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<h1 class="flow-title"
data-rect="5,5">IFSP Quick Guide</h1>
<p class="flow-text">This tool is intended to be a decision tree to guide you through the process of documenting Assistive Technology (AT) on an Individualized Family Service Plan (IFSP). Click on the instructions below to get started.</p>
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Instructions for screen reader users. Use your arrow keys and tab to navigate this interactive flowchart. After the first decision point, the tree splits into two main branches. The first branch is Documenting Devices. The second branch is Documenting Services. Each branch includes decision points which are yes or no questions to guide you through the decision tree. Select interactive elements to link to additional information.</span>
<!-- 0.2: CHILD NEEDS AT" -->
<a class="hs"
data-info="0.2 Child Needs AT"
data-rect="0,461,110,110"
role="button"
tabindex="0"
aria-label="Start Circle: Child may need A T’"
aria-haspopup="dialog"
aria-expanded="false"></a>
<!-- Hotspot 1: “Is AT evaluation required?” (Decision Diamond) -->
<a class="hs"
data-info="0.3 AT Eval Req?"
data-rect="160,458,145,115"
role="button"
tabindex="0"
aria-label="Decision diamond: Is an A T Evaluation Required?"
aria-haspopup="dialog"
aria-expanded="false"></a>
<!-- Hotspot 2: “No—Document already existing …” -->
<a class="hs"
data-info="0.4 No. Document Existing"
data-rect="150,260,163,118"
role="button"
tabindex="0"
aria-label="Documentation Icon. No, an evaluation is not required. Document already existing services or devices as appropriate."
aria-haspopup="dialog"
aria-expanded="false" ></a>
<!-- Hotspot 3: “Yes—Document evaluation …” -->
<a class="hs"
data-info="0.5 Yes. Document Evaluation"
data-rect="120,655,225,122"
role="button"
tabindex="0"
aria-label="Documentation Icon. Yes an A T Evaluation is required. Document evaluation both within the Strategies and as a service on the I F S P Agreement Page"
aria-haspopup="dialog"
aria-expanded="false"></a>
<!-- ================ BRANCH INFO DIALOG 1 =============== -->
<h2 class="sr-only">Documenting Devices</h2>
<!-- ============= BRANCH ONE: DOCUMENTING DEVICES ========= -->
<!-- Hotspot 4: “Is AT Device Necessary? (Decision Diamond)” -->
<a class="hs"
data-info="1.1 Is Device Necessary"
data-rect="480,168,198,136"
role="button"
aria-label="Decision Diamond. Is an A T Device Necessary? "
tabindex="0"
aria-haspopup="dialog"
aria-expanded="false"></a>
<!-- Hotspot 5: “No. Document results of the evaluation.” -->
<a class="hs"
data-info="1.2 No. Document results"
data-rect="710,47,214,154"
role="button"
aria-label="Documentation Icon. No. An A T device is not necessary. Document the results of the evaluation and / or that an A T device is not necessary or being used in the treatment note."
tabindex="0"
aria-haspopup="dialog"
aria-expanded="false"></a>
<!-- Hotspot 6: “Yes. Is Device Necessary for IFSP Outcome? (Decision Diamond)” -->
<a class="hs"
data-info="1.3 Yes. Device Necessary IFSP"
data-rect="686,268,214,145"
role="button"
aria-label="Decision Diamond. Yes. An A T device is necessary. Is a device necessary to achieve an outcome on the I F S P?"
tabindex="0"
aria-haspopup="dialog"
aria-expanded="false"></a>
<!-- Hotspot 7: “No. Document how device used in Family Assessment” -->
<a class="hs"
data-info="1.4 No. Device not necessary for outcome"
data-rect="970,121,180,132"
role="button"
aria-label="Documentation Icon. No. The device is not necessary to achieve an outcome on the I F S P. Document how the device is being used in the Family Assessment."
tabindex="0"
aria-haspopup="dialog"
aria-expanded="false"></a>
<!-- Hotspot 8: “Yes. Is the device being newly acquired, purchased, or trialed?” -->
<a class="hs"
data-info="1.5 Yes. Device new purchase?"
data-rect="930,376,220,150"
role="button"
aria-label="Decision Diamond. Yes. The device is necessary to achieve an outcome on the I F S P. 'Is the device being newly acquired, purchased, or trialed?'"
