Overview of the State Performance Plan Development:
Our State Performance
Plan was developed with broad Stakeholder input using our State
Interagency Coordinating Council (ICC). The ICC is made up of a variety
of people, including a Medicaid representative, Division of Children and
Families representative, Early Intervention providers, Insurance
representative, Arkansas Department of Education representative, Early
Childhood representative, medical doctors (pediatricians), parents and
Lead Agency representatives. We held a Stakeholder’s meeting on
September 20, 2005 at which time members of Southeast Regional Resource
Center (SERRC) did a presentation of the State Performance Plan and what
was needed from the Stakeholders. Some of the members chose to send
their responses and ideas via e-mail, (which was encouraged) Arkansas
also used a subcommittee made up of the State ICC and some regional
managers for further input into this plan
We first introduced the SPP to the ICC at the
regular ICC meeting on August 19, 2005. On October 20, 2005 we were
given a small sub-committee to work on the SPP. This sub-committee met
on November 8, 2005 to work on the General Supervision Enhancement Grant
(GSEG) summary for monitoring priority indicator #3. We discussed our
GSEG grant application and the intentions for the use of the GSEG as
outlined in this application
Arkansas had weekly phone conferences with our OSEP
contacts, as well as, our SERRC contact. We had contact also with our
NECTAC representative.
Stakeholders were also asked to review our State
Performance Plan ‘rough draft’, improvement plans and data and to give
input either by e-mail or phone.
The Arkansas State Performance Plan will be
disseminated to the public for review via a ‘Public Hearing’, similar to
the one held for the new policy and State Application and it will be
placed on the Web site. The Arkansas State Performance Plan will also
be available at the office of the Lead Agency.
In Arkansas the Department of Health & Human
Services is the Lead Agency for the Part C program, and is administered
by the Division of Developmental Disabilities Services.
(The following items
are to be completed for each monitoring priority/indicator.)
|
Monitoring
Priority:
Early
Intervention Services In Natural Environments |
(20 USC
1416(a)(3)(A) and 1442)
|
Measurement:
Account for untimely receipt of services.
Arkansas has 2,923 children receiving Early Intervention
Services, however, we are non-compliant in this area as we
currently do not capture the above information in our data
system because we do not have a definition of ‘timely receipt of
services’.
|
Overview
of Issue/Description of System or Process:
Although there is no written criteria or policy of
timeframes for the ‘delivery of services’, it has been the
practice in Arkansas for delivery of service to begin within fourteen
(14) days after the IFSP is completed. The current process is to have
the Service Coordinators to list the ‘Start Date’ on page three (5) of
the IFSP, the ‘Target Completion’ and the ‘Completion Date’. The
service provider enters the actual start date of each objective on page
4. (This may be used to determine how to better track this indicator.)
The Service Coordinators, as instructed by written procedures, are to
check with the family within thirty (30) days to verify that services
have begun. On the child record review, the monitors examine the
“initiation of services to make sure it is ‘timely’ or there is
documentation in the chart as to why services were delayed”. Services,
as denoted on the IFSP, are checked to ensure that frequency, method,
location are in accordance with the IFSP. The licensure quality
assurance monitors review the service, intensity, frequency, method,
location, provider, payment and duration of services in the child
records.
The Service Coordinator will:
- Conduct Quarterly Reviews with Parents
- Conduct Quarterly Progress Update with
Provider
- Contact the parent per IFSP indication of when
they (the parents) want to be contacted
The Quality Assurance (Licensure) Unit does:
- Child Record Reviews (sampling)
- Check the initiation of service and chart
notations
- Service Delivery
- Parent Interviews (done by sampling on audits)
“The purpose of the Child Record Review is to
determine how well the program is meeting the Federal and State Early
Intervention Program requirements; required timelines for providing
early intervention services, the Individual and Family Service Planning
process, assurance that family rights are maintained and appropriate
documentation of other contacts with the child and family.
This review also verifies that the concerns,
priorities and rights of the parents were addressed in the audit
On the Child Record Review the 303.12-18 and
303.344 CFR and Criteria are used to review each case. The monitors
currently review child records for IFSP (initial; 6 months review;
Annual). They also monitor for: Service Coordinator; family’s
concerns, priorities and resources addressed; medical information and
areas of delay. The levels of functioning and natural environments are
also reviewed. The review is continued by monitoring major outcomes
listed; written in family centered language; service delivery and
natural environments.
Baseline
Data for FFY 2004 (2004-2005): AR FFY 2004 - 2005
Discussion of Baseline Data: Our baseline data is taken from the number
of children in the system with IFSPs during the Arkansas FFY 2004-2005.
|
FFY |
Measurable and
Rigorous Target |
|
2005
(2005-2006) |
Arkansas will revise E.I. policy and procedure and IFSP to define ‘timely
delivery of service’. We have already given an assurance that
new policy will be submitted by 6/30/06. We will institute
tracking methods by using the IFSP data entered on SEAS. As a
result, 100% of infants and toddlers with IFSPs will receive the
early intervention services on their IFSP in a timely manner. |
|
2006
(2006-2007) |
100% of infants and toddlers with IFSPs will receive the early
intervention services on their IFSP in a timely manner. |
|
2007
(2007-2008) |
100% of infants and toddlers with IFSPs will receive the early
intervention services on their IFSP in a timely manner. |
|
2008
(2008-2009) |
100% of infants and toddlers with IFSPs will receive the early
intervention services on their IFSP in a timely manner. |
|
2009
(2009-2010) |
100% of infants and toddlers with IFSPs will receive the early
intervention services on their IFSP in a timely manner. |
|
2010
(2010-2011) |
100% of infants and toddlers with IFSPs will receive the early
intervention services on their IFSP in a timely manner. |
Improvement Activities/Timelines/Resources:
The Lead Agency will request additional positions during
the next regular session of the Arkansas General Assembly in order to
meet the federal requirements for the monitoring of services. A task
force has been implemented to look at restructuring the current system
and to advise on procedures and policy that would be needed to both
improve service coordination and improve what monitoring is occurring.
Arkansas is also considering the feasibility of sub-contracting
‘Independent Evaluators’ to make the initial assessment in determining
eligibility. Arkansas is making every effort to make corrections to our
Early Intervention program, as well as, our data collection system.
In February 2006, the Lead Agency will begin training
state staff and service coordinators on use of the new SEAS data
system. This system has data fields which will capture the start date
of services and Arkansas will have more ready access to needed data to
properly monitor and report on this indicator.
Arkansas will:
- Revise the policy/criteria on ‘timely’ service
delivery
- Revise the current IFSP plan with basic
completion instruction on the back of the IFSP plan
- Review the IFSP process to determine the
‘start date’ and to build in a tracking system as to when the
services actually begin, using pages 4 and 5 of the IFSP, data
sheets and billing records
- Train all staff on implementation of new
policy and procedures
- Utilize the various universities and colleges
in each region and work through their department Deans with an
agreement for senior students majoring in Social Work, Psychology,
Early Childhood or Sociology or Parent Training Institute (PTI) to
conduct the parent surveys and parent interviews regarding EI
services.
- Implement a policy on ‘unserved and
underserved’ with regards to any shortage of providers
- Arkansas will get continued technical
assistance from Southeast Regional Resource Center, National Early
Childhood Technical Assistance Center (NECTAC) and NCSEAM.
- Streamline Prior Authorization procedures to
allow shorter time between IFSP development and delivery of the
Prior Authorization to the provider.
- Revise procedure so the Service Coordinator if
notified or contacts the parent by the target date for initiation of
services.
Overview of the State Performance Plan Development:
(The following items
are to be completed for each monitoring priority/indicator.)
|
Monitoring
Priority:
Early
Intervention Services In Natural Environments |
Indicator 2:
Percent of infants
and toddlers with IFSPs who primarily receive early intervention
services in the home or programs for typically developing children.
