Subrecipients must have internal written procedures that establish a system of clinical oversight for eligibility determination. Clinical oversight, which is conducted by a person with knowledge of evaluation and assessment of young children, includes ensuring that: (1) HHSC ECI eligibility criteria is applied consistently to all children who are evaluated; (2) testing is administered and scored accurately according to the requirements of the selected tool designated by HHSC ECI; (3) evaluations to determine eligibility are comprehensive; (4) test scores are interpreted and determination of delay includes the application of informed clinical opinion; and (5) eligibility decisions are fully documented in: (A) the eligibility statement; and (B) progress note or evaluation report.