tabindex="0"
aria-haspopup="dialog"
aria-expanded="false"></a>
<!-- Hotspot 9: “No. Document use of device strategies. No IFSP. End of Branch” -->
<a class="hs"
data-info="1.6 No. Document device"
data-rect="1172,160,202,255"
role="button"
aria-label="Documentation Icon. No. The device is not being newly acquired, purchased, or trialed. Document use of device in strategies, section related to outcomes and/or incorporate device into an outcome. There is no need to document the device on the I F S P Agreement Page."
tabindex="0"
aria-haspopup="dialog"
aria-expanded="false"></a>
<!-- Hotspot 10: “Yes. Document use of new device. And in IFSP Agreement Page. End of Branch” -->
<a class="hs"
data-info="1.7 Yes. Document new device"
data-rect="1176,488,202,255"
role="link"
aria-label="Documentation Icon. Yes. The device is being newly acquired, purchased, or trialed. Document use of acquired, purchased, or trailed devices in the Strategies section related to an outcome. And/or incorporate use of acquired or purcahsed devies on the I F S P Agreement Page. "
tabindex="0"
aria-haspopup="dialog"
aria-expanded="false"></a>
<!-- ================ BRANCH INFO DIALOG 2 =============== -->
<h2 class="sr-only">Documenting Services</h2>
<!-- ============= BRANCH TWO: DOCUMENTING SERVICES ========= -->
<!-- Hotspot 11: “Is AT as a Service Necessary?” -->
<a class="hs"
data-info="2.1 AT Service Necessary?"
data-rect="496,588,190,150"
role="button"
tabindex="0"
aria-label="Decision Diamond. Is A T as a service necessary to support a device?"
aria-haspopup="dialog"
aria-expanded="false"></a>
<!-- Hotspot 12: “No. Document Results in Treatment Note” -->
<a class="hs"
data-info="2.2 No. Services not necessary"
data-rect="678,486,196,112"
role="button"
aria-label="Documentation Icon. No. A T as a service is not necessary to support a device. Document the results of the evaluation in the treatment note."
tabindex="0"
aria-haspopup="dialog"
aria-expanded="false"></a>
<!-- Hotspot 13: “Yes. Document evaluation in strategies and as a service on IFSP” -->
<a class="hs"
data-info="2.3 Yes. Service Necessary"
data-rect="886,592,202,256"
role="button"
aria-label="Documentation icon. Yes. A T as a service is necessary to support a device. Document the use of A T on the Plan of Action page... and/or plan of action page in the outcome strategies... and document A T services on the I F S P agreement page."
tabindex="0"
aria-haspopup="dialog"
aria-expanded="false"></a>
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<!-- Hotspot 14: “Definition” -->
<a class="hs"
data-info="3.1 Definitions"
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role="button"
tabindex="0"
aria-label="Resource Tile. Definitions"
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aria-expanded="false"></a>
<!-- Hotspot 15: “Examples” -->
<a class="hs"
data-info="3.2 Examples"
data-rect="1413,340,172,140"
role="button"
aria-label="Resource Tile. Definition of A T Devices"
tabindex="0"
aria-haspopup="dialog"
aria-expanded="false"></a>
<!-- Hotspot 16: “Funding Heirarchy in Colorado” -->
<a class="hs"
data-info="3.3 Funding Hierarchy"
data-rect="1413,517,172,140"
role="button"
aria-label="Resource Tile. Colorado Funding Hierarchy"
tabindex="0"
aria-haspopup="dialog"
aria-expanded="false"></a>
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<a class="hs"
data-info="3.4 Resources"
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role="button"
aria-label="Resource Tile. Additional Information and Resources"
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<figcaption id="tree-caption" class="sr-only">
Interactive decision tree. Use Tab to move between selectable areas.
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</figure>
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<img class="sr-only" src="" alt="Logo, Tech for Tykes. A Center for Innovative Design and Engineering (CIDE) Early Childhood Program">
<p class="sr-only" id="qnav" aria-hidden="true">Table of Contents and Help</p>
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<<set $path = []>><div class="dialog-orient" data-dialog-orient>
Decision Point. Is an AT evalutation required?
</div>
<h1>Is an AT Evaluation Required?</h1>
<p>If the IFSP team has determined that AT may be needed for the child, an
AT evaluation is required unless the IFSP team determines that the child's
existing AT device is appropriate, or a recent AT evaluation was sufficient.</p>
<p>Sometimes the child may already own the AT, and sometimes it is a new
solution that is being explored. For low- and mid-tech AT solutions, an AT
evaluation can often be done by a member of the early intervention (EI) team.
