education (IDEA Part B) services, therefore, Part B eligibility was not determined.
 

 

 

Exit Process Resources

For additional information, IFSP teams should reference the Early ACCESS (IDEA Part C) Exit Code Decision Flowchart to determine the accurate exit reason and code.