Overview
of Issue/Description of System or Process:
The multidisciplinary
team does identify the ‘natural environment’ in which early intervention
services will be provided. The IFSP does indicate where the child
spends the majority of his/her time. Should a service not be provided
in the natural environment, the IFSP must contain a statement of
justification of the extent to which the services will not be provided
in the natural environment. The Service Coordinators conduct quarterly
reviews with the parents and quarterly progress update with the
providers. The Quality Assurance Section reviews where the child spends
the majority of time (natural environments) on the case record review,
which is done annually
Baseline
Data for FFY 2004 (2004-2005): AR FFY 2004- 2005
Discussion of Baseline Data: There is a total of 1,222 children in day
programs plus 873 children served at home, which equals 2,095 children
divided by our child count of 2,725, which gives us 77% measurement.
|
FFY |
Measurable and
Rigorous Target |
|
2005
(2005-2006) |
77.2% of infants and toddlers with IFSPs will primarily receive
services in the homes or programs for typically developing
children. |
|
2006
(2006-2007) |
77.5% of infants and toddlers with IFSPs will primarily receive
services in the homes or programs for typically developing
children. |
|
2007
(2007-2008) |
77.6% of infants and toddlers with IFSPs will primarily receive
services in the homes or programs for typically developing
children. |
|
2008
(2008-2009) |
78% of infants and toddlers with IFSPs will primarily receive
services in the homes or programs for typically developing
children. |
|
2009
(2009-2010) |
78.2% of infants and toddlers with IFSPs will primarily receive
services in the homes or programs for typically developing
children. |
|
2010
(2010-2011) |
78.4% of infants and toddlers with IFSPs will primarily receive
services in the home or programs for typically developing
children. |
Improvement Activities/Timelines/Resources:
Once the State has more staff for monitoring, we
will have the ability to monitor this indicator more fully and closely
to make sure the children are NOT in a segregated setting.
Our Service Coordinators currently are
supposed to contact the family as the family has indicated on the IFSP
(page 3 of IFSP). The family indicates how often they will be contacted
and how the family prefers to be contacted.
The revised policy and
procedures will clarify everyone’s roles and responsibilities.
Performance Effectiveness Evaluation Plan (PEEP) data system was
designed to give and keep the State updated on four goals. Goal #1
Infants and toddlers with disabilities will have an accountable IFSP
that is linked to statewide appropriate activities that are enhanced
by parents and providers. Category #7 on this form indicates
documentation of provision of early intervention
services in a natural environment. It shows the number of children
placed in the natural environment; children outside of the natural
environment; children whose services are all center based; children
whose services are home based and children who have a combination of
center and home based services. Goal #2 Increase the number of
infants and toddlers with disabilities referred, evaluated, and
receiving services. Goal #3 Infants and toddlers with disabilities
will maximize potential based on age appropriate skills of normal
development and attain skills necessary for transition. Goal #4
Through professional development and information sharing
opportunities, staff and parents receive the information needed to
work collaboratively to accomplish the outcomes identified on the
IFSP.
Arkansas will be utilizing the new Special Education Automation
Systems (SEAS) and this new system will have the ability to capture
more data and information the IDEA is requiring.
Arkansas will:
-
Rewrite policy to include ‘Natural Environment’ justification
-
Develop a plan to monitor the justifications more closely
-
Revise the language on the IFSP concerning the ‘Natural
Environments’ and the justifications
-
Provide training to the DDTCS, providers, Service Coordinators
and parents on the benefits of ‘Natural Environments’ and the
Public Law and the reasons for service settings
-
Work to improve public awareness of ‘Natural Environment’
-
Arkansas will identify reasons why more services are not
provided in the Natural Environment such as lack of providers;
provider attitude/training; family needs/desires; poor team
process
-
The role of the family will be re-emphasized in working on
outcomes in natural environment
Overview of the State Performance Plan Development:
(The following items
are to be completed for each monitoring priority/indicator.)
|
Monitoring
Priority:
Early
Intervention Services In Natural Environments |
(20 USC
1416(a)(3)(A) and 1442)
|
Measurement:
NEW
INDICATOR - DUE IN 2007
a.
Percent of infants and toddlers who reach or maintain
functioning at a level comparable to same-aged peers = # of
infants and toddlers who reach or maintain functioning at a
level comparable to same-aged peers divided by # of infants and
toddlers with IFSPs assessed times 100.
b.
Percent of infants and toddlers who improve functioning =
# of infants and toddlers who improved functioning divided by #
of infants and toddlers with IFSPs assessed times 100.
a.
Percent of infants and toddlers who reach or maintain
functioning at a level comparable to same-aged peers = # of
infants and toddlers who reach or maintain functioning at a
level comparable to same-aged peers divided by # of infants and
toddlers with IFSPs assessed times 100.
b.
Percent of infants and toddlers who improved functioning
= # of infants and toddlers who improved functioning divided by
# of infants and toddlers with IFSPs assessed times 100.
a.
Percent of infants and toddlers who reach or maintain
functioning at a level comparable to same-aged peers = # of
infants and toddlers who reach or maintain functioning at a
level comparable to same-aged peers divided by # of infants and
toddlers with IFSPs assessed times 100.
b.
Percent of infants and toddlers who improved functioning
= # of infants and toddlers who improved functioning divided by
# of infants and toddlers with IFSPs assessed times 100.
If
children meet the criteria for a, report them in a. Do not
include children reported in a in b or c. If a + b + c does not
sum to 100%, explain the difference.
|
Overview
of Issue/Description of System or Process:
General Supervision Enhancement Grant (GSEG)
This was a grant jointly applied for by the
Arkansas Department of Education (ADE) and the Arkansas Department of
Health and Human Services (DHHS). The intent was to develop methods,
using the Arkansas Frameworks for birth to five year olds, to capture
information on the improvement of children’s development in the Early
Intervention program, as well as, Part B program.
Through our collaboration and coordination, the ADE
and ADHHS will ensure an ongoing process to improve early intervention
services and special education and related services provided to children
and youth with disabilities and their families in the State of
Arkansas.
It is the intent of Arkansas Department of
Education and Arkansas Department of Health and Human Services to have a
two-fold emphasis: 1.) development of outcome measurement system for
Part C Infants and toddlers and Part B preschoolers with disabilities
and 2.) on smooth transition for children and families from Part C to
Part B programs.
We focused on the following four critical elements
of accountability:
·
Child Outcome – Maximizing child opportunities for
favorable developmental outcomes
·
Family Outcome – Strengthening family capacity to be
partners in the decision making process for positive child outcomes
through technical and social support
·
Personnel Outcome - Increasing competency of all
personnel serving infants and toddlers (Part C) and preschool
(Part B) in using the outcome based system
·
System Outcome – Increasing collaboration and coordination
across services (Part C and Part B) to ensure smooth implementation of
outcome-based system for children and families.
Our anticipated benefit of the GSEG will be to
improve the effectiveness of early intervention and early childhood
programs in increasing favorable developmental outcomes for young
children with disabilities to help prepare them for success in the least
restrictive school setting.
Once the indicator measurement system is
established and supported with the technology infrastructure to collect,
analyze and report data to measure the effectiveness of the programs, it
will continue without additional funding. The ADE and the ADHHS
will continue to provide training to service providers in using the
outcome system and families will continue to receive parent opportunity.
Baseline
Data for FFY 2004 (2004-2005): AR FFY 2005 - 2006
Discussion of Baseline Data: NEW INDICATOR
Describe How Data will be collected:
Data for this indicator will be collected via
the new Special Education Automation Systems (SEAS). The SEAS program
will have the ability to capture the child outcomes and improvements.
SAMPLING METHODOLOGY:
Background:
The Division of Developmental Disabilities Services
(DDS) requested that Research and Statistics provided a valid
methodology for two samples for their Arkansas State Performance Plan.
Objective:
Provide two separate samples for an infant/toddler
and parent population using the guidelines set by the Office of Special
Educations Programs.
Plan:
DDS will provide Research and Statistics two
population files for each group using the DDS ID number and Social
Security number to identify each child/parent.
Research and Statistics will use these files to
pull two automated Simple Random Samples at a 95% Confidence Level with
a 5% margin of error. A 10% over sample will be included with each
sample.
Contact Persons:
Arkansas Department of Health and Human Services;
Division of Developmental Disabilities Services: Sharon Mitchel,
(501-682-8703) and Research and Statistics Unit: Lyle Jackson,
Statistical Manager (501-682-6261)
|
FFY |
Measurable and
Rigorous Target |
|
2005
(2005-2006) |
NEW INDICATOR |
|
2006
(2006-2007) |
Arkansas will aim for 100% compliance. |
|
2007
(2007-2008) |
Arkansas will aim for 100% compliance. |
|
2008
(2008-2009) |
Arkansas will aim for 100% compliance. |
|
2009
(2009-2010) |
Arkansas will aim for 100% compliance. |
|
2010
(2010-2011) |
Arkansas will aim for 100% compliance |
Improvement Activities/Timelines/Resources:
Arkansas will:
-
Decide on the best method/test to use on children to
indicate improvements
·
Collect
data on infant and toddler improvements by requiring that Annual Goals
be written to reflect improvement to chronological age and/or require
providers to age levels to their objectives, which would allow us to
track improvement through progress on goals and objectives.
