1. Prevention Resource and Referral Services What is happening to the babies?

2. What is happening to which babies? Infants and Toddlers “at risk” for developmental delay or disabilities under age three At risk criteria – two or more risk factors Diagnosed by qualified clinician (pediatrician, family physician, regional center, High Risk Infant Program, Neonatal Intensive Care Unit)

3. How did the babies get here? 2009 Early Start eliminated “at risk” from eligibility 2009 Established regional center Prevention Program 2011 Reduced prevention scope to Prevention Resource and Referral Services (PRRS)

4. Who will serve the babies? DDS contracting with FRCNCA through Support for Families for PRRS FRCNCA coordinates PRRS statewide through contracts with local FRCs FRCs provide resource, referral and outreach services

5. How will PRRS be funded? General Fund allocation of $2 million annually $300,000 to FRCNCA to coordinate $1,700,000 to FRCs for services FRCNCA submits quarterly expenditure reports

6. FRC Allocation Methodology $5,000 base per FRC Additional $5,000 for an FRC serving more than three counties Percent to total of general population, birth to three, in each county or health district Exceptions: Multiple FRCs in health district, $ is divided equally, Fresno/Clovis based on area served

7. Where will the babies come from? Regional Centers Babies ineligible for Early Start with identified risk factors

8. What will the babies receive? Information and resources Referral to regional centers & other community services Follow up contacts Outreach that facilitate referral relationships and community services

9. What do FRCs need to do? Contact family within two days of referral Identify needs, provide information, refer to appropriate services in community If child has not been evaluated for Early Start eligibility, refer to regional center Assist family in accessing community services Follow up within 30 days of community referral

10. What do FRCs need to do? Quarterly contacts with family Whenever possible, face-to-face contact, annually at a minimum Re-refer to regional centers if developmental concerns are identified. Assist in exiting by age three

11. What do FRCs need to do? Develop MOU with local regional center Track and collect data for submission to FRCNCA and DDS Outreach to health community, local services, and developmental screening opportunities Maintain listing of community services options

12. What do Regional Centers need to do? Continue to serve children in the Prevention Program as of July 1, 2011, until the child turns three or until June 30, 2012, which ever occurs first.

13. What do Regional Centers need to do? Single point of entry for all children suspected of having a developmental delay including those with established risk and those at risk. Conduct evaluation for Early Start. If child is not eligible determine if a referral to PRRS is appropriate based on at-risk factors. Referral to PRRS with parent consent Develop MOU with FRCs

14. What does FRCNCA need to do? Coordinate timely delivery of statewide PRRS services including developing materials, training, procedures, and data system Subcontract with FRCs using approved allocation methodology Timely submission of deliverables Quarterly expenditure reports

15. What does DDS need to do? Contract management with FRCNCA Approve materials developed by FRCNCA Process invoices and track funding Monitor and analyze data submissions Report to the Legislature no later than January 15, 2013

16. Supporting the babies!