Regional Center Eligibility: Regional Center Eligibility: Early Start, Prevention Early Start, Prevention and Lanterman Servicesand Lanterman Services

Presented to the Board of Directors Presented to the Board of Directors on February 4, 2010 on February 4, 2010

by by Dr. Peter Himber,Dr. Peter Himber, Patricia Glancy,Patricia Glancy,and Paula Nodenand Paula Noden

What We Will CoverWhat We Will Cover

Overview of Three ProgramsOverview of Three Programs

• Early Start Early Start

• Prevention Prevention

• LantermanLanterman

Overview of Regional Center ServicesOverview of Regional Center Services

Regional center services remain an entitlement Regional center services remain an entitlement Most services are free to families (i.e., no cost or no Most services are free to families (i.e., no cost or no

share of cost)share of cost) Regional centers are Regional centers are requiredrequired to seek generic to seek generic

resources including:resources including:• CalOptima/MediCal CalOptima/MediCal • Private Health InsurancePrivate Health Insurance• Orange County Mental HealthOrange County Mental Health• Other government programsOther government programs• SchoolSchool• California Children Services (CCS)California Children Services (CCS)

Regional centers are Regional centers are mandatedmandated to be the “payor of to be the “payor of last resort”last resort”

Trailer Bill Language (TBL) Trailer Bill Language (TBL) Affecting Regional CentersAffecting Regional Centers

As part of the Fiscal Year 2009-10 budget As part of the Fiscal Year 2009-10 budget reductions, legislative changes were made reductions, legislative changes were made to the Early Start Program and the to the Early Start Program and the Lanterman Act Lanterman Act • goal is to reduce regional center system goal is to reduce regional center system

expenditures in FY10expenditures in FY10 Enacted on July 28, 2009 Enacted on July 28, 2009 TBL changes made to eligibility criteria and TBL changes made to eligibility criteria and

service provision for both Early Start and service provision for both Early Start and Lanterman servicesLanterman services

TBL outlined a new Prevention ProgramTBL outlined a new Prevention Program

RCOC Facts and StatisticsRCOC Facts and Statistics(as of 12/31/09)(as of 12/31/09)

3,146 children receiving Early Start services 3,146 children receiving Early Start services * highest in state* highest in state

236 children receiving Prevention services236 children receiving Prevention services 13,428 individuals age 3+ receiving 13,428 individuals age 3+ receiving

Lanterman servicesLanterman services Average number of new Intake applications Average number of new Intake applications

per month in CY09– 442 (83% eligible)per month in CY09– 442 (83% eligible)• 0 to 35 months – average 382 (87% eligible)0 to 35 months – average 382 (87% eligible)• 36 months and over – average 60 (63% eligible)36 months and over – average 60 (63% eligible)

Average number of children exiting Early Average number of children exiting Early Start at age 3 per month in CY09- 213Start at age 3 per month in CY09- 213• Eligible for Lanterman – average 19Eligible for Lanterman – average 19• Ineligible for Lanterman – average 194Ineligible for Lanterman – average 194

Child Find ActivitiesChild Find Activities

Liaisons to Hospitals and NICUsLiaisons to Hospitals and NICUs Contact with Parent OrganizationsContact with Parent Organizations Countywide Health and Developmental Countywide Health and Developmental

Screenings through Prop. 10/Family Support Screenings through Prop. 10/Family Support NetworkNetwork

Physician OutreachPhysician Outreach Public Presentations (CCS/CalOptima/ Public Presentations (CCS/CalOptima/

Department of Education)Department of Education) Dissemination of Early Start BrochuresDissemination of Early Start Brochures

Early StartEarly Start

Early Start ProgramEarly Start Program

Program DefinedProgram Defined• Birth to three yearsBirth to three years• Goals Goals • Federal program Federal program (underfunded – i.e., last year, (underfunded – i.e., last year,