·
Train the
state staff on the use of SEAS and the entering of data correctly.
·
Educate
the providers on the new requirement of child outcomes.
Overview of the State Performance Plan Development:
(The following items
are to be completed for each monitoring priority/indicator.)
|
Monitoring
Priority:
Early
Intervention Services In Natural Environments |
Indicator 4:
Percent of families
participating in Part C who report that early intervention services have
helped the family:
A. Know their
rights;
B. Effectively
communicate their children's needs; and
C. Help their
children develop and learn.
(20 USC
1416(a)(3)(A) and 1442)
|
Measurement: NEW INDICATOR DUE: 2007
A. Percent
= # of respondent families participating in Part C who report
that early intervention services have helped the family know
their rights divided by the # of respondent families
participating in Part C times 100.
B. Percent
= # of respondent families participating in Part C who report
that early intervention services have helped the family
effectively communicate their children's needs divided by the #
of respondent families participating in Part C times 100.
C. Percent
= # of respondent families participating in Part C who report
that early intervention services have helped the family help
their children develop and learn divided by the # of respondent
families participating in Part C times 100.
|
Overview
of Issue/Description of System or Process:
Arkansas will have a monitoring tool which includes
all components of Part C of IDEA and an assessment of:
Ø
Service Coordination activities & requirements for the
development of the IFSP
Ø
Family needs, including needed supports and services
identified and included on the IFSP as family outcomes.
Ø
Proper procedures utilized to determine eligibility
Ø
Service level determination process and trends
Ø
More discussion and information provided to the parent
prior to the IFSP meeting about eligibility and level of service that
the team will need to made decisions about. This may be tracked through
the monitoring parent interview or parent questionnaire.
Results will be obtained through multiple methods;
record review including data records as well as child record review,
annual assessment, parent interview and 618 data verification.
Monitoring and supervision activities will be in
place to ensure compliance with Part C of IDEA regardless of funding
source and/or service delivery site. Each local service coordination
and service provision entity will be able to identify and address areas
of non-compliance and needed improvement as a result of monitoring. The
monitoring process will include a parent survey to obtain parental input
into the program’s operation. Parents surveyed will indicate that they
know their rights as a parent and had input into the evaluation and
planning process for their child. Family concerns or requests for more
information about their rights, their child’s needs, or how to help
their child learn will be reviewed by the team and addressed on page 3
of the IFSP.
Monitoring and supervision activities will be in
place to ensure compliance with Part C of IDEA regardless of funding
source and/or service delivery site. Each local service coordination
and service provision entity will be able to identify and address areas
of non-compliance and needed improvement as a result of monitoring. The
monitoring process will include a parent survey to obtain parental input
into the program’s operation. Parents surveyed will indicate that they
know their rights as a parent and had input into the evaluation and
planning process for their child.
All
verbal and written complaints received will be included on the
tracking log and resolved within required timeframes as defined by
IDEA. Data will be maintained on all request for services that in
unmet need and/or delay of implementation of IFSP due to lack of
adequate providers. This log will include identification of
unserved/underserved population and/or geographical location,
service requested, certification and/or licensing required to
provide service, technical assistance and/or support provided to
establish provider and resolution. (NEW TARGET)
Baseline
Data for FFY 2004 (2004-2005): AR FFY 2006 - 2007
Discussion of Baseline Data:
SAMPLING
METHODOLOGY:
SAMPLING METHODOLOGY:
Background:
The Division of Developmental Disabilities Services
(DDS) requested that Research and Statistics provided a valid
methodology for two samples for their Arkansas State Performance Plan.
Objective:
Provide two separate samples for an infant/toddler
and parent population using the guidelines set by the Office of Special
Educations Programs.
Plan:
DDS will provide Research and Statistics two
population files for each group using the DDS ID number and Social
Security number to identify each child/parent.
Research and Statistics will use these files to
pull two automated Simple Random Samples at a 95% Confidence Level with
a 5% margin of error. A 10% over sample will be included with each
sample.
Contact Persons:
Arkansas Department of Health and Human Services;
Division of Developmental Disabilities Services: Sharon Mitchel,
(501-682-8703) and Research and Statistics Unit: Lyle Jackson,
Statistical Manager (501-682-6261)
|
FFY |
Measurable and
Rigorous Target |
|
2005
(2005-2006) |
NEW INDICATOR |
|
2006
(2006-2007) |
Arkansas aims to have 100% compliance. |
|
2007
(2007-2008) |
Arkansas aims to have 100% compliance. |
|
2008
(2008-2009) |
Arkansas aims to have 100% compliance. |
|
2009
(2009-2010) |
Arkansas aims to have 100% compliance. |
|
2010
(2010-2011) |
Arkansas aims to have 100% compliance. |
Improvement Activities/Timelines/Resources:
Integration of the monitoring tool into the data
management system will be implemented. This will allow for
consolidation of collection, analysis reporting and
integration of data as it relates to improving efforts of public
awareness and child find, referral and referral source information,
existence and appropriate use of and documentation of services,
transition and service coordination activities. (NEW TARGET)
Service Coordinators, related support personnel to the EI Program
and Service Providers will exhibit knowledge of ‘family rights’ as
measured by performance documented on reviews and through
participation in competency-based training. (The training unit
should develop a training similar to the surrogate parent training
which can be provided by a service coordinator, parent volunteer, or
Parent Training and Information Network.)
Arkansas has a 1-800 number on our Web site and it is available to
the public.
The
Family Survey currently addresses the services the child receives,
the family outcomes and the timeliness of the transition process.
Arkansas is considering ways to revise and improve the Family
Survey.
The current Client Interview tool is used either face to
face or by phone. Questions are asked about services; quarterly contact
by the Service Coordinator; transitions process
The Parent Training and Information Network (PTI) will do
‘Focus’ groups, with the assistance of the state staff, to further
educate parents and providers in all six regions of the State of
Arkansas.
Describe How Data will be collected:
Arkansas Family Survey
Licensure Monitoring
Quality
Assurance Monitoring by State Staff
Overview of the State Performance Plan Development:
(The following items
are to be completed for each monitoring priority/indicator.)
|
Monitoring
Priority:
Effective
General Supervision Part C / Child Find |
(20 USC
1416(a)(3)(B) and 1442)
|
Measurement:
A.
Comparison of Arkansas to other States with similar
eligibility definitions:
State Age 0 to 1
Percent
Arkansas 260
.002%
Alabama 216
.001%
Maryland 763 .003%
Virginia 579
.002%
B.
National Average –- 0 – 1 39,021 ……… …003%
(U.S. and D.C.)
(The above information was taken from IDEA.ORG – Table 2.) |
Overview
of Issue/Description of System or Process:
The lead agency, with assistance from the State
Interagency Coordinating Council, makes every effort to coordinate with
other major efforts in the state to identify, locate, and evaluate all
children eligible for services. The First Connections Child Find system
is consistent with Part B of the IDEA. An ongoing Child Find effort
exists to inform the community about the right to and the availability
of early intervention services for children with disabilities.
The child find system policies and procedures
insure that:
- All infants and toddlers in the State who are
eligible for services are identified, located, and evaluated through
statewide and regional Child Find campaigns that are coordinated
with the Arkansas Department of Education and/or by primary referral
sources through staff/contracted DDS Service Coordinators.
Currently, state staff and local providers interact with local
physicians, health units and social service agencies, present at
state conferences and regional health fairs, and participate in
Local ICC to increase public awareness of the state Part C program.
A report will be generated on a monthly basis, which will identify
the children referred, their county of residence, the referral
source, and the outcome of the referral.
- Through the Data Collection process, an
effective method had been developed and implemented to determine
which children are receiving needed early intervention services, and
which children are not receiving those services. A quarterly report
will be generated which will identify the services included in each
IFSP developed. This report will be cross-referenced with the
billing report to verify services included on the IFSP are being
provided. Use of data is subject to confidentiality requirements.
We have public awareness brochures available to
everyone in the State through Arkansas Special Education Research
Resource Center (ASERRC). There is currently a web site that materials
can be ordered and tracked.
