Referrals and linkages from Medical Homes to the Early Intervention System in Washington State May...

Referrals and linkages from Medical Homes to

the Early Intervention System in

Washington State

May 10, 2013

Karen Walker, Program Administrator

Kathy Blodgett, Program Consultant

Early Supports for Infants

and Toddlers Program

.

Linkages and Referral

State Linkages

Local Linkages

Referral Process

Public Awareness Outreach Materials

Kids' Potential, Our Purpose

Formal Linkages

State Agency - DEL is required to have an agreement with the state partners who have a financial responsibility for the provision of early intervention:

Department of Health

Department of Social & Health Services

Department of Services for the Blind

Health Care Authority

Office of Superintendent of Public Instruction


State Interagency Agreement

PurposeFacilitate the implementation and funding of Washington’s state early intervention (EI) system

The State Agency Interagency Agreement is intended to ensure a system is in place and that it is --

Comprehensive

Coordinated

Multidisciplinary

Interagency


State Interagency Agreement (SIA)

The SIA Identifies Each Agency’s Role in:Early Identification

Developmental Screening

Child Find

Referral procedures to appropriate agency (within 7 days after possible delay has been identified)


State Interagency Agreement (SIA)

DEL/ESIT is required to engage in public awareness, coordinated child find, public awareness and referral efforts with all its state agency partners

By contract, Local Lead Agencies engage in public awareness, coordinated child find, and primary referral source outreach efforts with community partners


Local Lead Agencies (LLAs)

Establishes Community LinkagesLocal Interagency Agreements assist in implementing the local early identification, screening, child find and referral processes

DEL/ESIT contracts with LLAs emphasize their public awareness/outreach, and child find obligations, including outreach to the medical community through the work of the LLAs/Family Resources Coordinators (FRCs)


Local Lead Agencies (LLAs)

Establishes Community LinkagesLLAs/FRCs coordinate local child find, public awareness, and screening activities and receive the referrals for entry into EI

FRCs may assist in linking back to a child’s primary care provider as part of the referral process and good practice


How to Make a Referral to EI

There are two ways to find a Family Resources Coordinator (FRC):

Call the Family Health Hotline at 1-800-322-2588 Lead FRC identified based on family residence Lead FRC name/phone number provided

Go to the ESIT website at www.del.wa.gov/esit and click on ESIT Contacts (see Top Downloads in the blue column on the right)


http://www.del.wa.gov/esit

Referral Process

Any agency, organization or individual can refer to early intervention

A referral must be made to the Lead Family Resources Coordinator located in the county where the family resides

Regulations require referral occur as soon as possible and no later than 7 days after identification– see ESIT referral letter


Primary Referral Sources

Always refer if unsure – discourage following a “wait and see” approach

Any agency, organization or individual can refer to early intervention

Physicians – a physician’s referral is not required

Parents – parents can self-refer

Child care and other early learning programs

Public health facilities


Post-Referral ProceduresUpon receiving a referral, the FRC’s must -

Share Part C Procedural Safeguards to the Part C program

Meet with the family to gather any pertinent information, including medical, evaluation or other records

Coordinate the Part C evaluation/assessment process to determine Part C eligibility


Post-Referral ProceduresUpon receiving a referral, the FRC’s must -

If child is determined eligible, facilitates the development of the Individualized Family Service Plan (IFSP), facilitates the IFSP process and meeting

Assists families in gaining access to early intervention services

Coordinates timely service provision

Facilitates the development of a transition plan to preschool or other services if appropriate


Public Awareness and Outreach

DEL/ESIT will provide free public awareness and outreach materials in multiple languages

To request printed materials, call your county’s Public Awareness contact

The name of each county’s Public Awareness contact is in the ESIT Contacts Directory along with FRC and other county specific information

To obtain a PDF copy of materials, go to the ESIT website, www.del.wa.gov/esit under Publications and Documents



Discussion QuestionsWhat is working well?

What are the challenges/issues?

What would improve the referral processes between physicians, clinics, other medical professionals and early intervention?

Do you think health care reform will affect the referral process?


ESIT or Other Resources

Provider referral form

Consent to exchange information form that meets FERPA and HIPPA requirements

ESIT Referral Letter to Providers

Other resources to share with participants?


Questions?

Karen, Walker, Program Administrator, (360) 725-3516

Kathy Blodgett, Program Consultant, (360) 725-3520

ESIT WEBSITE: www.del.wa.gov/esit



Referrals and linkages from Medical Homes to the Early Intervention System in Washington State May...

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