If the needs are more complex, outside expertise for the evaluation may be
required. This determination needs to be made by the IFSP team.</p>
<p>An AT evaluation is considered an AT service.</p>
<h1>Orientation and Navigation</h1>
<p>
This guide is set up as a decision tree with an interactive flowchart to assist with determination of whether or not an AT evaluation is required and assist with how to document AT services and devices. You can navigate with your mouse or by keyboard using the Tab key.
</p>
<div class="nav-grid">
<div class="nav-item">
<img src="https://www.ucdenver.edu/images/librariesprovider38/community-engagement/early-intervention/ifsp-twine/13.1.png" alt="Circle labeled Child may need AT">
<div class="nav-text">
<h2>Start Circle</h2>
<p>Select the circle <strong>“Child may need AT”</strong> to begin the decision tree.</p>
</div>
</div>
<div class="nav-item">
<img src="https://www.ucdenver.edu/images/librariesprovider38/community-engagement/early-intervention/ifsp-twine/12.1.png" alt="Diamond decision shape">
<div class="nav-text">
<h2>Decision Diamonds</h2>
<p>Diamonds show <strong>yes/no questions</strong>. Select these for more context about each question. </p>
</div>
</div>
<div class="nav-item">
<img src="https://www.ucdenver.edu/images/librariesprovider38/community-engagement/early-intervention/ifsp-twine/11.1.png" alt="Document icon">
<div class="nav-text">
<h2>Documentation Icons</h2>
<p>These icons explain <strong>what needs to be documented</strong> and <strong>where</strong> on the IFSP.</p>
</div>
</div>
<div class="nav-item">
<img src="https://www.ucdenver.edu/images/librariesprovider38/community-engagement/early-intervention/ifsp-twine/14.1.png" alt="Square resource button">
<div class="nav-text">
<h2>Resource Tiles</h2>
<p>Squares on the right open <strong>checklists, examples, extra guidance, and additional information</strong>.</p>
</div>
</div>
</div>
<p class="start-tip">
<strong>Don’t know where to start?</strong>
Click the <strong>Start Circle</strong> labeled “Child may need AT”.
</p>
<h1>Definitions</h1>
<ul>
<li><a data-info="5.6 AT Services Definition"
role="button"
aria-label="AT Services"
tabindex="0"
aria-haspopup="dialog"
aria-expanded="false">AT Services</a></li>
<li><a data-info="5.7 AT Devices Definition"
role="button"
aria-label="AT Services"
tabindex="0"
aria-haspopup="dialog"
aria-expanded="false">AT Devices</a></li>
<li><a data-info="5.2 Who Provides Services"
role="button"
aria-label="Who Provides AT Services?"
tabindex="0"
aria-haspopup="dialog"
aria-expanded="false">Who Provides AT Services?</a></li>
</ul><h1>Examples</h1>
<ul>
<li><a data-info="5.4 Example Mia"
role="button"
aria-label="Example 1: Mia"
tabindex="0"
aria-haspopup="dialog"
aria-expanded="false">Example 1: Mia</a></li>
<li><a data-info="5.5 Example Luca"
role="button"
aria-label="Example 2: Luca"
tabindex="0"
aria-haspopup="dialog"
aria-expanded="false">Example 2: Luca</a></li>
</ul><div class="dialog-orient" data-dialog-orient>
Decision Point. Is an AT as a service necessary to support a device?
</div>
<h1>Should AT Services be Documented? </h1>
<p>Does use of a device or the implementation of AT strategies require assistance with selection, acquisition, training, modification, maintenance, or coordination? If so, AT services may be indicated. </p>
<p>An essential question to ask is, <strong> "If the child was not receiving AT services, would the family be able to implement the strategies to accomplish the outcome(s) listed on the IFSP?"</strong></p>
<p>Whether or not to document AT services on an IFSP can be unclear at times. It may not always be necessary, and can feel burdensome to providers and service coordinators if they feel like they are "over-documenting." The following guidelines can help clarify when and when not to document AT services on an IFSP. These guidelines should be combined with sound clinical judgement and input from the entire IFSP team.</p>
<p><strong>AT services need to be documented on the IFSP when any of the following apply:</strong></p>
<ul>
<li>There is a need for evaluation, selection, purchase, use, training, modification, or consultation related to an AT device.</li>
<li>The child transitions between programs or providers and will need clear documentation of the strategies provided through AT services to ensure continuity of care.</li>
<li>AT strategies necessary to achieve the outcomes on the IFSP are beyond the scope of the current service(s) the child is receiving.</li>
</ul><h1 aria-label="Child May Need A T">Child May Need AT</h1>
<p>A child may need Assistive Technology (AT) when added tools or services could help them participate more successfully in daily routines or progress toward IFSP outcomes. At this point in the decision tree, your goal is simply to consider whether AT might enhance the child’s functional capabilities and whether further evaluation is needed. </p>
