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1 New Jersey Early Intervention Management System User Guide: IFSP Annual Review & Extension JUNE 2019

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Page 1: New Jersey Early Intervention Management System User Guide ...hus.pcgus.com/NJEISBilling/Public/Documents/12/NJ... · the family chooses to decline an early intervention service,

1

New Jersey

Early Intervention

Management System

User Guide: IFSP

Annual Review &

Extension

JUNE 2019

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Table of Contents

IFSP Annual Review & Extension

Overview…………………………………..3

Child Selection…..………………………..4

IFSP………………………………………….5

Meeting Purpose & Demographic Infor-

mation………………………………………6

IFSP Annual Review and Continued Eligi-

bility……………………………………….10

Present Developmental Status ………..14

IFSP Summary: Family Concerns, Priori-

ties, & Resources………………………...16

Child Outcomes………………………….17

Family Outcomes………………………..20

Non-Required Services………………...22

Early Intervention Services

Modify Early Intervention Ser

vices……………………………... 23

Add New Early Intervention Ser-

vice ……………………………….24

Decline……………………………28

Table of Contents

Transition Planning……………………...32

IFSP Team & Parent Consent…………..34

IFSP Extension……………………………37

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OVERVIEW

The IFSP Annual Review &

Extension

Note:

(*) Indicates a required

field/area. Required areas

must be completed to

submit page and continue

Be sure to review the

navigation buttons

• Back Button

• Save Button

• Save and Continue

Button

• Print Preview Button

The Back Button is used to navigate to the previous page

The Save Button is used to save data on the same page and

will return to the same page

The Save and Continue Button is used to save data and navi-

gate forward to the next page

The Print Preview Button generates a PDF copy of the data

on the page

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CHILD SELECTION

CHILD SELECTION

Select child name from

the My Children section

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Select Early Intervention

and select IFSP Process

from the dropdown

IFSP PROCESS

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Select Meeting Purpose

and Demographic

Information

MEETING PURPOSE AND

DEMOGRAPHIC INFO.

MEETING PURPOSE AND

DEMOGRAPHIC INFO MEETING PURPOSE AND

DEMOGRAPHIC INFO.

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Step 1

Select IFSP Annual from

the dropdown list.

Continued on next page...

MEETING PURPOSE AND

DEMOGRAPHIC INFO.

MEETING PURPOSE AND

DEMOGRAPHIC INFO MEETING PURPOSE AND

DEMOGRAPHIC INFO.

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Step 2

Select Save

MEETING PURPOSE AND

DEMOGRAPHIC INFO.

MEETING PURPOSE AND

DEMOGRAPHIC INFO MEETING PURPOSE AND

DEMOGRAPHIC INFO.

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Step 1

Select IFSP Annual

Step 2

Select IFSP Start Date &

Activity Date in the

following format

00/00/0000 or click on

calendar and select date

with mouse cursor

Step 3

Select School District

from dropdown if not

already listed.

Step 4

Select Checkbox next to

parents to include

Step 5(a)

Select Save and Continue

MEETING PURPOSE AND

DEMOGRAPHIC INFO. MEETING PURPOSE AND

DEMOGRAPHIC INFO.

F

You have now completed

Meeting Purpose and

Demographic Info.

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Select IFSP Annual

Review and Continued

Eligibility.

Continued on next page...

MEETING PURPOSE AND

DEMOGRAPHIC INFO.

MEETING PURPOSE AND

DEMOGRAPHIC INFO IFSP ANNUAL REVIEW AND

CONTINUED ELIGIBILITY

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Step 1

Specify and enter all

applicable areas

• Tools used with child

• Medical Records

reviewed

Continued on next page...

MEETING PURPOSE AND

DEMOGRAPHIC INFO.

MEETING PURPOSE AND

DEMOGRAPHIC INFO IFSP ANNUAL REVIEW AND

CONTINUED ELIGIBILITY

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Step 2

Enter required (*) areas

• Family Outcomes

• Child Outcomes

Continued on next page...

MEETING PURPOSE AND

DEMOGRAPHIC INFO.

MEETING PURPOSE AND

DEMOGRAPHIC INFO IFSP ANNUAL REVIEW AND

CONTINUED ELIGIBILITY

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Step 3

Complete the IFSP Team

Annual Summary of

Progress on Child and

Family Outcomes (*)

required section

Step 4

Select Achieved or

Consider Revision for

each outcome reviewed

Step 5

Select the appropriate

Continued Eligibility

Determination:

• Developmental Delay

• High Probability

Diagnosis

• Ineligible

Select Save and Continue

MEETING PURPOSE AND

DEMOGRAPHIC INFO.

