441—77.43 (249A) Infant and toddler program providers. An agency is eligible to participate in the medical assistance program as a provider of infant and toddler program services under rule 441—78.49(249A) if the agency:
	  1. 	 Is in good standing under the infants and toddlers with disabilities program administered by the department of education, the department of public health, the department of human services, and the Iowa Child Health Specialty Clinics pursuant to the interagency agreement between these agencies under Subchapter III of the federal Individuals with Disabilities Education Act (IDEA); and
	  2. 	 Meets the following additional requirements.
	 77.43(1) Licensure. Covered services shall be provided by personnel who are licensed, endorsed, registered, recognized, or qualified as provided in this subrule and shall be within the scope of the applicable license, endorsement, registration, recognition, or qualification.
	  a.   	 Personnel providing audiological or speech-language services shall be licensed by the Iowa board of speech pathology and audiology as a speech pathologist or audiologist pursuant to 645—Chapters 299, 300 and 303 through 305.
	  b.   	 Personnel providing physical therapy shall be licensed by the Iowa board of physical and occupational therapy as a physical therapist pursuant to 645—Chapters 199 through 204.
	  c.   	 Personnel providing occupational therapy shall be licensed by the Iowa board of physical and occupational therapy as an occupational therapist pursuant to 645—Chapters 205 through 210.
	  d.   	 Personnel providing psychological evaluations and counseling or psychotherapy services shall be:
	 (1) 	 Endorsed by the Iowa board of educational examiners as a school psychologist pursuant to rule 282—15.11(272);
	 (2) 	 Licensed by the Iowa board of psychology as a psychologist pursuant to 645—Chapters 239 through 243;
	 (3) 	 Licensed by the Iowa board of social work as a social worker pursuant to 645—Chapters 279 through 284;
	 (4) 	 Licensed by the Iowa board of medicine as a physician pursuant to 653—Chapters 9 through 11; or
	 (5) 	 Registered by the Iowa nursing board as an advanced registered nurse practitioner pursuant to 655—Chapter 7.
	  e.   	 Personnel providing nursing services shall be licensed by the Iowa nursing board as a registered or licensed practical nurse pursuant to 655—Chapters 3 through 6.
	  f.   	 Personnel providing vision services shall be:
	 (1) 	 Licensed by the Iowa nursing board as a registered or licensed practical nurse pursuant to 655—Chapters 3 through 6;
	 (2) 	 Licensed by the Iowa board of medicine as a physician pursuant to 653—Chapters 9 through 11; or
	 (3) 	 Licensed by the Iowa board of optometry as an optometrist pursuant to 645—Chapter 180.
	  g.   	 Developmental services shall be provided by personnel who meet standards established pursuant to department of education rule 281—120.19(34CFR303).
	  h.   	 Medical transportation shall be provided by licensed drivers.
	  i.   	 Other services shall be provided by staff who are:
	 (1) 	 Recognized as a special education paraprofessional pursuant to department of education rule 281—41.403(256B);
	 (2) 	 Endorsed by the Iowa board of educational examiners as a school psychologist pursuant to rule 282—15.11(272);
	 (3) 	 Endorsed by the Iowa board of educational examiners as a speech-language pathologist pursuant to rule 282—15.12(272);
	 (4) 	 Endorsed by the Iowa board of educational examiners as an orientation and mobility specialist pursuant to rule 282—15.15(272);
	 (5) 	 Endorsed by the Iowa board of educational examiners as a school occupational therapist pursuant to rule 282—15.16(272);
	 (6) 	 Endorsed by the Iowa board of educational examiners as a school physical therapist pursuant to rule 282—15.17(272);
	 (7) 	 Endorsed by the Iowa board of educational examiners as a special education nurse pursuant to rule 282—15.18(272);
	 (8) 	 Endorsed by the Iowa board of educational examiners as a school social worker pursuant to rule 282—15.19(272);
	 (9) 	 Licensed by the Iowa nursing board as a registered or licensed practical nurse pursuant to 655—Chapters 3 through 6; or
	 (10) 	 Licensed by the Iowa board of medicine as a physician pursuant to 653—Chapters 9 through 11.
	 77.43(2) Documentation requirements. As a condition of participation, the provider shall be responsible for maintaining accurate and current documentation of services provided in the child’s record. Documentation of all services performed is required and must include:
	  a.   	 Date, time, location, and description of each service provided and identification of the individual rendering the service by name and professional or paraprofessional designation.
	  b.   	 An assessment and response to interventions and services.
	  c.   	 An individual family service plan (IFSP) including all changes and revisions, as developed by the service coordinator pursuant to rule 281—41.5(256B,34CFR300).
	  d.   	 Documentation of progress toward achieving the child’s or family’s action steps and outcomes as identified in the individual family service plan (IFSP).
This rule is intended to implement Iowa Code section 249A.4.