<p>Your documentation should:</p>
<ul>
<li>Identify what AT the child is using.</li>
<li>Explain why the AT is important to the child.</li>
<li>Clarify who is evaluating, selecting, and supporting the AT.</li>
<li>Describe when and where the child will use the AT in daily routines.</li> <li>Show how the AT improves the child’s functional participation and supports IFSP outcomes.</li>
<li>Specify how the AT is being funded.</li>
</ul>
<p>For example, an infant with motor delays may need an AT device, such as a supportive seating system for feeding; while a toddler beginning to use a communication app may need AT services, such as coaching for the family on integrating the app into routines.</p>
<div class="dialog-orient" data-dialog-orient>
Yes. An AT evaluation <strong>is</strong> required. (Proceed with the decision tree)
</div>
<h1>Documenting an AT Evaluation</h1>
<p>Document the AT evaluation both within the Strategies section (how the evaluation is a strategy to meet the desired outcome), and on the IFSP Agreement page as an AT Service including location, method, frequency, intensity, projected start and end dates, and the funding source.</p>
<p><strong>Note: If there is already a member of the IFSP team who is qualified to complete the AT evaluation, it is not necessary to add an AT Consultant or other service provider to the IFSP team.</strong></p>
<p>Whether or not an evaluation was done, the next step is to document any necessary AT services and/or devices on the IFSP.</p>
<div class="dialog-orient" data-dialog-orient>
No. An AT evaluation is not required. (Proceed with the decision tree)
</div>
<h1>Document Already Existing Services or Devices</h1>
<p>If a device is being or will be used by the child that does not require a formal AT evaluation, no documentation of the evaluation is needed and you can go straight to documenting any device and/or service being used.</p>
<div class="dialog-orient" data-dialog-orient>
Decision Point. Is an AT device necessary?
</div>
<h1>Determining if an AT Device is Necessary</h1>
<p>The <strong>Family Assessment</strong> is a place where AT can first be considered, even if specific devices are not identified. This can generate the need for an AT evaluation (see AT services). </p><p>To determine if an AT device might be necessary, ask yourself, <strong>“If the child did not have an AT device available, would the family be able to implement the strategies to accomplish the outcome(s) listed on the IFSP?”</strong> If the answer to this question is “no,” the child might benefit from an AT device. Proceed through the decision tree to determine how and where the AT device should be documented. Remember that “explore AT solutions” can be listed in the strategies if you are not yet sure if the child will require a full AT evaluation to determine the need for an AT device.</p>
<div class="dialog-orient" data-dialog-orient>
No. An AT device is not necessary.
</div>
<h1>An AT device is not necessary</h1>
<p>If an evaluation was completed but no device was recommended, document the results of the evaluation and/or that an AT device is not necessary in the treatment note.</p>
<p>At this point, there are not further documentation needs.</p>
<p>Proceed to
<a data-info="4.1 IFSP Device Documentation"
role="button"
aria-label="Documenting AT Devices on the IFSP Agreement Page."
tabindex="0"
aria-haspopup="dialog"
aria-expanded="false"> Documenting AT Devices on the IFSP Agreement Page.</a></p><div class="dialog-orient" data-dialog-orient>
Decision Point. Yes. An AT device is necessary.
</div>
<h1>Is the device essential for the child to achieve an outcome on the IFSP?</h1>
<p>Once a device is determined to be necessary by the IFSP team, it must be documented on the IFSP.</p>
<p><a data-info="5.8 Guidelines for Devices"
role="button"
aria-label="Guidelines for Documenting AT Devices"
tabindex="0"
aria-haspopup="dialog"
aria-expanded="false">Guidelines for Documenting AT Devices</a></p>
<div class="dialog-orient" data-dialog-orient>
No. The device is not essential to an IFSP outcome.
</div>
<h1>Document Device Use in Family Assessment</h1>
<p>Document the device in the family assessment, including information about how, when and where the child is using the device.</p>
<p>At this point, there are no further documentation needs. <strong>You can stop here</strong> or explore the rest of the guide.</p><div class="dialog-orient" data-dialog-orient>
Decision Point. Yes. The device is essential to an IFSP outcome.
</div>
<h1>Is the device being newly acquired, purchased or trialed?</h1>
<p>Proceed with the quick guide.</p>
<div class="dialog-orient" data-dialog-orient>
No. The device was previously purchased or acquired.