CA received $54 million/RCOC spent $48 million)CA received $54 million/RCOC spent $48 million)

Current Eligibility CategoriesCurrent Eligibility Categories• Established risk Established risk • Developmental delayDevelopmental delay• Solely low incidenceSolely low incidence

Early Start EligibilityEarly Start Eligibility

Established RiskEstablished Risk• Condition of known etiology with a high Condition of known etiology with a high

probability of intellectual disabilityprobability of intellectual disability e.g., Down Syndrome, extremely premature e.g., Down Syndrome, extremely premature

baby with a bleeding into the brain and baby with a bleeding into the brain and severe brain injurysevere brain injury

• Eligibility criteria did not change as a Eligibility criteria did not change as a result of the TBL for this categoryresult of the TBL for this category

Early Start Eligibility (cont’d)Early Start Eligibility (cont’d)

Developmental DelayDevelopmental Delay • Eligibility: Depends on the age of the childEligibility: Depends on the age of the child

Birth to 23 monthsBirth to 23 months• At least 33% below age level in at least 1 of 5 areasAt least 33% below age level in at least 1 of 5 areas

cognition, communication, gross & fine motor, cognition, communication, gross & fine motor, adaptive, social/emotionaladaptive, social/emotional

24 to 35 months24 to 35 months• 50% delay in 1 area or 33% delay in 2 or more areas 50% delay in 1 area or 33% delay in 2 or more areas

(listed above)(listed above)• Note: Prior to TBL a 33% delay in only one area was Note: Prior to TBL a 33% delay in only one area was

required from birth to 36 monthsrequired from birth to 36 months

Early Start Eligibility (cont’d)Early Start Eligibility (cont’d)

Solely Low IncidenceSolely Low Incidence• Eligibility: Hearing, vision or orthopedic Eligibility: Hearing, vision or orthopedic

impairment with normal cognitionimpairment with normal cognition These criteria did not change as a result of the These criteria did not change as a result of the

Trailer Bill LanguageTrailer Bill Language

• Served by the local school districtServed by the local school district

Early Start Eligibility TimelinesEarly Start Eligibility Timelines

Initial evaluation and assessment Initial evaluation and assessment and development of the initial and development of the initial Individualized Family Service Plan Individualized Family Service Plan (IFSP) (IFSP)

Must occur within 45 days from the Must occur within 45 days from the time of the referraltime of the referral• Services begin when the initial IFSP is Services begin when the initial IFSP is

completedcompleted

Early Start ServicesEarly Start Services

Service CoordinationService Coordination Infant Development ProgramsInfant Development Programs Occupational/Physical/Speech TherapyOccupational/Physical/Speech Therapy AudiologyAudiology Behavioral ServicesBehavioral Services Family TrainingFamily Training Nursing ServicesNursing Services

Early Start Program Changes Early Start Program Changes due to Trailer Bill Languagedue to Trailer Bill Language

EligibilityEligibility• Delays must be greater for children 24 to 35 Delays must be greater for children 24 to 35

months of age (as mentioned earlier)months of age (as mentioned earlier)• Infants identified as at “High Risk” for Infants identified as at “High Risk” for

developmental delays are no longer eligible for developmental delays are no longer eligible for Early Start servicesEarly Start services

ServicesServices• Use of private insurance “required” for medical Use of private insurance “required” for medical

services identified in the IFSPservices identified in the IFSP• Prohibits regional centers from purchasing non-Prohibits regional centers from purchasing non-

required services with the exception of Durable required services with the exception of Durable Medical EquipmentMedical Equipment

Examples of non-required services:Examples of non-required services:• Most medical servicesMost medical services• Counseling, social-recreational programs, music therapyCounseling, social-recreational programs, music therapy

PreventionPrevention

Prevention ProgramPrevention Program BackgroundBackground

• New Program outlined in the Trailer Bill New Program outlined in the Trailer Bill LanguageLanguage