Baseline
Data for FFY 2004 (2004-2005): AR FFY 2004 - 2005
Discussion of Baseline Data:
Using 618
Data from 2004, Arkansas served 311 infants birth to 12 months out of a
population of 1,021 or .83%. In comparison to other States with similar
broad eligibility definitions (excluding at risk children from the
number). Arkansas ranks number 18 in serving the birth to one
population.
(REF.
http://www.federalresourcecenter.org/frc/sppc.htm)
|
FFY |
Measurable and
Rigorous Target |
|
2005
(2005-2006) |
Arkansas will serve .83% of the birth to 12 month population,
which is just slightly below the National average. |
|
2006
(2006-2007) |
Arkansas will serve .84% of the birth to 12 month population. |
|
2007
(2007-2008) |
Arkansas will serve .85% of the birth to 12 month population |
|
2008
(2008-2009) |
Arkansas will serve .86% of the birth to 12 month population |
|
2009
(2009-2010) |
Arkansas will serve .87% of the birth to 12 month population |
|
2010
(2010-2011) |
Arkansas will serve .88% of the birth to 12 month population |
Improvement Activities/Timelines/Resources:
The local ICCs will be doing more child-find
activities. They are currently working on a definitive child-find plan
and public awareness plan of action which they will implement within
2006. The Local ICCs will also target Arkansas Health Education Centers
(AHEC), (they are responsible for training doctors), located around the
State of Arkansas to disseminate Early Intervention information to their
patients and to train doctors on Early Intervention referrals.
The Child Find Committee has established a web site
(http://www.archildfind.org),
which will give access to all Child Find resource materials, including
the new brochures and provide parent information, helpful contacts,
program fact sheets, parent input surveys and evaluations. Brochures
can be ordered online by anyone in the State. There is also a survey on
this web site that must be completed before the second order of
materials. This survey will give the number of brochures ordered; who
ordered them and distribution information.
Arkansas will focus more Child Find efforts into
the Southeast part of the State, as it has the lowest numbers. We will
target this area of the State aggressively within this year and bring
the numbers up. Also, more outreach will be done with non-English
speaking populations, especially Hispanic and Marshallese through local
cultural organizations, health and social service providers and
churches.
Overview of the State Performance Plan Development:
(The following items
are to be completed for each monitoring priority/indicator.)
|
Monitoring
Priority:
Effective
General Supervision Part C / Child Find |
Other
States with similar eligibility definitions
Alabama, Virginia and
Maryland have very similar eligibility definitions as Arkansas.
**National Average
---- 269,596 …………2.24%
(U.S. and D.C.)
(20 USC
1416(a)(3)(B) and 1442)
|
Measurement:
A.
Comparison of Arkansas to other States with similar
eligibility definitions:
State Age 0
– 3 Percent
Arkansas
2,772 2.46%
Alabama
1,207 1.20%
Maryland
5,774 2.60%
Virginia
4,204 1.40%
B.
National Average ---- 269,596 …………2.24%
(U.S. and D.C.)
(The above information was taken from IDEA.ORG – Table 2.) |
Overview
of Issue/Description of System or Process:
The lead agency, with assistance from the State
Interagency Coordinating Council, makes every effort to coordinate with
other major efforts in the state to identify, locate, and evaluate all
children eligible for services. The First Connections Child Find system
is consistent with Part B of the IDEA. An ongoing Child Find effort
exists to inform the community about the right to and the availability
of early intervention services for children with disabilities.
The child find system policies and procedures
insure that:
- All infants and toddlers in the State who are
eligible for services are identified, located, and evaluated through
statewide and regional Child Find campaigns that are coordinated
with the Arkansas Department of Education and/or by primary referral
sources through staff/contracted DDS Service Coordinators. A report
will be generated on a monthly basis, which will identify the
children referred, their county of residence, the referral source,
and the outcome of the referral.
-
Through the Data Collection process, an effective method had been
developed and implemented to determine which children are receiving
needed early intervention services, and which children are not
receiving those services.
- A quarterly report will be generated which
will identify the services included in each IFSP developed. This
report will be cross-referenced with the billing report to verify
services included on the IFSP are being provided. Use of data is
subject to confidentiality requirements.
Baseline
Data for FFY 2004 (2004-2005): AR FFY 2004 - 2005
Discussion of Baseline Data: Arkansas has an average of 2.94%, while
the National average is 2.24%. Arkansas ranks number seven (7) among
the states with ‘Broad’ eligibility criteria in serving the birth to
three population. Arkansas average ‘low birth weight’ is at 9% and our
average for ‘pre-term birth’ is at 13.1% for the past three years
according to the ‘Public Health Bulletin’. The average number of
births for the past three years is 36,592, however, 2005 shows an
incomplete summary due to birth certificates not yet filed.
(Ref.
http://www.federalresourcecenter.org/frc/sppc.htm)
|
FFY |
Measurable and
Rigorous Target |
|
2005
(2005-2006) |
Arkansas will serve 2.95% of the birth to three year old population and remain
ranked in the top 10 states of those with a broad eligibility
category. |
|
2006
(2006-2007) |
Arkansas will serve 2.96% of the birth to three year old population and remain
ranked in the top 10 states of those with a broad eligibility
category. |
|
2007
(2007-2008) |
Arkansas will serve 2.97% of the birth to three year old population and remain
ranked in the top 10 states of those with a broad eligibility
category. |
|
2008
(2008-2009) |
Arkansas will serve 2.98% of the birth to three year old population and remain
ranked in the top 10 states of those with a broad eligibility
category. |
|
2009
(2009-2010) |
Arkansas will serve 2.99% of the birth to three year old population and remain
ranked in the top 10 states of those with a broad eligibility
category. |
|
2010
(2010-2011) |
Arkansas will serve 3.0% of the birth to three year old population and remain
ranked in the top 10 states of those with a broad eligibility
category. |
Improvement Activities/Timelines/Resources:
Arkansas will:
-
Work to improve our Child Find activities
-
Do more public awareness ads and campaigns
-
Work to educate communities about Early Intervention
Services
-
Target non-English speaking populations (as in previous
indicator)
-
Develop memorandums of understanding with other agencies
that provide services to this age group: Early Head Start, ABC,
CHMS
Overview of the State Performance Plan Development:
(The following items
are to be completed for each monitoring priority/indicator.)
|
Monitoring
Priority:
Effective
General Supervision Part C / Child Find |
(20 USC
1416(a)(3)(B) and 1442)
|
Measurement:
Account for untimely evaluations.
45% were untimely due to lack of
personnel and we are non-compliant as we are well below the 100%
mandatory target, however, Arkansas has plans to put in place
for improvement.
|
Overview
of Issue/Description of System or Process:
Timelines for Public Agencies to Act on
Referrals
- The service coordinator is the Intake entity
for Part C in Arkansas and acts on the referral once it is received.
- Within 45 days after a referral is received
the service coordinator will:
ü
Complete the evaluation and assessment activities and
ü
Hold an IFSP meeting
The Service Coordinator will also:
- Conduct Quarterly Reviews with the parents
- Conduct Quarterly Progress Update with
providers
- Contact the parent per IFSP indication of when
they (the parents) want to be contacted
The Quality Assurance Unit does:
- Child Record Reviews (sampling)
- Check for initiation of service and chart
notations
- Service Delivery
Parent Interviews (done by sampling on audits)
Baseline
Data for FFY 2004 (2004-2005): AR FFY 2004 - 2005
Discussion of Baseline Data:
|
FFY |
Measurable and
Rigorous Target |
|
2005
(2005-2006) |
100% of eligible infants and toddlers with IFSPs will receive an
evaluation and assessment and an initial IFSP meeting will be
conducted within Part C’s 45-day timeline. |
|
2006
(2006-2007) |
100% of eligible infants and toddlers with IFSPs will receive an
evaluation and assessment and an initial IFSP meeting will be
conducted within Part C’s 45-day timeline. |
|
2007
(2007-2008) |
100% of eligible infants and toddlers with IFSPs will receive an
evaluation and assessment and an initial IFSP meeting will be
conducted within Part C’s 45-day timeline. |
|
2008
(2008-2009) |
100% of eligible infants and toddlers with IFSPs will receive an
evaluation and assessment and an initial IFSP meeting will be
conducted within Part C’s 45-day timeline. |
|
2009
(2009-2010) |
100% of eligible infants and toddlers with IFSPs will receive an
evaluation and assessment and an initial IFSP meeting will be
conducted within Part C’s 45-day timeline. |
|
2010
(2010-2011) |
100% of eligible infants and toddlers with IFSPs will receive an
evaluation and assessment and an initial IFSP meeting will be
conducted within Part C’s 45-day timeline. |
Improvement Activities/Timelines/Resources:
Arkansas will
do the following corrections:
-
Arkansas staff must determine and record why IFSP’s are
untimely and give justification
-
Revise the monitoring tools
-
Conduct follow-up on service coordinators to ensure that
justifications are done and are applicable
-
Technical Assistance and continuous training for State Staff and
providers
-
Overview of the State Performance Plan Development:
(The following items
are to be completed for each monitoring priority/indicator.)
|
Monitoring
Priority:
Effective
General Supervision Part C / Effective Transition |
(20 USC
1416(a)(3)(B) and 1442)
Overview
of Issue/Description of System or Process:
Stakeholder’s Input:
One of our
ICC members suggested that we do the following:
·
Look at
the data we have the 0-3 providers reporting at the present time and
revise the current reporting document.