</div>
<h1>The device is essential to an outcome, was previously purchased or acquired, and is in use at the time of the IFSP...</h1>
<h2>Strategies Section</h2>
<p>Document the device in the <strong>Strategies section</strong> related to an outcome. Include a description of the device and how it will be used to achieve the outcome (include trials)</p>
<p><strong>AND / OR</strong></p>
<h2>Incorporate into an Outome</h2>
<p>Incorporate the device into an outcome. The outcome should not be about use of the device itself, but should include the device in achieving the targeted skill(s).
<a data-info="4.2 Help with Outcomes"
role="button"
aria-label="Help with outcomes"
tabindex="0"
aria-haspopup="dialog"
aria-expanded="false">Help with outcomes</a></p>
<p>There is no need to document the device on the IFSP Agreement page. At this point there are no further documentation needs. Proceed to
<a data-info="4.1 IFSP Device Documentation"
role="button"
aria-label="Device Documentation on the IFSP"
tabindex="0"
aria-haspopup="dialog"
aria-expanded="false">Documenting AT devices on the IFSP Agreement Page.</a></p>
<h2>Help with Outcomes</h2>
<p>Describe how the AT device will help the child make progress toward the outcome. Note that use of the AT device should not be the outcome, but a means to help the child achieve the outcome. Outcomes should be functional, meaningful, measurable, and reflect the priorities of the family. For example, if the family has identified as a priority greater participation by Dara in family activities, the skill of using a switch to turn the pages of an electronic book could be incorporated into either an outcome or a strategy of an outcome. An outcome might say: "Dara will participate in reading books with her family at bedtime three nights per week by using a switch to turn the pages." Another approach might be to write the outcome to say, "Dara will participate in reading books with her family at bedtime three nights per week."</p> <p>A strategy for that outcome might be:<strong> "Adapt a favorite book of Dara's so she can turn the pages using a switch."</strong></p><h1>Documenting AT <strong>Devices</strong> on the Agreement Page</h1>
<ol>
<li><strong>Service:</strong> Document "AT Device" as the service and that the type is "new" since only newly acquired, purchased, or trialed devices need to be listed.</li>
<li><strong>Location:</strong> Indicate the location where the device will be kept.</li>
<li><strong>Method, Frequency, Visits, and Intensity:</strong> Indicate the device is for an Individual. It is purchased once, so the frequency and visits are all 1. The intensity can be 0 since there is not an amount of time attached to the device.</li>
<li><strong>Dates:</strong> A projection of when the AT device will start being used and when it may no longer be needed. if the device will be used ongoing, note this duration as 6 months or until next IFSP review or annual.</li>
<li><strong>Funding Source:</strong> Enter the individual or agency, or combination of funding sources, responsible for paying for the device. Learn more about <a data-info="4.3 Funding"
role="button"
aria-label="Funding A T Services and Devices"
tabindex="0"
aria-haspopup="dialog"
aria-expanded="false">Funding AT Services and Devices</a></li>
<li><strong>You are DONE! </strong>You can exit the guide or proceed to
<a data-info="3.4 Resources"
role="button"
aria-label="Colorado Funding Hierarchy"
tabindex="0"
aria-haspopup="dialog"
aria-expanded="false">additional information and resources.</a></li>
</ol><h1>Funding AT Services and Devices</h1>
<p>EI funding can help support the purchase of AT services and devices by following the funding hierarchy for children who qualify for EI services. All allowable funding sources must be considered for payment of the service or device. Funding sources may include private pay by the family, private insurance, public insurance programs, charitable or private sources of funding, or other community or state funding possibilities. Federal Part C (EI) dollars can only be used if all other possible sources of funding have been explored. However, no eligible child can be denied the timely provision of a necessary service on an IFSP, including AT services or devices, because of a family’s inability to pay. If AT devices and services documented on an IFSP cannot be purchased through alternate funding sources (communtity organizations, insurance, Medicaid, etc.) the EI program is still responsible for the provision of this service. For more information, visit <a href="https://dcfs.my.salesforce-sites.com/eicolorado/EI_Families?p=Family&s=About-EI-Colorado-Services&lang=en" target="_blank" rel="noopener">EI Colorado's website</a>.</p><h1>Funding Hierarchy in Colorado</h1>
<ol>
<li>Use of private pay at the discretion of the parent; then,</li>
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<li>Private health insurance; then,</li>
<svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="#CFB87C" stroke-width="3" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-move-down-icon lucide-move-down"><path d="M8 18L12 22L16 18"/><path d="M12 2V22"/></svg>
