This is a clone of the Texas Administrative Code (TAC) for educational purposes. It is not the official version and should not be used for legal purposes. Site created Wed, 21 May 2025 21:16:45 GMT
(a) SRS, as defined by §350.103 of this chapter (relating to Definitions), includes physical therapy, speech language pathology services, occupational therapy, and SST as defined in §350.103 of this chapter.(1) Physical therapy. (A) Physical therapy services are defined in 34 CFR §303.13(b)(9). (B) Physical therapy services must meet the requirements of subsection (b) of this section. (C) Physical therapy services must be provided by a licensed physical therapist who meets the requirements of 42 CFR §440.110(a) and all other applicable state and federal laws or a licensed physical therapy assistant when the assistant is acting under the direction of a licensed physical therapist in accordance with 42 CFR §440.110 and all other applicable state and federal laws. (2) Speech language pathology services. (A) Speech language pathology services are defined in 34 CFR 303.13(b)(15). (B) Speech language pathology services must meet the requirements of subsection (b) of this section. (C) Speech language pathology services must be provided by: (i) a licensed speech language pathologist (SLP) who meets the requirements of 42 CFR §440.110(c) and all other applicable state and federal laws; (ii) a licensed assistant in SLP when the assistant is acting under the direction of a licensed SLP in accordance with 16 TAC §111.52 (relating to Assistant in Speech-Language Pathology License--Practice and Duties of Assistants) and all other applicable state and federal laws; or (iii) a licensed intern when the intern is acting under the direction of an SLP who is licensed in accordance with 42 CFR §440.110 and all other applicable state and federal laws. (3) Occupational therapy. (A) Occupational therapy services are defined in 34 CFR §303.13(b)(8). (B) Occupational therapy services must meet the requirements of subsection (b) of this section. (C) Occupational therapy services must be provided by a licensed occupational therapist who meets the requirements of 42 CFR §440.110(b) and all other applicable state and federal laws or a certified occupational therapy assistant when the assistant is acting under the direction of a licensed occupational therapist in accordance with 40 TAC §373.2 (relating to Supervision of a Temporary Licensee) and all other applicable state and federal laws. (4) Specialized Skills Training. As defined in §350.103 of this chapter, SST: (A) includes skills training and anticipatory guidance for family members or other routine caregivers to ensure effective treatment and to enhance the child's development; (B) services must meet the requirements of subsection (b) of this section; and (C) must be provided by an EIS on active status as defined in §350.313 of this chapter (relating to Early Intervention Specialist).(b) SRS must: (1) be designed to create learning environments and activities that promote the child's acquisition of skills in one or more of the following developmental areas: physical/motor, communication, adaptive, cognitive, and social/emotional; (2) be provided in the child's natural environment, as defined in 34 CFR §303.26, unless the criteria listed in 34 CFR §303.126 are met and documented in the case record; and(3) meet the requirements of §350.1104 of this chapter (relating to Early Childhood Intervention Services Delivery). (c) Service authorization. (1) SRS must be recommended by an interdisciplinary team that includes an LPHA. (2) SRS must be documented in the child's IFSP in accordance with Subchapter J of this chapter (relating to Individualized Family Service Plan).(3) Services must be monitored by the interdisciplinary team as described in §350.1104 of this chapter.