Committed To Providing Support And Services To People With Developmental Disabilities
5901 Green Valley Circle, Suite 320, Culver City, CA 90230-6953
(310)258-4000 FAX: (310)649-1024 www.westsiderc.org
REGIONAL CENTER EARLY START PROGRAM
NOTICE REGARDING USE OF PRIVATE INSURANCE
AND PUBLIC FUNDING SOURCES
California State Law and Regulation (California Code Regulations, Title 17 Sections 52109 a & b) states
that regional centers shall be the payer of last resort for required early intervention services after all
public sources for payment have been considered. This includes California Children Services (CCS),
Medi-Cal, school districts or other public agencies that may have responsibility for payment.
In addition, effective July 28, 2009 the Welfare and Institutions Code 4659.10 and 4659.24 requires the
use of a family’s private insurance for early intervention services. A family’s private insurance must
now be used for early intervention services that are determined medical in nature and are specified on a
child’s Individualized Family Service Plan (IFSP) if found eligible for the Early Start Program. Parents
who experience difficulty in accessing their private insurance or a health care service plan due to
financial hardship, a projected increase in the cost of insurance or issues related to a lifetime cap should
consult with their service coordinator. Westside Regional Center does not want insurance co-payments,
to become a barrier to the receipt of early intervention services of a medical nature. Evaluation and
assessment necessary to determine eligibility for Early Start are provided at no cost to the family
through regional center funding.
I acknowledge that I have been informed of the requirement to use public sources of funding and
private insurance for early intervention services.
Signature of Parent/Legal Guardian
Date
Witness
Date
C: Consumer File
UCI Number:
Service Coordinator:
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