MEETING PURPOSE AND

DEMOGRAPHIC INFO IFSP ANNUAL REVIEW AND

CONTINUED ELIGIBILITY

You have now completed

IFSP Annual Review and

Continued Eligibility

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Step 1

Enter the Other

Comments (*) required

sections:

• Adaptive

• Personal/Social

• Communication

• Gross Motor

• Fine Motor

• Cognitive

• High Probability

Diagnosis

• Ineligible

Continued on next page...

MEETING PURPOSE AND

DEMOGRAPHIC INFO.

MEETING PURPOSE AND

DEMOGRAPHIC INFO PRESENT DEVELOPMENTAL

STATUS

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Step 2

Enter the Child Health

Information (*) required

sections:

• Vision Status

• Hearing Status

• Health and Medical

Status

Select Save and Continue

MEETING PURPOSE AND

DEMOGRAPHIC INFO.

MEETING PURPOSE AND

DEMOGRAPHIC INFO PRESENT DEVELOPMENTAL

STATUS

You have now completed

Present Developmental

Status

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Review family concerns,

priorities, and resources

Select Save and Continue

MEETING PURPOSE AND

DEMOGRAPHIC INFO.

MEETING PURPOSE AND

DEMOGRAPHIC INFO IFSP SUMMARY: FAMILY

CONCERNS, PRIORITIES, &

RESOURCES

You have now completed

IFSP Summary: Family

Concerns, Priorities, &

Resources

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Note: Select View

Outcomes from Previous

IFSP to review previous

statement

Step 1

Complete Child Outcome

Statement questions

To delete select Del

Step 2

Add a Strategy

Continued on next page...

Child Outcomes

CHILD OUTCOMES

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Step 3

Select who is Responsible

from the drop down

menu

Step 4

Complete during What

Routines and Strategies

Select Save and Continue

Continued on next page...

Add Child Strategy

ADD CHILD STRATEGY

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Step 5

Complete Child Outcome

Statement questions

To delete select Del

Step 2

Add a Strategy

Continued on next page...

Child Outcomes CHILD OUTCOMES

Step 5

If more Supports are

needed for the child (Yes)

complete additional

Support questions

or

If more Supports are not

needed (No) additional

questions will not appear

To delete select the Del

Select Save and Continue

Note: Each Child

Outcome Statement must

have at least one Strategy

entered and more than

one Child Outcome

Statement can be added

by selecting Add a Child

Outcome

Step 5

If more Supports are

needed for the child (Yes)

complete additional

Support questions

or

If more Supports are not

needed (No) additional

questions will not appear

Select Save and Continue

Note: Each Child

Outcome Statement must

have at least one Strategy

entered and more than

one Child Outcome

Statement can be added

by selecting Add a Child

Outcome following Steps

1-5 previously mentioned

Child Outcomes CHILD OUTCOMES

You have now completed

Child Outcomes

Step 5

Complete Child Outcome

Statement questions

To delete select Del

Step 2

Add a Strategy

Continued on next page...

Child Outcomes CHILD OUTCOMES

Step 5

If more Supports are

needed for the child (Yes)

complete additional

Support questions

or

If more Supports are not

needed (No) additional

questions will not appear

To delete select the Del

Select Save and Continue

Note: Each Child

Outcome Statement must

have at least one Strategy

entered and more than

one Child Outcome

Statement can be added

by selecting Add a Child

Outcome

Step 5

If more Supports are

needed for the child (Yes)

complete additional

Support questions

or

If more Supports are not

needed (No) additional

questions will not appear

Select Save and Continue

Note: Each Child Outcome

Statement must have at

least one Strategy entered

and more than one Child

Outcome Statement can

be added by selecting Add

a Child Outcome

following Steps 1-5

previously mentioned

Child Outcomes

CHILD OUTCOMES

You have now completed

Child Outcomes

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Step 1

Select Add a Family

Outcome

Continued on next page...

Add Family Outcome

ADD FAMILY OUTCOME

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Step 2

Add a Measurable Family

Outcome will appear

Complete Family

Outcome Statement and

supporting questions

Select Save and Continue

Note: You can add

multiple Family Outcomes

by selecting Add a Family

Outcome

Add Family Outcome

You have now completed

Family Outcomes

ADD FAMILY OUTCOME

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Complete necessary areas

• Receiving

• Need

• Coordinator Steps

Select Save and Continue

MEETING PURPOSE AND

DEMOGRAPHIC INFO.

MEETING PURPOSE AND

DEMOGRAPHIC INFO NON-REQUIRED SERVICES

You have now completed

Non-Required Services

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Select Practitioner Name

Continued on next page...

