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provided by a qualified occupational therapist, as required in the Part B regulations, is not necessary because

occupational therapists are identified in §303.13(c)(4) as

a type of qualified personnel who provide the early

intervention services listed in §303.13(b). Additionally,

§303.119(c) provides that paraprofessionals and assistants

who are appropriately trained and supervised in accordance with State law, regulation, or written policy, may assist in the provision of early intervention services under Part

C of the Act. Repeating this language from §§303.13(c) and

303.119(c) in new §303.13(b)(8) is not necessary.

The functional skill domains that the commenter

requested be listed in new §303.13(b)(8) are already listed

in §303.13(a)(4). Thus, under these regulations,

occupational therapy services could focus on one or more of these functional skill domains, and the specific occupational therapy services provided to a child would be

based on the occupational therapy outcomes in the child’s


Changes: None.

Types of early intervention services--special instruction

(new §303.13(b)(14)) (proposed §303.13(b)(11))

Comment: One commenter recommended changing the title of

the definition of special instruction in new §303.13(b)(14)