Stakeholder inputStakeholder input ExpectationsExpectations FundingFunding Current UnknownsCurrent Unknowns

• Many children formerly eligible for Early Many children formerly eligible for Early Start under “High Risk” criteria will be Start under “High Risk” criteria will be eligible for the Prevention Programeligible for the Prevention Program

Example:Example: NICU babies or young children at NICU babies or young children at high risk of showing delays in developmenthigh risk of showing delays in development

Prevention Program (cont’d)Prevention Program (cont’d)

Goals of Prevention ProgramGoals of Prevention Program Prevention ServicesPrevention Services

• Intake ServiceIntake Service• AssessmentAssessment• Case managementCase management• Referral to generic agenciesReferral to generic agencies• Family Resource Center/Comfort Family Resource Center/Comfort

ConnectionConnection

Prevention Program EligibilityPrevention Program Eligibility

Two conditions associated with severe Two conditions associated with severe prematurity, birth problems or significant prematurity, birth problems or significant illnessesillnesses

e.g., being on a ventilator for 48 hours and/or low e.g., being on a ventilator for 48 hours and/or low birth weight less than 1500 grams, gestational age birth weight less than 1500 grams, gestational age under 32 weeks (normal =40), seizures, some under 32 weeks (normal =40), seizures, some genetic disordersgenetic disorders

Born to and residing with a parent with a developmental disability

24 to 35 months of age with a 33-49% delay in one area• cognition, communication, gross & fine motor, cognition, communication, gross & fine motor,

adaptive, social/emotionaladaptive, social/emotional

Prevention Program Prevention Program Eligibility TimelinesEligibility Timelines

If ineligible for Early Start, Prevention If ineligible for Early Start, Prevention Program eligibility is determined Program eligibility is determined

If eligible, Prevention Program Plan (PPP) If eligible, Prevention Program Plan (PPP) is developed with familyis developed with family

45-day timeline45-day timeline Specialized caseload modelSpecialized caseload model Prevention cases monitored 90 days Prevention cases monitored 90 days

after initial PPP and every 6 months or after initial PPP and every 6 months or sooner if neededsooner if needed

Prevention Program RecapPrevention Program Recap

Current status of Prevention Program Current status of Prevention Program

Review of current unknownsReview of current unknowns

• Funding, etc.Funding, etc.

Example of generic prevention Example of generic prevention servicesservices

LantermanLanterman

Lanterman Act Eligibility OverviewLanterman Act Eligibility Overview

• PurposePurpose Primarily 3 years and olderPrimarily 3 years and older

• What is a developmental disability? What is a developmental disability? • What are ineligible conditions?What are ineligible conditions?• What constitutes an eligible diagnosis?What constitutes an eligible diagnosis?• What constitutes a substantial disability?What constitutes a substantial disability?

What is a Developmental Disability?What is a Developmental Disability?

Lanterman Act § 54000 and CCR, Title Lanterman Act § 54000 and CCR, Title 17 Definitions17 Definitions• A disability that is attributable to mental A disability that is attributable to mental

retardation, cerebral palsy, epilepsy, retardation, cerebral palsy, epilepsy, autism or, autism or,

• Disabling conditions found to be closely Disabling conditions found to be closely related to mental retardation or to related to mental retardation or to require treatment similar to that required require treatment similar to that required for individuals with mental retardation. for individuals with mental retardation.

What is a Developmental Disability? What is a Developmental Disability? (cont’d)(cont’d)

The eligibility criteria for Early Start The eligibility criteria for Early Start services (under age three) are services (under age three) are muchmuch less stringent than the eligibility less stringent than the eligibility criteria for Lanterman Services (over criteria for Lanterman Services (over age three)age three)

Approximately 91% of children exiting Approximately 91% of children exiting Early Start at age three are Early Start at age three are ineligibleineligible for Lanterman servicesfor Lanterman services

What Conditions are NOT What Conditions are NOT Developmental Disabilities?Developmental Disabilities?