<li>TRICARE, a military health system; then,</li>
<svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="#CFB87C" stroke-width="3" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-move-down-icon lucide-move-down"><path d="M8 18L12 22L16 18"/><path d="M12 2V22"/></svg>
<li>Medicaid/Title XIX or Home and Community Based Services waivers, and Child Health Plan Plus; then,</li>
<svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="#CFB87C" stroke-width="3" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-move-down-icon lucide-move-down"><path d="M8 18L12 22L16 18"/><path d="M12 2V22"/></svg>
<li>Child Welfare and Temporary Assistance to Needy Families; then,</li>
<svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="#CFB87C" stroke-width="3" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-move-down-icon lucide-move-down"><path d="M8 18L12 22L16 18"/><path d="M12 2V22"/></svg>
<li>Other local, state or federal funds, including mill levy funds, as may be made available; then,</li>
<svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="#CFB87C" stroke-width="3" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-move-down-icon lucide-move-down"><path d="M8 18L12 22L16 18"/><path d="M12 2V22"/></svg>
<li>State General Fund early intervention services; then,</li>
<svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="#CFB87C" stroke-width="3" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-move-down-icon lucide-move-down"><path d="M8 18L12 22L16 18"/><path d="M12 2V22"/></svg>
<li>Federal Part C of the Individuals with Disabilities Education Act funds.</li>
</ol><div class="dialog-orient" data-dialog-orient>
Yes. The device is newly purchased or acquired.
</div>
<h1>The device is essential to an outcome and is newly acquired, purchased, trialed...</h1>
<h2>Strategies Section</h2>
<p>Document use of acquired, purchased, or trialed* devices in the Strategies section related to an outcome. Include a description of the device and how it will be used to achieve the outcome. </p>
<p><strong>AND / OR</strong></p>
<h2>Incorporate into an Outcome</h2>
<p>Incorporate use of devices to be acquired or purchased directly into an outcome. The outcome should not be about use of the device itself; it should address how the device supports achieving the targeted skill(s). <a data-info="Help with Outcomes"
role="button"
aria-label="Help with outcomes"
tabindex="0"
aria-haspopup="dialog"
aria-expanded="false">Help with outcomes</a></p>
<p><strong>AND</strong></p>
<h2>Document on IFSP Agreement Page</h2>
<p>Document devices to be acquired or purchased on the IFSP Agreement page. Include a description of the device within the strategies section of the related outcome.</p>
<p>*Important! Devices should not be documented on the IFSP Agreement page until final determination has been made that the device is necessary for ongoing implementation of the strategies on the IFSP. Trialed devices should not be documented on the IFSP Agreement page. </p><div class="dialog-orient" data-dialog-orient>
No. AT services are not necessary.
</div>
<h1>AT Services are not necesary</h1>
<p>If an evaluation was completed and no service was recommended, document the results of the evaluation in the treatment note if applicable.</p>
<p><strong>Proceed to documenting AT devices.</strong></p><div class="dialog-orient" data-dialog-orient>
Yes. AT service are necessary.
</div>
<h1>AT Services Are Necessary</h1>
<ul>
<li>Document use of AT on the Plan of Action page within Outcomes and/or Strategies, <br><strong>AND</strong></li>
<li>Document AT as a service on the IFSP Agreement Page.</li>
</ul>
<p>Proceed to
<a data-info="5.1 IFSP Service Documentation"
role="button"
aria-label="Documenting A T Services on the IFSP Agreement Page"
tabindex="0"
aria-haspopup="dialog"
aria-expanded="false"> Documenting AT Services on the IFSP Agreement Page.</a></p><h1>Documenting AT <strong>Services</strong> on the IFSP Agreement Page</h1>
<ol>
<li><strong>Service:</strong> Document AT as a Service. See <a data-info="5.2 Who Provides Services"
role="link"
tabindex="0"
aria-haspopup="dialog"
aria-expanded="false">who provides AT services?</a>
<li><strong>Location:</strong> Select either "Home” or “Community” depending on where you’re going to provide the AT service</li>
<li><strong>Method: </strong>Select the method of AT service delivery from the check boxes.</li>
<li><strong>Frequency, Intensity, and Visits: </strong>How often the services will occur, how long the sessions will be, and how many sessions will occur. See <a data-info="5.3 Frequency of Services"
role="link"
tabindex="0"
aria-haspopup="dialog"
aria-expanded="false">Documenting Frequency of AT Services.</a>
</li>
<li><strong>Dates: </strong>A projection of when the AT device will start being used and when they may no longer be needed. <strong>Important!</strong> Services must start within 28 days and may not be written for a duration of more than 6 months.
