Supporting families to enhance the development of their child and connect to their communities EIS Early Intervention Services DSS and IDEA Part C of the IDEA Birth to Three in CT Its all the same thing ID: 1040581
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1. Birth23.org
2. Connecticut’s Birth to Three SystemSupporting familiesto enhance the development of their childand connect to their communities.
3. EIS = Early Intervention Services (DSS and IDEA)Part C (of the IDEA)Birth to Three (in CT)It’s all the same thing
4. Birth to ThreeA View From 10,000 FeetOEC
5. CT B23 System Timeline and ASD19931996Change in Lead Agency2003Began Family CostParticipation2011ThreeState-wideRFPs2017-18Converted to FFS19981st AutismGuidelines2007Autism SpecificPrograms2020OneState-wideRFP2016Change in Lead AgencyICD102002“36.2 Hours”MediationAgreement2005HearingRequiringABADeficits Every Year…
6. BeforeAfter Much less MedicaidDifferent rates by type of programDifferent contracts More Medicaid revenueSame rates for all EISMore skin in the gameBetter “productivity”From Bundled Rates to Fee for Service
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8. BeforeAfterFY19-20 RFP 27 Programs x Type 6 “Autism Specific” 3 “DHH Specific” 16 “General”3 of the agencies that ranautism specific programsalso ran general programs 19 EIS Programs in Total 11 Specialize in ASD 2 Specialize in DHH 6 No specialty (yet)The agencies that used to runtwo programs only run one Comprehensive EIS program
9. Exits from Part C at Age 3 with F84.* on the IFSPNo ADOS ~F84 “Decrease”?Remote EI?
10. 2017Birth Cohort1/1/1712/31/17Turned 3 by 12/31/20
11. 2014 Birth CohortCensus Estimate 36,326IFSP ICD = Autism6751.86% 1:542014
12. 2017 Birth CohortCensus Estimate35,560IFSP ICD = Autism8592.42% 1:412017
13. Monthly Averages from August 2019 - January 2020Number of ChildrenNumber of Hours ($)
14. Average Hours pmon 1st IFSP with F84.*Mean = 38.4Median = 36.12014
15. Average Hours pmon 1st IFSP with F84.*Mean = 29.8Median = 24.62017
16. Racial /Ethnic Percentages2014
17. Average Age when 1St IFSPIncludes an Autism ICD2017All 26.62014
18. Remote EI AND In-person Visitshttps://toddlerglasses.files.wordpress.com/2010/05/caleb.jpg
19. Early Intervention Supports Provided Each Month by R/E and Method* Counts of All Children Percent in Month January 2021February 2021March 2021 JanuaryFebruaryMarchR/E groupIn-PersonRemoteTotalIn-PersonRemoteTotalIn-PersonRemoteTotalR/E groupIn-PersonRemoteIn-PersonRemoteIn-PersonRemoteAll81652726088101353436356158455067090All13%87%16%84%22%78%Hispanic261182820893161836215249018882378Hispanic12%88%15%85%21%79%Black Non-Hispanic95636731109646755169681850Black Non-Hispanic13%87%14%86%20%80%White Non-Hispanic426248829145312524305583425913425White Non-Hispanic15%85%17%83%24%76%Other Non-Hispanic343203545733739491346437Other Non-Hispanic10%90%14%86%21%79% Counts of Children with an Autism Spectrum Disorder Percent in Month January 2021February 2021March 2021 JanuaryFebruaryMarchR/E groupIn-PersonRemoteTotalIn-PersonRemoteTotalIn-PersonRemoteTotalR/E groupIn-PersonRemoteIn-PersonRemoteIn-PersonRemoteAll167685852183653836237615852All20%80%22%78%28%72%Hispanic712853567627134784264348Hispanic20%80%22%78%24%76%Black Non-Hispanic279512220991193288120Black Non-Hispanic22%78%17%83%27%73%White Non-Hispanic582563147223730999218317White Non-Hispanic18%82%23%77%31%69%Other Non-Hispanic114960154661224567Other Non-Hispanic18%82%25%75%33%67%*Children whose families received both methods in the month are counted in both columns. ALLASD DPHPercent of TotalsJanFebMarJanFebMarBirths201620172018Hispanic34%34%34%42%42%41%Hispanic24%25%25%Black Non-Hispanic12%12%12%14%14%14%Black Non-Hispanic13%13%14%White Non-Hispanic48%48%48%37%37%37%White Non-Hispanic55%54%54%Other Non-Hispanic6%6%6%7%7%8%Other Non-Hispanic8%8%7%
20. Transition Out of Part CPart C - Birth to ThreePart B - Preschool Special EducationNatural Learning EnvironmentsNaturalistic InterventionsLeast Restrictive EnvironmentFamily is the Focus for CoachingEducation of the ChildHome and Community SettingsPeers in an Early Childhood ClassroomOEC Birth to Three Autism Community of Practice Meeting every other month Referring families to Beacon before age 3 Sharing options with families about supports beyond what LEAs offer State Interagency Coordinating Council public commentUpcoming joint Early Childhood Intervention (ECI) convening with leaders in CT about the fluidity of a DSM diagnosis during preschool years
21. Koleen.Kerski@ct.gov(Alice.Ridgway@ct.gov)Questions?