A Developmental Disability shall not A Developmental Disability shall not include disabling conditions that are: include disabling conditions that are: • Solely psychiatric disordersSolely psychiatric disorders• Solely learning disabilitiesSolely learning disabilities

Conditions that are solely physical Conditions that are solely physical in nature in nature

BlindnessBlindness DeafnessDeafness Spinal cord injurySpinal cord injury Most muscle diseases such as muscular dystrophy Most muscle diseases such as muscular dystrophy

(unless in some severe cases where there is a (unless in some severe cases where there is a significant cognitve impairment)significant cognitve impairment)

Eligibility Criteria for Eligibility Criteria for Lanterman ServicesLanterman Services

To be eligible, all of the following To be eligible, all of the following criteria regarding the criteria regarding the Developmental Disability must be Developmental Disability must be met per WIC § 54000 and CCR, Title met per WIC § 54000 and CCR, Title 17:17:• Originate before age 18 Originate before age 18 • Be likely to continue indefinitelyBe likely to continue indefinitely• Be due to an eligible diagnosis Be due to an eligible diagnosis • Must meet severity requirements, i.e., Must meet severity requirements, i.e.,

“substantial disabilities” “substantial disabilities” >> 3 areas 3 areas

Eligibility Criteria for Lanterman Eligibility Criteria for Lanterman Services (cont’d)Services (cont’d)

Must be due to an eligible diagnosis:Must be due to an eligible diagnosis:• Mental Retardation – 78%Mental Retardation – 78%• Cerebral Palsy – 20%Cerebral Palsy – 20%• Epilepsy – 21%Epilepsy – 21%• Autism – 25%Autism – 25%• Fifth Category – Condition like Mental Fifth Category – Condition like Mental

Retardation – 6%Retardation – 6%

(as of 1/31/10)(as of 1/31/10)

Autism as an Eligible DiagnosisAutism as an Eligible Diagnosis

Important note regarding the special Important note regarding the special education services due to “Autistic-education services due to “Autistic-like behaviors” (educational criteria like behaviors” (educational criteria for autism CCR Title 5 - Section for autism CCR Title 5 - Section 3030g) 3030g)

Educational criteria are less restrictive than Educational criteria are less restrictive than Lanterman criteria →Lanterman criteria →

• Many children eligible for special education Many children eligible for special education services due to “autistic-like behaviors” are not services due to “autistic-like behaviors” are not eligible for Lanterman Act / Regional Center eligible for Lanterman Act / Regional Center ServicesServices

Autism (cont’d)Autism (cont’d)

Diagnosis of autistic disorder is required Diagnosis of autistic disorder is required for eligibilityfor eligibility

Other diagnoses that fall within the Other diagnoses that fall within the “autistic spectrum” are not eligible “autistic spectrum” are not eligible conditions but could potentially be conditions but could potentially be eligible under the 5th category.eligible under the 5th category.• Autistic Spectrum Disorder Autistic Spectrum Disorder • Pervasive Developmental Disorder-Not Pervasive Developmental Disorder-Not

Otherwise Specified (PDD-NOS)Otherwise Specified (PDD-NOS)

Autism (cont’d)Autism (cont’d)

Other diagnoses that fall within the Other diagnoses that fall within the “autistic spectrum” are not eligible “autistic spectrum” are not eligible conditions but could potentially be conditions but could potentially be eligible under the 5th category.eligible under the 5th category.• Asperger’s Syndrome Asperger’s Syndrome → → Very, very few Very, very few

individuals with this disorder are eligible individuals with this disorder are eligible since by definition, there is no clinically since by definition, there is no clinically significant delay in cognitive development significant delay in cognitive development or in the development of age-appropriate or in the development of age-appropriate self-help skills and adaptive behavior (other self-help skills and adaptive behavior (other than in social interaction).than in social interaction).