</li>
<li><strong>Funding Source:</strong> See <a data-info="4.3 Funding"
role="link"
tabindex="0"
aria-haspopup="dialog"
aria-expanded="false">Funding AT Services and Devices.</a></li>
</ol>
<h1>Additional Information and Resources</h1>
<p>Opens in this page:</p>
<ul>
<li><a data-info="4.1 IFSP Device Documentation"
role="button"
aria-label="Documenting AT Devices on the IFSP Agreement Page"
tabindex="0"
aria-haspopup="dialog"
aria-expanded="false">Documenting AT Devices on the IFSP Agreement Page</a></li>
<li><a data-info="4.2 Help with Outcomes"
role="button"
aria-label="Help with outcomes"
tabindex="0"
aria-haspopup="dialog"
aria-expanded="false">Help with Outcomes</a></li>
<li><a data-info="4.3 Funding"
role="button"
aria-label="Funding"
tabindex="0"
aria-haspopup="dialog"
aria-expanded="false">Funding</a></li>
<li><a data-info="5.1 IFSP Service Documentation"
role="button"
aria-label="Documenting AT <strong>Services</strong> on the IFSP Agreement Page"
tabindex="0"
aria-haspopup="dialog"
aria-expanded="false">Documenting AT <strong>Services</strong> on the IFSP Agreement Page</a></li>
<li><a data-info="5.2 Who Provides Services"
role="button"
aria-label="Who Provides AT Services?"
tabindex="0"
aria-haspopup="dialog"
aria-expanded="false">Who Provides AT Services?</a></li>
<li><a data-info="5.3 Frequency of Services"
role="button"
aria-label="Frequency of Services"
tabindex="0"
aria-haspopup="dialog"
aria-expanded="false">Frequency of Services</a></li>
<li><a data-info="5.8 Guidelines for Devices"
role="button"
aria-label="Guidelines for Documenting AT Devices"
tabindex="0"
aria-haspopup="dialog"
aria-expanded="false">Guidelines for Documenting AT Devices</a></li>
</ul>
<p>Opens in a new page</p>
<ul>
<li><a href="https://dcfs.my.salesforce-sites.com/eicolorado/EI_About?p=About&s=Early-Intervention-Provider-Personnel-Standards&lang=en" target="_blank" rel="noopener">EI Colorado Provider Personnel Standards</a></li>
<li><a href="https://dcfs.my.salesforce-sites.com/eicolorado/EI_Families?p=Family&s=About-EI-Colorado-Services&lang=en" target="_blank" rel="noopener">About EI Colorado Services</a></li>
</ul><h1>Who Provides AT Services?</h1>
<p>The EI Colorado State Plan defines personnel qualified to provide early intervention services. For AT services, this includes all disciplines described under other services who meet discipline-specific certification or license requirements and have additional professional development, knowledge or experience in AT, as well as an Assistive Technology Practitioner (ATP) or Rehabilitation Engineer. Any early intervention provider working with the child and family can provide AT services if it falls within their level of expertise and scope of practice. In some cases, if an early intervention provider does not have the expertise needed, a consult from another provider may be needed. AT can be included within the scope of other EI services (such as OT, PT, SLP and Developmental Intervention). The IFSP team determines when AT is needed as a separate service. The provision of more sophisticated AT requires a specialized skill set. Many early intervention providers may not have the specialized training to evaluate and implement sophisticated AT systems. In this case an evaluation or a consult by an AT specialist may be required. For more information, please reference the <a href="https://dcfs.my.salesforce-sites.com/eicolorado/EI_About?p=About&s=Early-Intervention-Provider-Personnel-Standards&lang=en" target="_blank" rel="noopener">EI Colorado Provider Personnel Standards</a>
<h1>Documenting Frequency of AT Services</h1>
<p>AT services may be provided:</p>
<ul>
<li>As part of a regular visit</li>
<li>As a dedicated visit specifically for the provision of AT</li>
</ul>
<p>Either of these examples could require one or two visits or a prolonged period of intervention.</p>
<div>
<button
type="button"
class="svg-btn"
data-info="5.4 Example Mia"
aria-haspopup="dialog"
aria-expanded="false">
<svg
class="svg-btn__icon"
viewBox="0 0 24 24"
aria-hidden="true"
focusable="false">
<!-- outer circle -->
<circle
cx="12"
cy="12"
r="10"
fill="none"
stroke="currentColor"
stroke-width="2" />
<!-- dot -->
<circle
cx="12"
cy="7.5"
r="1.5"
fill="currentColor" />
<!-- stem (thicker + perfectly centered) -->
<rect
x="11"
y="10"
width="2"
height="7"
rx="1"
fill="currentColor" />
</svg>
<span class="svg-btn__text">Example 1 - Mia </span>
</button>
<button
type="button"
class="svg-btn"
data-info="5.5 Example Luca"
aria-haspopup="dialog"
aria-expanded="false">
<svg
class="svg-btn__icon"
viewBox="0 0 24 24"
aria-hidden="true"
focusable="false">
