New and Revised NYC EIP Policies and Procedures Effective May 1st 2013

Changes in Policies and Documentations Make - Up Policy Family Vacations Policy Session Notes Progress Reports Clinical Changes (DSM-V) Defining Autism Spectrum Disorder

What's New about the Make-Up Policy? If family displays a pattern of 3 consecutive missed scheduled sessions (related services) or 10 consecutive days of planned sessions (related and/or ABA services) that was not agreed to by the therapist and the parent, such occurrences must be documented in the session notes. Agency may proceed with closure policy. If missed sessions are due to prolonged absence by a therapist (absence of more than 14 calendar days since the last therapy session), staffing of a new therapist should be initiated with the family's consent. If the family choose to wait (not to exceed 3 weeks), the decision must be documented in the child's record.

What's New about the Family Vacation Policy? Family must give an anticipated return date. If the family does not return on the discussed return date, the therapist must notify the service coordinator. The SC will close the case after three unsuccessful attempts to contact the family. Family can re-open the case by referring the child to EIP again by calling 311. IF the family does not give an anticipated return date, the SC will contact the family after 3 weeks of absence.

What's New in the Session Note? View Appendix 6. Must include, 1.National Provider ID # (NPI #) 2.Separate HCPCS Codes from CPT Codes (licensed professionals vs. certified professionals) 3.Check sex of the child - Male or Female 4.Indicate last allowed make-up date for the session (14th day) 5.Provide reason why parent/caregiver was not participatory during the session 6.License #/Certification (write 'certified' if you do not have a license #) 7.Indicate progress from the last session (happenings of in-between visits) 8.Routine Activities 9.Parent Coaching method, if any 10.Discussed strategies to use in-between visits

E van's Story View the video and practice filling out the new session note. The sample note (Appendix 7) is written by a special educator who provides ABA services). Please view the next slide for preliminary information about the child's case. ies_JustBeingKids.htm

Preliminary Information for Evan Child's nameJohnson, Evan EI #12345 DOB10/23/2011 Time 10 am-11am if an ABA provider 10 am - 10:30 am if a related service provider ICD Code758.0 (Down Syndrome) HCPCS CodeH2027 if ABA provider or SI provider CPT CodeAny that would apply if a related service provider IFSP Outcomes and STO's 1) Evan will be able to sit and eat his meal using a spoon by himself with minimal spillage so that he can enjoy meal times with his family. (obj) Spoon feed with assistance 2) Evan will be able to indicate his wants and needs using gestures and words. (obj) imitate sounds

What's New about the Progress Reports? Submission of the report should not be delayed pending parental signature. Include an explanation note of why the signature has not been obtained. If a therapist is no longer assigned to the case and the report is due 30 days or less from the last date of service, the therapist is responsible for the completion of the report.

New Components on the P.R. View Appendix Indicate the language(s) used during the sessions 2. Indicate whether the mentioned IFSP outcome and objectives were identified at the IFSP meeting or not. If not, address the reason for change and its date. 3. Describe all strategies and routine activities that were used and which IFSP outcomes and objectives they relate to. 4. Describe what the child learned and achieved since the last progress report. 5. Indicate which abilities are/are not within the normal developmental range. Discuss which skills you plan to work on for the next 3 months. 6. New IFSP outcomes should address WH- questions for effective planning.

Furthermore, Both session notes and progress reports are uniformly used by all providers. In other words, there are no specific ABA session notes, ABA progress reports, etc.

ASDs According to DSM-IV (1994) Source:

ASDs According to DSM-V (2013) Four Major Changes: 1) Elimination of subcategories. ASD will function as a true spectrum. 2) Autism symptoms displayed in two categories: social communication impairment (exhibits at least 3 deficits) and repetitive/restricted interests and behaviors (exhibits at least 2 symptoms) 3) Each individual will be also described in terms of any known genetic cause, level of language, intellectual disability, and presence of medical conditions 4) A new category called Social Communication Disorder added to the manual (for those who do not display presence of repetitive behaviors)

Will these changes affect diagnosis, treatment, and support services? Those who received a diagnosis before the diagnostic criteria change will retain their diagnosis. These changes are meant to capture all individuals and not exclude any. Depending on the state, insurance companies may not cover for ABA services if the individual is not diagnosed as 'ASD'. An individual diagnosed with 'Social Communication Disorder' most likely will be treated with SLP services instead.