Conditions Like Mental Retardation Conditions Like Mental Retardation Fifth Category Fifth Category

Lanterman Act definition: “…disabling Lanterman Act definition: “…disabling conditions found to be closely related to conditions found to be closely related to mental retardation or to require treatment mental retardation or to require treatment similar to that required for individuals with similar to that required for individuals with mental retardation, but shall not include mental retardation, but shall not include other handicapping conditions that are solely other handicapping conditions that are solely physical in nature.”physical in nature.”

CCR Title 17 definition: “…other conditions CCR Title 17 definition: “…other conditions similar to mental retardation that require similar to mental retardation that require treatment similar to that required by treatment similar to that required by individual with mental retardation.”individual with mental retardation.”

Conditions Like Mental Retardation Conditions Like Mental Retardation Fifth Category (cont’d)Fifth Category (cont’d)

The legislature did not intend to The legislature did not intend to provide a detailed definition of the provide a detailed definition of the 55thth Category in statute but instead Category in statute but instead deferred to the judgment of regional deferred to the judgment of regional center professionals.center professionals.

Someone functioning in a manner Someone functioning in a manner similar to a person with MR is most similar to a person with MR is most likely to have an IQ in the low likely to have an IQ in the low borderline range (70-74).borderline range (70-74).

Conditions Like Mental Retardation Conditions Like Mental Retardation Fifth Category (cont’d) Fifth Category (cont’d)

The higher an individual’s IQ is above The higher an individual’s IQ is above 70, the less similar he or she is to a 70, the less similar he or she is to a person with mental retardation.person with mental retardation.• e.g., a person with IQ of 79 is more e.g., a person with IQ of 79 is more

similar to a person with low average similar to a person with low average IQ than to a person with MR.IQ than to a person with MR.

To be eligible, person must have To be eligible, person must have substantial adaptive deficits in at substantial adaptive deficits in at least three areas that are clearly least three areas that are clearly related to cognitive limitations.related to cognitive limitations.

Understanding Understanding Substantial Substantial DisabilitiesDisabilities

What Is a Substantial Disability?What Is a Substantial Disability? Lanterman Act DefinitionLanterman Act Definition

• A condition which results in major A condition which results in major impairment of cognitive and/or social impairment of cognitive and/or social functioning, representing sufficient functioning, representing sufficient impairment to require interdisciplinary impairment to require interdisciplinary planning and coordination of special or planning and coordination of special or generic services to assist the individual generic services to assist the individual in achieving maximum potential.in achieving maximum potential.

• Must differentiate between “can’t do” a Must differentiate between “can’t do” a skill or task from “can do but chooses not skill or task from “can do but chooses not to”to”

Areas of Major Life ActivityAreas of Major Life Activity

Eligibility requires the existence of significant functional limitations,

as determined by the regional center,

in three or more major life activity

and as appropriate to the person's age

Areas of Major Life Activity (cont’d)Areas of Major Life Activity (cont’d)

LearningLearning Receptive and expressive languageReceptive and expressive language Self-careSelf-care Self-direction (including social skill Self-direction (including social skill

difficulties) difficulties) MobilityMobility Capacity for independent living Capacity for independent living

• For children For children >> 6 years and adults 6 years and adults Economic self-sufficiency Economic self-sufficiency

• For individuals For individuals >> age 18 age 18

Areas of Major Life Activity (cont’d)Areas of Major Life Activity (cont’d)

Concepts like “executive functioning skills”, Concepts like “executive functioning skills”, “visual processing,” “motor planning” and “visual processing,” “motor planning” and “sensory issues” are important only as they “sensory issues” are important only as they relate to functional skills. relate to functional skills. • Not assessed in determining eligibility Not assessed in determining eligibility

because they are not among the adaptive because they are not among the adaptive skill areas specified by law.skill areas specified by law.

Similarly, fine motor skill difficulties are only Similarly, fine motor skill difficulties are only important as they relate to some functional important as they relate to some functional skill.skill.

