(a) Optional developmental screenings are done to determine the need for further evaluation. When a developmental screening is completed, the subrecipient must: (1) use an HHSC ECI-approved screening tool; and (2) train providers to administer the selected screening tool according to the requirements of the selected tool. (b) A parent has the right to request at any time:(1) a comprehensive evaluation after a developmental screening; or (2) a comprehensive evaluation instead of a developmental screening. (c) If the results of a child's developmental screening do not indicate a concern, the subrecipient must: (1) provide written documentation to the parent that further evaluation is not recommended; (2) offer the parent a comprehensive evaluation; and (3) conduct a comprehensive evaluation if requested by the parent. (d) In accordance with the MOU between HHSC ECI and DFPS, the subrecipient must coordinate with DFPS to accept a referral for a child under 36 months of age who is: (1) involved in a substantiated case of child abuse or neglect;(2) suspected to have a disability or developmental delay; or(3) identified as affected by substance abuse or withdrawal symptoms resulting from prenatal drug exposure or a Fetal Alcohol Spectrum Disorder (FASD).(e) Requirements for optional developmental screenings or comprehensive evaluations for a child who meets the criteria in subsection (d) of this section are as follows.(1) If the subrecipient receives a completed developmental screening from a health care provider for a child who is in DFPS conservatorship that indicates the child has a developmental delay, the subrecipient must offer a comprehensive evaluation to determine eligibility for ECI services.(2) If the subrecipient receives a referral for a child who meets one of the criteria in subsection (d) of this section, the subrecipient must offer either a developmental screening or proceed directly to comprehensive evaluation.(3) If the subrecipient receives a referral for a child who does not meet one of the criteria in subsection (d) of this section, the subrecipient follows their local procedures for accepting a referral, conducting a developmental screening, and completing an evaluation.