Tags Posts tagged with "Early Intervention"

Early Intervention

The Office of Child Development and Early Learning (OCDEL) has announced a 3% increase to all Early Intervention service rates from the previously published 2022/23 fee schedule.

Through the 2022/23 budget, a permanent rate increase of 3 percent for Early Intervention Services was enacted. This rate is in addition to the 3% increase funded through ARPA-IDEA previously published rates for 2021/22 and 2022/23. The Fee Schedule includes the 3% rate increase.

The funding must be used to enhance, expand, or strengthen IDEA and HCBS services. In 2021/22, OCDEL used the combined federal funds (ARPA-IDEA Part C & HCBS FMAP increase) to support the rate increase announced for fiscal year 2021/22 across all rates for Infant/Toddler Early Intervention services.

The Fee Schedule also includes the new Place of Service code for Tele-Intervention for Early Intervention. When providing services to a child and family by Tele-Intervention, the provider must identify the Place of Service for Tele-Intervention on the billing claim in PROMISe. The Place of Service for Tele-Intervention for Early Intervention is 02. The Centers for Medicare & Medicaid Services (CMS), for the purposes of Medicaid, defines telemedicine as the use of two-way, real time interactive telecommunications technology that includes, at a minimum, audio and video equipment as a mode of delivering healthcare services.


  1. Infant/Toddler programs should share this announcement with all of their Early Intervention providers.
  2. Infant/Toddler programs and providers should review the MA Bulletin 99-22-02 for further information.
  3. Infant/Toddler Early Intervention programs and providers can use the updated 2022/23 fee schedule rates for services delivered on and after July 1, 2022.
  4. Early Intervention claims filed prior to this announcement with eligible dates of services may be resubmitted as a claims adjustment at the time and expense of the Early Intervention provider. Timely filing requirements must be abided by at all times with no exceptions or exemptions.
  5. Infant/Toddler Early Intervention Providers shall update any guidance and billing protocols around place of service Tele-Intervention 02. Providers will need to begin to bill using the 02 Tele-Intervention Place of Service code as of July 1, 2022.
  6. Infant/Toddler Early Intervention Programs will need to have a process in place to review the Place of Service 02 when analyzing provider billing.

If you have any questions, contact OCDEL or RCPA Children’s Policy Director Jim Sharp.

The Office of Mental Health and Substance Abuse Services (OMHSAS), in collaboration with the Office of Child Development and Early Learning (OCDEL), will be hosting a webinar on September 9 from 9:00 am – 11:00 am to support counties in their use of annual Infant and Early Childhood Mental Health (IECMH) funds. This webinar will include an overview of IECMH, organizations that host IECMH-related conferences, summits, and/or trainings that are preapproved for reimbursement, and instruction for counties on how to submit an IECMH funding request that is not preapproved.

See the Program Flyer for additional details.


Please register for the IECMH Funding Webinar on September 9, 2022, 9:00 am EDT. After registering, you will receive a confirmation email containing information about joining the webinar.

Call-in Number: 415-655-0052
Access Code: 733418631#

For questions regarding the webinar, please contact Amy Kabiru or RCPA Children’s Policy Director Jim Sharp.

PDE and DHS are offering the following policy clarification on the Head Start/Early Head Start vaccination mandate:

PDE and DHS are cognizant of the staffing challenges that many providers are facing. Providers are thus encouraged to work creatively to ensure that children continue to receive a free and appropriate public education during these trying times. In this regard, providers should examine whether unvaccinated individuals may continue to provide services in accordance with an allowable exemption, and, where appropriate, consider whether parental agreement to alternative delivery of services may be prudent.

OCDEL has clarified that this is to include all individuals working with Head Start enrolled children and families, including early intervention and behavioral health. OCDEL further requests that agencies work with Head Start partners to address this requirement and asks for support considerations, including; encouraging staff and contractors to become fully vaccinated; working to identify fully vaccinated EI personnel to support children in Head Start; when possible, working to provide written assurance to Head Start partners to only send fully vaccinated staff and contractors to go into classrooms; and exploring technological solutions to help support children within their Head Start classroom activities and routines.

The United States Department of Health and Human Services (HHS) has implemented an Interim Final Rule (IFR) requiring all staff who work with Head Start/Early Head Start (Head Start) children and families in any capacity to be vaccinated. According to HHS guidance, this includes those individuals who do not have any contact with children. The IFR also requires contractors whose activities involve contact with or providing direct services to Head Start children and families and volunteers in classrooms or working directly with Head Start children and families be vaccinated. The IFR is now understood to apply to all individuals working with Head Start children and families, including but not limited to services provided by Preschool Early Intervention, 0-3 Early Intervention, and behavioral health specialists in Head Start programs, including those provided pursuant to a memorandum of understanding or other agreement by which Head Start programs provide for or permit the provision of such services.

The Federal Office of Head Start (OHS) is responsible for ensuring compliance with the IFR through their identified monitoring processes. PDE or DHS is not responsible for monitoring programs for compliance with this mandate.

Head Start IFR and guidance do allow for exemptions for individuals who are not vaccinated. In the event individuals meet this exemption, OHS has issued guidance regarding circumstances in which unvaccinated individuals may be able to continue to work with Head Start children and their families.