Practice Manual
First Steps Practice Manual
Chapter 1: Missouri Infrastructure
Chapter 2: Parental Rights
Chapter 3: Referral, Intake and Evaluation
Chapter 4: Eligibility Determination
Chapter 5: System of Payments
Chapter 6: IFSP Planning, Development and Review
Chapter 7: Early Intervention Teams
Chapter 8: Early Intervention Services
Chapter 9: Service Guidelines
Chapter 10: Transition from First Steps
Chapter 11: Early Childhood Outcomes
Chapter 12: Exit From First Steps
Chapter 1: Missouri Infrastructure
Documents
Office of Special Education Organizational Chart
Missouri First Steps SPOE Regions Area Directors Map
Missouri First Steps SPOE Regions Map
Links
Federal Regulations of Part C of IDEA
Missouri State Plan for Part C – First Steps
Missouri Part C Compliance Standards and Indicators
Part C State Performance Plan (SPP) & Annual Performance Report (APR)
Documents
Early Intervention Record Access Log
Due Process Hearing Parent Request Model Form
Forms
Click HERE for documents and forms in additional languages.
Chapter 3: Referral, Intake and Evaluation
Documents
Checklist for 45-Day Timeline Activities
Missouri First Steps Program - General Information Brochure (English) (Spanish)
Intake Information Worksheet (fillable) Intake Information Worksheet (non-fillable)
Forms
Neonatal Intensive Care Unit (NICU) First Steps Referral Form
Letters
Acknowledgement of Referral Letter
Meeting Notification Generic Letter
SPOE Refuse Initial Evaluation Letter
No Contact Two Days After Referral Letter
Unable to Contact/Locate Prior to Eligibility
Release of Information Letter/Request Records for Eligibility
Chapter 4: Eligibility Determination
Documents
First Steps Eligibility Criteria
ICD-10 Coding System for Missouri First Steps
Forms
Physician Informed Clinical Opinion and Impact Statement
Letters
Ineligible for First Steps Letter
Documents
System of Payments Policy PLEASE CLICK HERE FOR ADDITIONAL LANGUAGES
Household Size and Other Income Worksheet (fillable) Household Size and Other Income Worksheet (non-fillable)
Family Cost Participation - Fee Schedule
Parent Request for a Financial Hardship Determination
Family Cost Participation Statement - Sample
Forms
Consent to Use Private Insurance PLEASE CLICK HERE FOR ADDITIONAL LANGUAGES
Consent to Use MO HealthNet/Medicaid PLEASE CLICK HERE FOR ADDITIONAL LANGUAGES
Financial Information for Family Cost Participation PLEASE CLICK HERE FOR ADDITIONAL LANGUAGES
Letters
Family Cost Participation Information
Chapter 6: IFSP Planning, Development and Review
Documents
First Steps Evaluation, Assessment & Progress Monitoring Flow Chart
Family Assessment Interview Follow Up Questions
Family Assessment Interview Worksheet (Concerns, Priorities and Resources)
Provider Types: Matrix, Parental Consent and Authorizations
Incremental Approach to Decision Making
Early Intervention Services: Considerations for IFSP Team Meetings
Individualized Family Service Plan Document (Updated November 2020)
Letters
Meeting Notification for Initial IFSP
Parent Request to Discontinue Service
Unable to Contact/Locate After Eligibility
Click HERE for documents and letters in additional languages.
Chapter 7: Early Intervention Teams
Documents
American Occupational Therapy Association (AOTA)
American Physical Therapy Association (APTA)
American Speech-Language-Hearing Association (ASHA)
Early Intervention Team brochure (English) (Spanish)
Agreed Upon Practices for Providing Early Intervention Services
Seven Key Principles: Looks Like/Doesn’t Look Like
Additional Resources
EIT Members (list effective 7.1.20)
Chapter 8: Early Intervention Services
Documents
Family Member Transportation Billing Form
Assistive Technology Devices: Considerations for IFSP Team Meetings
SPOE Assistive Technology Pricing Worksheet
Shared Service Coordination Chart
Document
Teletherapy: Guidelines for First Steps Services
Chapter 10: Transition from First Steps
Documents
Checklist for Transition and Exit Activities
Parent Options for Summer Third Birthdays
Forms
Notice of Action/Consent to Continue First Steps for Summer Third Birthday Children
Letters
Transition Meeting Notification
Transition Meeting Information Sent to ECSE
Initial/Transition Meeting Notification
Links
Transition from First Steps to Early Childhood Special Education (ECSE) Training
Chapter 11: Early Childhood Outcomes
Content Coming Soon
Links
Chapter 12: Exit From First Steps
Letters
Parent Withdraw From First Steps