<!-- outer circle -->
<circle
cx="12"
cy="12"
r="10"
fill="none"
stroke="currentColor"
stroke-width="2" />
<!-- dot -->
<circle
cx="12"
cy="7.5"
r="1.5"
fill="currentColor" />
<!-- stem (thicker + perfectly centered) -->
<rect
x="11"
y="10"
width="2"
height="7"
rx="1"
fill="currentColor" />
</svg>
<span class="svg-btn__text">Example 2 - Luca</span>
</button>
</div>
<h1>Example 1 - Mia</h1>
<div class="dialog-example">
<img
src="https://www.ucdenver.edu/images/librariesprovider38/community-engagement/early-intervention/ifsp-twine/mia-example.png"
alt="">
<div class="dialog-example-text">
<p>Mia is a 2 ½ year old girl who is being seen once per week by an SLP, who is her primary provider. She has started using a communication device to make choices, communicate basic needs and for social interaction. Her provider plans to spend significant time helping Mia and her family learn to use the system to communicate more effectively. Mia is also working on trunk control while sitting and reaching forward to play with toys, as well as other skills. Her IFSP team decided to document AT services for 30 minutes each week as half of her total time of service. Her primary provider is already familiar with the AT device being used but requires dedicated time to support the child and family in its use.</p>
</div>
</div><h1>Example 1 - Luca</h1>
<div class="dialog-example">
<img
src="https://www.ucdenver.edu/images/librariesprovider38/community-engagement/early-intervention/ifsp-twine/luca-example.png"
alt="">
<div class="dialog-example-text">
<p>Luca is an 18-month-old boy who is receiving developmental intervention as a service once per week for an hour, which is being provided by an Early Childhood Special Educator (ECSE). One of his outcomes is to increase interaction with his friends at his childcare center. A strategy for this outcome is to use a stander during play time. The IFSP team determined that further expertise was needed to fit his stander correctly, train the family and childcare provider in use of the stander, and help incorporate use of the stander at home and at childcare. Luca’s IFSP team added this as an AT service, documenting a total of two one-hour visits per month to his home or childcare center for 3 months to determine and implement strategies for using his stander. A PT who is not an AT Consultant but who has expertise with standers was added to the IFSP team.</p>
</div>
</div><h1>Definition of AT Services</h1>
<p>AT Services directly assist an infant or toddler with a disability or the family, other caregivers, or other service providers in the selection, acquisition, or use of AT. Services include:</p>
<ul>
<li>Functional evaluation of needs in child's usual environment</li>
<li>The selection, acquisition, modification or customization, and maintenance of AT</li>
<li>Training or technical assistance for an infant or toddler, a child's family, or professionals providing <span aria-hidden="true">EI</span><span class="sr-only">E I</span> services</li>
<li>Coordination with other therapies, interventions, and services</li><h1>Definition of AT Devices</h1>
<p>An AT device is an item or piece of equipment that is used to increase, maintain, or improve the functional capabilities of an infant or toddler with a disability in their usual environment. It can include numerous technologies from simple low-tech adaptations to complex high-tech devices. AT devices can help with positioning and mobility, communication, play, learning, and self-help.</p><h1>Guidelines for Documenting AT Devices</h1>
<p>Just as with documenting AT services, the question of, “If the child was not using this device, would the family be able to implement the strategies to accomplish the outcome(s) listed on the IFSP?” needs to be asked.</p>
<p>AT devices need to be documented on the IFSP when:</p>
<ul>
<li>The child requires more than simple temporary adaptations and will need the AT device(s) for longer than 3-6 months. Any simple temporary adaptations – such as using a pool noodle in a highchair – should be included in the strategies for the related outcome, not documented as an AT device.</li>
<li>The AT device will be purchased specifically for the child, rather than being a readily available or easily modified item that any child might have.</li>
<li>Without the AT device(s), the child could not progress toward the functional outcome on the IFSP.</li>
<li>The AT device is an over-the-counter purchase customized specifically for the child (i.e., not simple or readily available); list the purchase as an AT device and the modification as an AT service on the IFSP.</li>
</ul>