Substantial DisabilitySubstantial Disability

There was a significant change in the There was a significant change in the statute in 2003 statute in 2003 • Prior to 2003, only one area of substantial Prior to 2003, only one area of substantial

disability was required.disability was required.• The area that encompassed language was The area that encompassed language was

“communication” which was less “communication” which was less restrictive than the current “receptive and restrictive than the current “receptive and expressive language.”expressive language.”

Substantial Disability (cont’d)Substantial Disability (cont’d)

Bottom lineBottom line

It was significantly easier for an It was significantly easier for an applicant to qualify for regional center applicant to qualify for regional center

services under the Lanterman Act services under the Lanterman Act prior to the 2003 changes in statuteprior to the 2003 changes in statute

How Is Substantial Disability How Is Substantial Disability Determined?Determined?

No single test determines substantial No single test determines substantial disabilitydisability

Based on available informationBased on available information• History provided by family, caretakers, History provided by family, caretakers,

teachers, therapists, etc.teachers, therapists, etc.• Direct observationDirect observation• Past psychoeducational testingPast psychoeducational testing

How Is Substantial Disability How Is Substantial Disability Determined? (cont’d)Determined? (cont’d)

Past psychoeducational testingPast psychoeducational testing• Essential objective informationEssential objective information• Test scores need to be very lowTest scores need to be very low• Although individuals may function below their Although individuals may function below their

expected age level; their deficits may not expected age level; their deficits may not meet the criteria of a substantial disabilitymeet the criteria of a substantial disability

RCOC’s Approach toRCOC’s Approach toEligibility DeterminationEligibility Determination

Be fairBe fair• Use objective measures and criteriaUse objective measures and criteria

Be consistentBe consistent Be thoroughBe thorough Follow the lawFollow the law

RCOC’s Approach (cont’d)RCOC’s Approach (cont’d)

Information is obtained from: Information is obtained from: • History provided by family members or History provided by family members or

othersothers• Educational and therapy recordsEducational and therapy records• Medical recordsMedical records• Interview/evaluation of applicant by RCOC Interview/evaluation of applicant by RCOC

staffstaff The more information the better, but The more information the better, but

there are time constraintsthere are time constraints• 120 day timeline for eligibility determination120 day timeline for eligibility determination

RCOC’s Approach (cont’d)RCOC’s Approach (cont’d)

If eligibility status is unclear, RCOC If eligibility status is unclear, RCOC may seek additional information, e.g.,may seek additional information, e.g.,• Direct assessment by RCOC’s M.D.s Direct assessment by RCOC’s M.D.s

and/or psychologists via a and/or psychologists via a transdisciplinary assessment (TDA)transdisciplinary assessment (TDA)

• Direct observation of applicant in home, Direct observation of applicant in home, school or communityschool or community

What Happens Once An Eligibility What Happens Once An Eligibility Decision Is Made?Decision Is Made?

If a child is found ineligible: If a child is found ineligible: • The family/advocate can appeal the The family/advocate can appeal the

decision through the fair hearing processdecision through the fair hearing process• Families can reapply for regional center Families can reapply for regional center

services when the child is olderservices when the child is older• A child who was ineligible at age three due A child who was ineligible at age three due

to a lack of three substantial disabilities, to a lack of three substantial disabilities, may meet the criteria in their teens or may meet the criteria in their teens or young adulthood when more is expected young adulthood when more is expected from themfrom them

What Happens Once An Eligibility What Happens Once An Eligibility Decision Is Made? (cont’d)Decision Is Made? (cont’d)

If we say to a family, “You can If we say to a family, “You can reapply when your child is older.”reapply when your child is older.”• Parents often reply, “I need services now Parents often reply, “I need services now

when my child is age three so that he/she when my child is age three so that he/she can continue to make progress and not need can continue to make progress and not need your services when he/she is older.”your services when he/she is older.”

