If there are immunization records, EPSDT status is Current. Immunization status does not affect EPSDT status.

From: ACF HSESHelp (ACF) [mailto:HSESHelp@ACF.hhs.gov] Sent: July 07, 2009 9:47 AM To: jlovelace@cleverex.com Subject: RE: PIR Question from Vendor: C28 Hello Jeffrey, Question: C.28 Number of all children who completed routine screenings for developmental, sensory, and behavioral concerns since last year’s PIR was reported Does this mean that all children must receive a Screening every year? In many cases we see a child that receives a Screening in their Initial Year, and then receives ongoing Assessments for current and successive years. Answer: Refer to ECLKC link §1308.6 Assessment of children, which indicates that screenings must be performed within 45 days of entry into the program, followed by ongoing assessments. Also refer to ECLKC Policy Clarifications for answers to many of your questions; for this question specifically, see OHS – PC – C – 002 Must a Head Start child in the child’s second year of Head Start be re-screened for developmental concerns? No. A child must receive the initial screening for developmental, sensory and behavioral concerns “within 45 days of the child’s entry into the program” (45 CFR 1304.20.b.1). Thereafter, the Head Start program must conduct ongoing assessments of each child's development throughout the child’s enrollment (See 45 CFR 1304.21(c)(2) and 45 CFR 1304.3(a)(1). The program must demonstrate that it conducts on-going assessments of each child’s development, including those returning for a second or third program year in Head Start. For such developmental domains of language, cognition, and mental health/behavioral, a program’s ongoing assessment tools should be designed to help staff decide whether a child’s development remains “on-track” or should be referred for a professional evaluation. To accomplish this, a program’s ongoing assessment procedures may include use of standardized screening measures. Given this ongoing assessment, grantees and delegates would not be required to repeat the “initial screenings” administered to children upon entry to the program. For sensory domains such as vision and hearing, screening procedures should be re-administered on the periodicity schedule required by State EPSDT schedule, or more frequently if recommended by the Health Services Advisory Committee. Requirement 45 CFR 1304.20(b)(1); 45 CFR 1304.20(d); 45 CFR 1304.21(c)(2) ; 45 CFR 1304.3(a)(1) May 1, 2007 HSES Administrator Head Start Enterprise System Helpdesk: hseshelp@acf.hhs.gov or call 1-866-771-4737. -------------------------------------------------------------------------------- From: Jeffrey Lovelace [mailto:jlovelace@cleverex.com] Sent: Fri 6/26/2009 1:29 PM To: ACF HSESHelp (ACF) Cc: promis@cleverex.com Subject: PIR Question from Vendor: C28 Hello, We have a question regarding C28: Number of children who completed routine screenings….since last year’s PIR was completed. Does this mean that all children must receive a Screening every year? In many cases we see a child that receives a Screening in their Initial Year, and then receives ongoing Assessments for current and successive years.

Head Start Eligibility Verification Button on income screen When you click on the button PROMIS will find most recent income date where income date is equal or greater than most recent Application Date with Eligible Child’s name.

Bind Program Enrollment Access with Family Record Ownership: Restricts user’s access to adding new status/location if setting is changed to ‘YES’ Example: If user had access to location in Program Enrollment screen, then user could always make changes to that location's status. It does not matter what Application History and Ownership says. But if we change bind the Application History and Owner to Program Enrollment setting to YES, then PROMIS will look at Application History to determine if user can see and make changes to Program Enrollment.

If user enters "City", and clicks "save", these values will be saved, and it will show up in list next time. In other words, the City list is being pulled from saved cities. The list will be pulled from items saved by all users in the same database.