·
Make the
questions specific to what is being asked in these fourteen priority
indicator areas.
·
Divide
the reporting periods into (birth to 8 months; 9 – 17 months; 18 to 29
months and 30 to 36 months). This would capture our transition
information in 30 to 36 months.
·
Everyone
would submit this information by November 10th with the
ending date of the data being October 31st; this would allow
us to set our target dates for information to be submitted in various
intervals.
Transition
The projected date for transition is included on
the initial IFSP. Transition steps are added to the IFSP at least six
(6) months prior to the child’s third birthday. The Service
Coordinator is responsible for facilitating the development of a
transition plan that will ensure a smooth and effective transition of
the child to special education and related services under Part B, if
appropriate, or other services that may be available, if appropriate.
The Lead Agency and Arkansas Department of
Education have established formal transition guidelines. The purpose of
these transition guidelines is to establish a cooperative interagency
transition plan. Use of these guidelines is an important step toward
providing comprehensive and uninterrupted services and should result in
increased communication among agencies and families and establish a
foundation for future cooperation. It is the pre-transition period that
the process is initiated and responsibilities are assigned. This
process involves representatives from both sending and receiving
agencies and the child’s parent/guardian in joint planning (Early
Childhood Coordinator, Local Education Agency, etc.).
The steps required are:
- Discussion with and training of, parents
regarding future placements and other matters related to the child’s
transition;
- Procedures to prepare the child and family for
change in service delivery, including steps to help the child adjust
to and function in a new setting and
- With parent notification, the transmission of
information about the child to the local education agency, to ensure
continuity of services, including evaluation and assessment
information, and copies of IFSPs that have been developed and
implemented.
- SEAS will make transition a seamless effort
Baseline
Data for FFY 2004 (2004-2005): AR FFY 2004 - 2005
Discussion of Baseline Data:
|
FFY |
Measurable and
Rigorous Target |
|
2005
(2005-2006) |
100% of all children exiting Part C will receive timely
transition planning to support the child’s transition to
preschool and other appropriate community services by their
third birthday including:
A.
100% of IFSPs will contain transition steps and services
B.
The local education agency will be notified in 100% of the
instances when a child is potentially eligible for Part B.
C.
A
transition conference will occur in 100% of the instances when a
child is potentially eligible for Part B. |
|
2006
(2006-2007) |
100% of all children exiting Part C will receive timely
transition planning to support the child’s transition to
preschool and other appropriate community services by their
third birthday including:
A.
100% of IFSPs will contain transition steps and services
B.
The local education agency will be notified in 100% of the
instances when a child is potentially eligible for Part B.
C. A transition conference will occur in 100% of the instances
when a child is potentially eligible for Part
B. |
|
2007
(2007-2008) |
100% of all children exiting Part C will receive timely
transition planning to support the child’s transition to
preschool and other appropriate community services by their
third birthday including:
A.
100% of IFSPs will contain transition steps and services
B.
The local education agency will be notified in 100% of the
instances when a child is potentially eligible for Part B.
C.
A
transition conference will occur in 100% of the instances when a
child is potentially eligible for Part B.
|
|
2008
(2008-2009) |
100% of all children exiting Part C will receive timely
transition planning to support the child’s transition to
preschool and other appropriate community services by their
third birthday including:
A.
100% of IFSPs will contain transition steps and services
B.
The local education agency will be notified in 100% of the
instances when a child is potentially eligible for Part B.
C.
A
transition conference will occur in 100% of the instances when a
child is potentially eligible for Part B. |
|
2009
(2009-2010) |
100% of all children exiting Part C will receive timely
transition planning to support the child’s transition to
preschool and other appropriate community services by their
third birthday including:
A.
100% of IFSPs will contain transition steps and services.
B.
The local education agency will be notified in 100% of the
instances when a child is potentially eligible for Part B.
C.
A
transition conference will occur in 100% of the instances when a
child is potentially eligible for Part B. |
|
2010
(2010-2011) |
100% of all children exiting Part C will receive timely
transition planning to support the child’s transition to
preschool and other appropriate community services by their
third birthday including:
A.
100% of IFSPs will contain transition steps and services
B.
The local education agency will be notified in 100% of the
instances when a child is potentially eligible for Part B.
C.
A
transition conference will occur in 100% of the instances when a
child is potentially eligible for Part B.
|
Improvement Activities/Timelines/Resources:
Arkansas will do the following to improve the
transition process:
- The transition steps will be listed on the
IFSP prior to 6 months of child turning 3 years of age
- The Service Coordinators will receive
continuous training on the process of transitioning.
- The new automation system SEAS will have the
capability to make the transition process a seamless process by
giving access, to both Part C and Part B, to a child’s records.
- Invitational letters are to be sent to the
educational Cooperatives
- Arkansas will keep good open communication
with the State staff regarding good input into the data system
Overview of the State Performance Plan Development:
(The following items
are to be completed for each monitoring priority/indicator.)
|
Monitoring
Priority:
Effective
General Supervision Part C / General Supervision |
Indicator 9:
General
supervision system (including monitoring, complaints, hearings, etc.)
identifies and corrects noncompliance as soon as possible but in no case
later than one year from identification.
(20 U.S.C.
1416(a)(3)(B) and 1442)
|
Measurement:
A. Percent
of noncompliance related to monitoring priority areas and
indicators corrected within one year of identification:
a.
# of findings of noncompliance made related to priority
areas. #530
b.
# of corrections completed as soon as possible but in no
case later than one year from identification. 0 - None
Percent = b divided by a times 100.
Arkansas through its’ new Data Manager has just identified these
numbers and did not know we were out of compliance. We will
have to implement policy and procedures to address these
non-compliance issues.
B. Percent
of noncompliance related to areas not included in the above
monitoring priority areas and indicators corrected within one
year of identification:
a.
# of findings of noncompliance made related to such
areas. #426
b.
# of corrections completed as soon as possible but in no
case later than one year from identification. 0 - None
Percent = b divided by a times 100.
Arkansas through its’ new Data Manager has just identified these
numbers and did not know we were out of compliance. We will
have to implement policy and procedures to address these
non-compliance issues.
C. Percent
of noncompliance identified through other mechanisms
(complaints, due process hearings, mediations, etc.) corrected
within one year of identification:
a.
# of EIS programs in which noncompliance was identified
through other mechanisms. 0
b.
# of findings of noncompliance made. 0
c.
# of corrections completed as soon as possible but in no
case later than one year from identification. 0
Percent = c divided by b times 100.
For any noncompliance not
corrected within one year of identification, describe what
actions, including technical assistance and/or enforcement that
the State has taken.
These are the best numbers that
Arkansas could find this year, but will work to improve our data
collection in this area. We will implement new policy and
procedures to address these non-compliance areas.
|
Licensure
Quality Assurance is not involved in the monitoring of EI programs
against federal guidelines as their monitoring is specific to the
Standards for Community Programs. There are sections of the standard
that address EI, but that was what was used to monitor EI programs prior
to DDS establishing a Quality Assurance (QA) section. Should QA staff
identify anything in their review that would constitute a violation of a
DDS Licensure Standard, it would be referred to Licensure for
investigation. Per DDS policy 1010, Licensure investigates only those
issues related to service/supports. Licensure Quality Assurance
monitors all providers annually.