• There is no support for this view in statute. There is no support for this view in statute. The child must be substantially disabled in The child must be substantially disabled in three areas at the time eligibility is being three areas at the time eligibility is being determineddetermined

What Happens Once An Eligibility What Happens Once An Eligibility Decision Is Made? (cont’d)Decision Is Made? (cont’d)

Some eligible individuals may improve to Some eligible individuals may improve to the point that they may no longer need or the point that they may no longer need or are eligible for regional center services, are eligible for regional center services, e.g., e.g., • A child with seizure disorder has surgery so A child with seizure disorder has surgery so

that his/her seizures are well-controlledthat his/her seizures are well-controlled• A child with autism may improve to the point A child with autism may improve to the point

that he/she no longer has “substantial that he/she no longer has “substantial disabilities” in three areasdisabilities” in three areas

SummarySummary As mandated:As mandated:

• Eligible applicants must have a Eligible applicants must have a substantially disabling developmental substantially disabling developmental disability with onset prior to age 18 that is disability with onset prior to age 18 that is expected to last a life timeexpected to last a life time

• A number of conditions are excluded A number of conditions are excluded including those that are solely physical, including those that are solely physical, psychiatric disorders or learning disabilitiespsychiatric disorders or learning disabilities

• The criteria that regional centers use are The criteria that regional centers use are different from those of school districts and different from those of school districts and other government-funded agenciesother government-funded agencies

Summary (cont’d)Summary (cont’d)

3,146 children receiving Early Start 3,146 children receiving Early Start services services

236 children receiving Prevention 236 children receiving Prevention servicesservices

13,428 individuals age 3+ receiving 13,428 individuals age 3+ receiving Lanterman servicesLanterman services

Average number of new Intake Average number of new Intake applications per month in CY09– 442 applications per month in CY09– 442 • 0 to 35 months – average 382 0 to 35 months – average 382 • 36 months and over – average 6036 months and over – average 60

QUESTIONS??QUESTIONS??

Board Assessment Board Assessment Questions/AnswersQuestions/Answers

Which of the following diagnoses Which of the following diagnoses maymay qualify someone (3 years or older) for qualify someone (3 years or older) for regional center services?regional center services?

Mental RetardationMental Retardation EpilepsyEpilepsy Cerebral PalsyCerebral Palsy AutismAutism Fifth Category (i.e., conditions closely Fifth Category (i.e., conditions closely

related to mental retardation and related to mental retardation and requiring similar treatment)requiring similar treatment)

All the aboveAll the above

Board Assessment Board Assessment Questions/Answers (cont’d)Questions/Answers (cont’d)

As defined in the Lanterman Act, a person age As defined in the Lanterman Act, a person age 3 or older must have substantial disabilities in 3 or older must have substantial disabilities in three or more major life activities to be eligible three or more major life activities to be eligible for regional center services. for regional center services.

True or False?True or False? TrueTrue

Regional centers are required to provide Regional centers are required to provide services to all individuals with diagnoses of services to all individuals with diagnoses of Autism, Cerebral Palsy or Epilepsy.Autism, Cerebral Palsy or Epilepsy.

True or False?True or False?FalseFalse

Board Assessment Board Assessment Questions/Answers (cont’d)Questions/Answers (cont’d)

All children under 36 months of age are eligible All children under 36 months of age are eligible for Early Start services if they have a 33% delay for Early Start services if they have a 33% delay in one of five developmental areas (i.e., in one of five developmental areas (i.e., cognitive, physical or motor, communication, cognitive, physical or motor, communication, social or emotional, or adaptive development). social or emotional, or adaptive development).

True or False?True or False? FalseFalse

The Prevention Program is a new program for The Prevention Program is a new program for children under 36 months of age who are at risk children under 36 months of age who are at risk of a developmental disability but are otherwise of a developmental disability but are otherwise not eligible for Early Start services.not eligible for Early Start services.

True or False?True or False?TrueTrue