PRACTITIONER IFSP

REVIEW

If the family chooses to

decline an early

intervention service,

select the Decline of

Service box

Provide Reasons and

Additional Information

and then select Save and

Continue

CHILD OUTCOMES EARLY INTERVENTION

SERVICES

Select Practitioner Name

Continued on next page...

PRACTITIONER IFSP

REVIEW

Step 1

IF the child is continuing

with the same services,

update the Start and End

Date to reflect the annual

service dates and select

Save and Continue

CHILD OUTCOMES EARLY INTERVENTION

SERVICES: MODIFY

SERVICES

EARLY INTERVENTION

SERVICES: MODIFY EARLY

INTERVENTION SERVICES

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Select Practitioner Name

Continued on next page...

PRACTITIONER IFSP

REVIEW

Step 1

Select Add Early

Intervention Service to

add service

Continue on next page...

CHILD OUTCOMES EARLY INTERVENTION

SERVICES: ADD NEW EARLY

INTERVENTION SERVICE

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Step 2

Select Service type from

the dropdown menu

Step 3

Enter Duration: Projected

in the following format

00/00/0000 or click on

calendar and select date

with mouse cursor

Step 4

Complete Duration and

Frequency

Note: Multiple Early

Intervention Services can

be added

Select Save and Continue

Continued on next page...

Add Early intervention

Outcome ADD EARLY INTERVENTION

SERVICES EARLY INTERVENTION

SERVICES: ADD NEW EARLY

INTERVENTION SERVICE

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Select Practitioner Name

Continued on next page...

PRACTITIONER IFSP

REVIEW

Step 5

Select the Early

Intervention Service

added on the previous

page

Continue on next page...

CHILD OUTCOMES EARLY INTERVENTION

SERVICES: ADD NEW EARLY

INTERVENTION SERVICE

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Select Practitioner Name

Continued on next page...

PRACTITIONER IFSP

REVIEW

Step 6

Complete all required

areas

• Duration

• Method

• Intensity

• Payment

Arrangements

• Location

Step 7

Select Attach Outcome(s).

The Attach Outcomes box

will appear select all that

apply then select Save

and Continue

Select Save and Continue

Note: Repeat Steps 1-7

for each service added

CHILD OUTCOMES EARLY INTERVENTION

SERVICES: ADD EARLY

INTERVENTION SERVICE

EARLY INTERVENTION

SERVICES: DECLINE

SERVICES

EARLY INTERVENTION

SERVICES: ADD NEW EARLY

INTERVENTION SERVICE

You have now completed

Add New Early Interven-

tion Service

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Select Practitioner Name

Continued on next page...

PRACTITIONER IFSP

REVIEW

Step 1

Select Early Intervention

Service that you wish to

decline

Continue on next page...

CHILD OUTCOMES EARLY INTERVENTION

SERVICES: ADD EARLY

INTERVENTION SERVICE

EARLY INTERVENTION

SERVICES: DECLINE

SERVICES

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Select Practitioner Name

Continued on next page...

PRACTITIONER IFSP

REVIEW

If the family chooses to

decline an early

intervention service enter

the End Date and select

the Decline of Service box

Provide Reasons and

Additional Information

and then Select Save and

Continue

CHILD OUTCOMES EARLY INTERVENTION

SERVICES: DECLINE

SERVICES

You have now completed

Decline Services

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Select Practitioner Name

Continued on next page...

PRACTITIONER IFSP

REVIEW

Step 1

Select Early Intervention

Service that you wish to

discontinue

Continue on next page...

CHILD OUTCOMES EARLY INTERVENTION

SERVICES: ADD EARLY

INTERVENTION SERVICE

EARLY INTERVENTION

SERVICES: DISCONTINUE

SERVICES

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Select Practitioner Name

Continued on next page...

PRACTITIONER IFSP

REVIEW

If the family chooses to

decline an early

intervention service,

select the Decline of

Service box

Provide Reasons and

Additional Information

and then select Save and

Continue

CHILD OUTCOMES EARLY INTERVENTION

SERVICES

Select Practitioner Name

Continued on next page...

PRACTITIONER IFSP

REVIEW

Step 2

To Discontinue Service

select the discontinue

service checkbox and

enter discontinue service

date

Step 3

Provide Reasons and

Additional Information

Select Save and Continue

CHILD OUTCOMES EARLY INTERVENTION

SERVICES: DISCONTINUE

SERVICES

You have now completed

Discontinue Services

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Complete Transition

Planning for children 25

months or older

TRANSITION PLANNING

Step 1

Select Add Early

Intervention Service

Areas

Continue on next page...