Overview of Issue/Description of System or Process:
(Monitoring, Complaints & Hearings)
Supervision & Monitoring of Programs (303.501)
The Department of Health & Human Services/Division
of Developmental Disabilities Services (DHHS/DDS) is responsible for:
- The general administration and supervision of
programs and activities receiving assistance under Part C and
- The monitoring of programs and activities used
by the state to carry out the Part C program, whether or not these
programs or activities are receiving assistance under Part C to
ensure compliance with the regulations, policies, and procedures
adopted by the State of Arkansas.
Methods of Administering Programs
Pursuant to federal regulations, the Lead Agency is
responsible for assuring that appropriate services are provided to all
eligible children regardless of provider or funding source. DHHS/DDS
has adopted and uses proper methods of administering early intervention
services with the state, including:
- Monitoring of agencies, institutions,
programs, and organizations serving eligible children under this
part;
- Enforcement of any obligations imposed on
those agencies under Part C of IDEA and the policies and procedures
adopted by the state;
- Providing technical assistance, if necessary,
to those agencies, institutions, programs and organizations and
- Correction of deficiencies that are identified
through monitoring. (Letter of Assurance/Compliance Action Plan.)
- Financial sanctions enforced pursuant to
provisions included in the Arkansas Early Intervention Inter-Agency
Agreements.
Adopting Complaint Procedures (303.510)
General
The Arkansas Department of Health & Human Services
has adopted written procedures for receiving and resolving any
complaint, including a complaint filed by an organization or individual
from another state, that any public agency or private provider is
violating a requirement of Part C. The complainant must provide a
written signed complaint with the Lead Agency.
The Complaint Procedures for the State of Arkansas
are provided to each participant in the Part C program as a part of the
Individual/Parent/Guardian Rights. These rights are provided to
participants and their families when a referral is received and the
“face to face” contact is made. A Parent of an eligible child must be
provided written procedures for timely resolution of complaints
concerning the identification, evaluation, or placement of their child
or the provision of early intervention services.
The Complaint Procedures are also provided to
interested parties including parent training and information centers,
independent living centers, and advocacy groups as a part of public
awareness, and are included in literature distributed to the public at
large.
Each agency/service provider is responsible for the
implementation of procedural safeguards.
Should the Lead Agency determine a failure to
provide appropriate services, the Lead Agency will remediate the denial
of those services including as appropriate, the awarding of monetary
reimbursement or other corrective action appropriate to the needs of the
child and the child’s family. The Lead Agency will implement a
corrective action plan to ensure appropriate future provision of
services for all infants and toddlers and conduct a follow up visit
within 90 days to ensure appropriate completion of the corrective action
plan.
Hearing Procedures (300.570)
The Lead Agency will ensure that any hearing
conducted under Sec. 300.568 will be conducted according to the
procedures under 34 CFR 99.22.
Consent (300.571)
A. Except as to disclosures addressed in Sec.
300.529(b) for which parental consent is not required by Part 99,
parental consent will be obtained before personally identifiable
information is:
- Disclosed to anyone other than officials of
participating agencies collecting or using the information under
this part, subject to paragraph b of this section or
- Used for any purpose other than meeting a
requirement of this part.
B. An early intervention agency or institution
subject to 34 CFR Part 99 may not release information from early
intervention records to participating agencies without parental consent
unless authorized to do so under Part 99.
C. All persons collecting or issuing personally
identifiable information will receive training or instructions regarding
Arkansas’ policies and procedures under Sec. 300.127, Sec. 303.460 and
34 CFR part 99.
D Each participating agency will maintain, for
public inspection, a current listing of the names and positions of those
employees within the agency who may have access to personally
identifiable information.
Enforcement (300.575)
The Lead Agency will ensure that participating
agencies adhere to the requirements of 34 CFR 300.574 through completion
of an established monitoring process. Should an agency be determined to
be in violation of any part, a compliance action plan will be developed
and implemented with an established time frame for completion. If the
participating agency fails to implement the technical assistance plan,
the agency will be:
- Placed on certification probation for a
specified time period to allow the agency an opportunity to come in
to compliance;
- Be subject to financial sanctions; and/or
- Be de-certified to provide early intervention
services.
Baseline
Data for FFY 2004 (2004-2005): AR FFY 2004 - 2005
Discussion of Baseline
Data:
|
FFY |
Measurable and
Rigorous Target |
|
2005
(2005-2006) |
Arkansas’ general supervision system identifies and corrects 100% of findings
of noncompliance as soon as possible, but in no case later than
one year from identification. |
|
2006
(2006-2007) |
Arkansas’ general supervision system identifies and corrects 100% of findings
of noncompliance as soon as possible, but in no case later than
one year from identification. |
|
2007
(2007-2008) |
Arkansas’ general supervision system identifies and corrects 100% of findings
of noncompliance as soon as possible, but in no case later than
one year from identification. |
|
2008
(2008-2009) |
Arkansas’ general supervision system identifies and corrects 100% of findings
of noncompliance as soon as possible, but in no case later than
one year from identification. |
|
2009
(2009-2010) |
Arkansas’ general supervision system identifies and corrects 100% of findings
of noncompliance as soon as possible, but in no case later than
one year from identification. |
|
2010
(2010-2011) |
Arkansas’ general supervision system identifies and corrects 100% of findings
of noncompliance as soon as possible, but in no case later than
one year from identification. |
Improvement Activities/Timelines/Resources:
The
State of Arkansas will work to improve it’s infrastructure in the
Early Intervention Program by employing needed additional staff to
conduct more specific EI monitoring. Arkansas will also implement
procedures for monitoring of EI services and for tracking complaints
and hearings in a more methodical way.
Arkansas has developed a General Supervision Task Force that has
been given the charge to develop and implement recommendations to
improve First Connection’s General Supervision System in order to
meet requirements of IDEA Part C. The Task Force consists of
stakeholders from Part C, Quality Assurance, ICC, Data systems,
Parent Training Information Centers, Training Consultants, and
providers. Arkansas and the Task Force will receive technical
assistance from NECTAC, SERRC and NCSEAM.
Overview of the State Performance Plan Development:
(The following items
are to be completed for each monitoring priority/indicator.)
|
Monitoring
Priority:
Effective
General Supervision Part C / General Supervision |
Indicator 10:
Percent of signed
written complaints with reports issued that were resolved within 60-day
timeline or a timeline extended for exceptional circumstances with
respect to a particular complaint.
(20 U.S.C.
1416(a)(3)(B) and 1442)
|
Measurement:
There were (4) complaints found for Arkansas and they were
investigated within the time frame. 100%
Percent = (1.1(b) + 1.1(c)) divided by (1.1) times 100.
|
Overview
of Issue/Description of System or Process:
Adopting Complaint Procedures (303.510)
General
The Arkansas Department of Health & Human Services
has adopted written procedures for receiving and resolving any
complaint, including a complaint filed by an organization or individual
from another state, that any public agency or private provider is
violating a requirement of Part C. The complainant must provide a
written signed complaint with the Lead Agency.
The Complaint Procedures for the State of Arkansas
are provided to each participant in the Part C program as a part of the
Individual/Parent/Guardian Rights. These rights are provided to
participants and their families when a referral is received and the
“face to face” contact is made. A Parent of an eligible child must be
provided written procedures for timely resolution of complaints
concerning the identification, evaluation, or placement of their child
or the provision of early intervention services
The Complaint Procedures are also provided to
interested parties including parent training and information centers,
independent living centers, and advocacy groups as a part of public
awareness, and are included in literature distributed to the public at
large.
Each agency/service provider is responsible for the
implementation of procedural safeguards.
Should the Lead Agency determine a failure to
provide appropriate services the Lead Agency will remediate the denial
of those services including as appropriate, the awarding of monetary
reimbursement or other corrective action appropriate to the needs of the
child and the child’s family. The Lead Agency will implement a
corrective action plan to ensure appropriate future provision of
services for all infants and toddlers and conduct a follow up visit
within 90 days to ensure appropriate completion of the corrective action
plan.
Baseline
Data for FFY 2004 (2004-2005): AR FFY 2004 - 2005
Discussion of Baseline Data:
There
were four (4) complaints found for Arkansas and they were all
investigated within the time frames, giving us 100%.
|
FFY |
Measurable and
Rigorous Target |
|
2005
(2005-2006) |
Arkansas was 100% in compliance as complaints were investigated timely. |
|
2006
(2006-2007) |
Arkansas will maintain 100% compliance. |
|
2007
(2007-2008) |
Arkansas will maintain 100% compliance |
|
2008
(2008-2009) |
Arkansas will maintain 100% compliance. |
|
2009
(2009-2010) |
Arkansas will maintain 100% compliance. |
|
2010
(2010-2011) |
Arkansas will maintain 100% compliance. |
Improvement Activities/Timelines/Resources:
-
Arkansas will have
a more structured procedure for handling complaints, such as a Log
of complaints and resolutions with timelines (this will be kept
updated) and will define ‘date of resolve’.
-
Arkansas will
receive technical assistance from NECTAC and SERRC
-
Arkansas will train
the service coordinators about complaint procedures and how and when
the procedures must be presented to parents.
-
Data system will track the number of complaints,
resolutions and timelines met/unmet.
-
Arkansas will
educate the parents and public on complaint procedures
-
The Procedural Safeguards will be reviewed and will be
explained to parents as required by state and federal policies and
procedures.
Overview of the State Performance Plan Development:
(The following items
are to be completed for each monitoring priority/indicator.)
|
Monitoring
Priority:
Effective
General Supervision Part C / General Supervision |
Indicator 11:
Percent of fully
adjudicated due process hearing requests that were fully adjudicated
within the applicable timeline.
(20 U.S.C.
1416(a)(3)(B) and 1442)
|
Measurement:
1
court case is still in litigation in the Arkansas court system
stemming from a Due Process Hearing from 2004. (See below)
Percent = (3.2(a) + 3.2(b)) divided by (3.2) times 100. |
The
lawsuit is: Court Docket #4:05-CV934
AR Dept. of Human Services
Case H-2004-1409
This
lawsuit was filed 6/29/05 in Circuit Court and is scheduled for trial
November 2006, however, a settlement has been offered and is pending
plaintiff’s response. The Due Process Hearing was held at the Office of
Hearings and Appeals at Arkansas Department of Human Services in 2004,
before the AR FFY. The Agency made its final decision on this case
#20041409 on May 6, 2004.
Overview
of Issue/Description of System or Process:
Due Process Procedures (303.420)
Parents must be provided with written procedures
for the timely resolution of complaints concerning the identification,
evaluation, or placement of their child, or the provision of early
intervention services to their child and family. Any parent may request
a hearing to resolve a complaint regarding the parent’s disagreement
with the IFSP team decision or the lead agency’s decision regarding
evaluation, eligibility, placement or programming issues. Generally a
request for a hearing involves a specific child or child’s family.
Procedures to be utilized are as follows:
An organization or individual may file a written
and signed complaint with the lead agency or the complaint may be made
in person by recorded deposition or statement. Such complaint may be
communicated directly or indirectly via other state or federal agencies.
Appointment of and Impartial Person (303.421)
An impartial person must be appointed to implement
the complaint process. In Arkansas this person is located within the
Department of Health and Human Services, Office of Chief Counsel (OCC).
This person will:
·
Have knowledge about the needs of and services available
for eligible children and their families;
·
Listen to the presentation of relevant viewpoints about
the complaint, examine all information relevant to the issues, and seek
to reach a timely resolution of complaint;
·
Provide to parents a record of the proceedings, including
a written decision;
Definition of Impartial
The person appointed to implement the complaint
resolution process will:
- Not be an employee of any agency or program
involved in the provision of early intervention services or case of
the child;
- Not have a personal or professional interest
that would conflict with his or her objectivity in this process;
- Not an employee of an agency solely because
the person is paid by the agency to implement the complaint
resolution process.
Convenience of Proceedings; Timelines (303.423)
The complaint resolution process must be carried
out at a time and place that is reasonably convenient for parents. The
impartial proceeding described above must be completed and a written
decision mailed to each of the parties no later than thirty (30) days
after the receipt of a complaint.
Civil Action (303.424)
Any party who disagrees with the findings and
decision regarding a complaint has the right to bring a civil action
suit in State or Federal court.
Baseline
Data for FFY 2004 (2004-2005): AR FFY 2004 - 2005
Discussion of Baseline Data:
|
FFY |
Measurable and
Rigorous Target |
|
2005
(2005-2006) |
Arkansas plans to improve this indicator by re-training staff on procedural
safeguards and due process procedures.
100% of the fully adjudicated due process hearing requests will
be fully adjudicated within the applicable timelines. |
|
2006
(2006-2007) |
100% of the fully adjudicated due process hearing requests will
be fully adjudicated within the applicable timelines. |
|
2007
(2007-2008) |
100% of the fully adjudicated due process hearing requests will
be fully adjudicated within the applicable timelines. |
|
2008
(2008-2009) |
100% of the fully adjudicated due process hearing requests will
be fully adjudicated within the applicable timelines. |
|
2009
(2009-2010) |
100% of the fully adjudicated due process hearing requests will
be fully adjudicated within the applicable timelines. |
|
2010
(2010-2011) |
100% of the fully adjudicated due process hearing requests will
be fully adjudicated within the applicable timelines. |
Improvement Activities/Timelines/Resources:
Arkansas will:
-
Train staff on ‘due process’ procedures
-
Emphasize training staff on helping to better educate
parents on ‘due process’ to lessen further complaints
-
Improve overall public awareness on ‘due process’ and
procedural safeguards
-
Put system in place to track all civil actions.
Overview of the State Performance Plan Development:
(The following items
are to be completed for each monitoring priority/indicator.)
|
Monitoring
Priority:
Effective
General Supervision Part C / General Supervision |
Indicator 12:
Percent of hearing
requests that went to resolution sessions that were resolved through
resolution session settlement agreements (applicable if Part B due
process procedures are adopted).
(20 U.S.C.
1416(a)(3)(B) and 1442)
Overview
of Issue/Description of System or Process:
Parents dissatisfied with the decision of a public
agency or service provider to initiate or change the identification,
evaluation, or placement of a child or the provision of appropriate
early intervention services to the child and the child’s family meeting
the eligibility requirements of this section have the right to file an
appeal to resolve their complaints. This process is called
Administrative Hearing. The Appeals and Hearings Section of the Office
of Chief Counsel had been designated as the authority for conducting
these hearings. *Upon notification of filing of due process, the state
shall offer a “resolution process”.
Preliminary Meeting
Prior to the opportunity for an impartial due
process hearing under subparagraph (A), the local Lead agency shall
convene a meeting with the parents and the relevant member or members of
the IFSP team who have specific knowledge of the facts identified
in the complaint:
I.
Within 15 days of receiving notice of the parent’s complaint
II.
Which shall include a representative of the agency who had decision
making authority on behalf of such agency.
III.
Which may not include an attorney of the local lead agency unless the
parent is accompanied by an attorney; and
IV.
Where the parents of the child discuss their complaint, and the
facts that form the basis of the complaint, and the local lead agency is
provided the opportunity to resolve the complaint, unless the parents
and the local lead agency agree in writing to waive such meeting or
agree to use the mediation process described in subsection (e).
Notification
Notices to parents regarding proposed actions must:
1)
Contain specific information about the action being proposed or
refused
2)
Provide information on all procedural safeguards that are
available
3)
Be written in language that is understandable to the general
public
4)
Be provided in the native language of the parents
5)
Be translated orally or by other means to the parent in the
parent’s native language or other mode of communication if the native
language or other mode of communication of the parents if not written
language
6)
Provide written verification that the notice requirements have
been met
7)
Advise the parents of the right to request a hearing to resolve
complaint
Requesting the Hearing
A request for a hearing is defined as a clear
expression, in writing, by the parents or their representative that they
wish to appeal the decision or to present their case to a higher
authority. The freedom to make such a decision must not be interfered
with in any way. If the reason for the request for a hearing is
unclear, the Appeals and Hearings Section may request that the
parents/attorney clarify the request.
The parents/attorney must submit the written
request for a hearing to the Appeals and Hearings Office. They will be
advised of any available legal services that can provide representation
at the hearing. If the parents/attorney cannot speak English or have a
hearing or visual impairment, bilingual staff or interpreters must be
made available, and the hearing procedures must be made clear to the
household in whatever manner is required.
RESOLUTION SESSION
Hearing
If the local lead agency has not resolved the
complaint to the satisfaction of the parents within 30 days of the
receipt of the complaint, the due process hearing may occur, and all of
the applicable timelines for a due process hearing under this part shall
commence.
Written Settlement Agreement
In the case that a resolution is reached to resolve
the complaint at a meeting described in a clause (i), the parties shall
execute a legally binding agreement that is:
I.
Signed by both the parent and a representative of the agency who
had the authority to bind such agency; and
II.
Enforceable in any State court of competent jurisdiction or in a
district court of the United States.