EARLY INTERVENTION

SERVICES

Select Practitioner Name

Continued on next page...

PRACTITIONER IFSP

REVIEW

Note: If 25 months or

older a transition plan is

required although it may

be filled out prior

Step 1

Complete Part I: Training

Method, Date Discussed,

Person Responsible and

Comment/Discussion

Step 2

Complete Part

II :Potential Options, Date

Discussed, Person

Responsible and

Comment/Discussion

Step 3

Complete Part III :Opt-

Out, Date Discussed,

Person Responsible and

Comment/Discussion

Continue on next page...

CHILD OUTCOMES

TRANSITION PLANNING

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Complete Transition

Planning for children 25

months or older

TRANSITION PLANNING

Step 1

Select Add Early

Intervention Service

Areas

Continue on next page...

EARLY INTERVENTION

SERVICES

Select Practitioner Name

Continued on next page...

PRACTITIONER IFSP

REVIEW

Note: If 25 months or

older a transition plan is

required although it may

be filled out prior

Step 1

Complete Part I: Training

Method, Date Discussed,

Person Responsible and

Comment/Discussion

Step 2

Complete Part

II :Potential Options, Date

Discussed, Person

Responsible and

Comment/Discussion

Step 3

Complete Part III :Opt-

Out, Date Discussed,

Person Responsible and

Comment/Discussion

Continue on next page...

CHILD OUTCOMES TRANSITION PLANNING

Complete Transition

Planning for children 25

months or older

TRANSITION PLANNING

Step 1

Select Add Early

Intervention Service

Areas

Continue on next page...

EARLY INTERVENTION

SERVICES

Select Practitioner Name

Continued on next page...

PRACTITIONER IFSP

REVIEW

Step 4

Complete Part IV:

Transition Planning

Conference, Date

Discussed, Person

Responsible and

Discussed With Parents

Step 5

Complete Part V:

Identification of

Transition Services,

Priorities and Concerns,

Outcomes and Strategies,

Date Discussed, Person

Responsible and

Comment/Discussion

Note: Create and review

Draft prior to Final* and

select Save and Continue

CHILD OUTCOMES

TRANSITION PLANNING

You have now completed

Transition Planning

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Step 1

If applicable Select

Untimely IFSP Reason

Step 2

Select Annual IFSP

Step 3

Enter Location of Team

Meeting

Step 4

Enter Code and Time In/

Out for participant

Continued on next page...

MEETING PURPOSE AND

DEMOGRAPHIC INFO.

MEETING PURPOSE AND

DEMOGRAPHIC INFO IFSP TEAM & PARENT

CONSENT

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Step 5

To add Additional

Meeting Participant,

enter participant

information

Step 6

Select Create Draft IFSP

Document before creating

Final IFSP Document to

Review

Step 7

After review return to the

IFSP Team & Parent

Consent screen

and Select Create Final

IFSP Document

MEETING PURPOSE AND

DEMOGRAPHIC INFO.

MEETING PURPOSE AND

DEMOGRAPHIC INFO IFSP TEAM & PARENT

CONSENT

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A confirmation that All

Required IFSP Process

Sections are Complete

will appear, select Create

Final Form 019 IFSP

Document

MEETING PURPOSE AND

DEMOGRAPHIC INFO.

MEETING PURPOSE AND

DEMOGRAPHIC INFO IFSP TEAM & PARENT

CONSENT

You have now completed

IFSP Team & Parent

Consent

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Step 1

Select IFSP Extension

Type

Step 2

Select Reason for

Extension Request

Step 3

Select Date of BDI

Scheduled and

Completed

Step 4

Select Scheduled IFSP

Meeting date

Step 5

Select Parent

Step 6

Review services being

extended and select

Create Final

MEETING PURPOSE AND

DEMOGRAPHIC INFO.

MEETING PURPOSE AND

DEMOGRAPHIC INFO IFSP EXTENSION

You have now completed

IFSP Extension

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Step 4 (b)

Input Family Outcome

Statement

Step 4 (c)

Select Save and Continue

IFSP PRACTITIONER

REVIEW

Step 6

Enter Child Outcome

Statement and select

Save and Continue

Continued on next page...

MEETING PURPOSE AND

DEMOGRAPHIC INFO.

MEETING PURPOSE AND

DEMOGRAPHIC INFO

IFSP PRACTITIONER

REVIEW: ADD CHILD

OUTCOME

MEETING PURPOSE AND

DEMOGRAPHIC INFO.

MEETING PURPOSE AND

DEMOGRAPHIC INFO IFSP

You have now completed

an IFSP Annual Review

and also an IFSP Exten-

sion