Review Period
If the parties execute an agreement pursuant to
clause (iii), a party may void such agreement with (3) business days of
agreement’s execution.
Baseline
Data for FFY 2004 (2004-2005): 2006 - 2007
Discussion of Baseline Data: NEW INDICATOR
|
FFY |
Measurable and
Rigorous Target |
|
2005
(2005-2006) |
NEW INDICATOR |
|
2006
(2006-2007) |
Arkansas will be 100% in compliance. |
|
2007
(2007-2008) |
Arkansas will be 100% compliant. |
|
2008
(2008-2009) |
Arkansas will be 100% compliant. |
|
2009
(2009-2010) |
Arkansas will be 100% compliant. |
|
2010
(2010-2011) |
Arkansas will be 100% compliant. |
Improvement Activities/Timelines/Resources:
Arkansas will:
-
Train staff on resolution sessions and Administrative
Hearing process
-
Educate parents on the resolution session and
Administrative Hearing process
-
Implement activities (television ads, brochures, etc.)
for public awareness
-
Receive continuous technical assistance from NECTAC and
SERRC
Overview of the State Performance Plan Development:
(The following items
are to be completed for each monitoring priority/indicator.)
|
Monitoring
Priority:
Effective
General Supervision Part C / General Supervision |
Indicator 13:
Percent of
mediations held that resulted in mediation agreements.
(20 U.S.C.
1416(a)(3)(B) and 1442)
Overview
of Issue/Description of System or Process:
The Mediation process is to encourage early
resolution of problems whenever possible. States are required to offer
mediation as a voluntary option to parents and public agencies as an
initial process for resolving any disputes. Mediation cannot be used to
deny or delay a parent’s right to a due process hearing or deny any
other parental rights under Part C of the Individuals with Disabilities
Education Act. Mediation sessions are conducted, by a qualified and
impartial mediator, who is trained in effective mediation techniques.
The Lead Agency shall bear the cost of the mediation process and
maintain a list of qualified mediators who are knowledgeable in laws and
regulations relating to the provision of special education relating to
the provision of special education and related services.
Each session in the mediation process shall be
scheduled in a timely manner and shall be held in a location that is
convenient to the parties to the dispute.
An agreement reached by the parties to the dispute
in the mediation process shall be set forth in a written mediation
agreement.
Discussions that occur during the mediation process
shall be confidential and may not be used as evidence in any subsequent
due process hearing or civil proceedings. The parties to the mediation
process will be required to sign a confidentiality pledge prior to the
commencement of such process.
The Arkansas Department of Human Services, Division
of Developmental Disabilities Services has adopted the mediation process
used by the Arkansas Department of Education for Part B of the
Individuals with Disabilities Education Act.
Mediation may be requested by a parent or
attorney/representative of Part C in accordance with PL 108-446 section.
Forms used are the: Confidentiality Pledge; the
Mediation Conference Report and the Mediation Agreement.
Baseline
Data for FFY 2004 (2004-2005): AR FFY 2004 - 2005
Discussion of Baseline Data: **There were no requested mediations
found for Arkansas.
|
FFY |
Measurable and
Rigorous Target |
|
2005
(2005-2006) |
Since Arkansas had no mediation request, we are in compliance
100%. |
|
2006
(2006-2007) |
Arkansas will meet the 100% target. |
|
2007
(2007-2008) |
Arkansas will meet the 100% target. |
|
2008
(2008-2009) |
Arkansas will meet the 100% target. |
|
2009
(2009-2010) |
Arkansas will meet the 100% target. |
|
2010
(2010-2011) |
Arkansas will meet the 100% target. |
Improvement Activities/Timelines/Resources:
Arkansas will:
-
Train personnel on mediation
-
Review policy and procedures and update as needed on
mediation
-
Educate parents on mediation process and let them know
it is available
Overview of the State Performance Plan Development:
(The following items are
to be completed for each monitoring priority/indicator.)
|
Monitoring
Priority:
Effective
General Supervision Part C / General Supervision |
Indicator 14:
State reported data (618
and State Performance Plan and Annual Performance Report) are timely and
accurate.
(20 U.S.C. 1416(a)(3)(B)
and 1442)
|
Measurement:
State reported
data, including 618 data, State performance plan, and annual
performance reports, are:
a.
Submitted on or before due dates (February 1 for child count,
including race and ethnicity, settings and November 1 for exiting,
personnel, dispute resolution); and
Arkansas
submitted all reports timely.
b.
Accurate (describe mechanisms for ensuring accuracy).
Arkansas used
our monitoring system and our data base print-outs to validate data,
however, the data on some indicators were less than the required
100% indicating non-compliance.
|
Overview
of Issue/Description of System or Process:
Arkansas has submitted the 2005 Annual Performance
Report, 618 data and the State Performance Plan timely. However, the Annual
Performance Report (APR) was found lacking in some areas and OSEP is
requesting the following corrections:
1.
Data indicating that it monitors all programs used by the State to
carry out Part C, whether or not those programs are receiving assistance
under Part C, including non-ADHHS entities, to ensure that the State
complies with Part C. Arkansas must also submit a description of its
monitoring procedures for reviewing CHMS sites and the monitoring findings
it has made at those sites;
2.
Clarification is needed of the data regarding the hearing that was
requested confirming whether the hearing decision was issued in a timely
manner.
3.
Confirmation that Arkansas is using its revised procedures to
determine eligibility and that it is nor requiring an additional
determination of developmental delay for infants and toddlers with
established diagnosed conditions;
4.
Data demonstrating that eligible children and their families receive
the early intervention services on their IFSPs (as required in SPP indicator
1); and
5.
Updated data regarding transition, as requested in indicator 8. If
the data indicate noncompliance, the State must include with the SPP a plan,
including strategies, proposed evidence of change, targets and timelines
designed to ensure correction of the noncompliance within a reasonable
period of time, not to exceed one year from the date OSEP accepts the plan.
Baseline
Data for FFY 2004 (2004-2005): AR FFY 2004 - 2005
Discussion of Baseline Data:
|
FFY |
Measurable and
Rigorous Target |
|
2005
(2005-2006) |
Arkansas will work quickly to make all corrections and will submit 100% of data
reports to OSEP on or before their respective due dates and 100% of
the data reported will be accurate according to improved mechanisms
used by Arkansas. |
|
2006
(2006-2007) |
Arkansas will work quickly to make all corrections and will submit 100% of data
reports to OSEP on or before their respective due dates and 100% of
the data reported will be accurate according to improved mechanisms
used by Arkansas. |
|
2007
(2007-2008) |
Arkansas will work quickly to make all corrections and will submit 100% of data
reports to OSEP on or before their respective due dates and 100% of
the data reported will be accurate according to improved mechanisms
used by Arkansas. |
|
2008
(2008-2009) |
Arkansas will work quickly to make all corrections and will submit 100% of data
reports to OSEP on or before their respective due dates and 100% of
the data reported will be accurate according to improved mechanisms
used by Arkansas. |
|
2009
(2009-2010) |
Arkansas will work quickly to make all corrections and will submit 100% of data
reports to OSEP on or before their respective due dates and 100% of
the data reported will be accurate according to improved mechanisms
used by Arkansas. |
|
2010
(2010-2011) |
Arkansas will work quickly to make all corrections and will submit 100% of data
reports to OSEP on or before their respective due dates and 100% of
the data reported will be accurate according to improved mechanisms
used by Arkansas. |
Improvement Activities/Timelines/Resources:
Arkansas will:
-
Get a task force together to work on all issues
indicated on the APR letter, especially the review of CHMS sites.
-
Obtain critical personnel to monitor the programs more
effectively, including CHMS.
-
Rewrite policy and procedures clarifying that certain
specific children do not have to meet eligibility requirements.
(There were no ‘revised procedures’; only the practice that these
children would get an evaluation ONLY to determine what
services were needed and NOT eligibility.) Arkansas will
re-train staff on these procedures for better eligibility clarification.
-
Train and retrain personnel on the various monitoring
priority indicators.
-
Will institute new tracking methods by using the IFSP
data entered on SEAS data system
-
Service Coordinators and other staff will be able to
review EI cases on SEAS
-
Arkansas will enlist
technical assistance from NECTAC, SERRC AND NCSEAM
-
The new SEAS system will make transition a seamless
effort as Part C and Part B will both have access to all the child’s
records.
-
Develop tracking system for technical assistance
requests, provision and follow up.
|