A child may not be simultaneously enrolled in and actively billing services at two separate EIDT programs under Arkansas Medicaid — EIDT enrollment is exclusive to one program at a time under Medicaid billing rules.

For joint custody situations:
1. **Coordinate with both parents** to designate a single EIDT program. The IFSP and PASSE enrollment should reflect one primary EIDT provider.
2. **Confirm with the PASSE** that the child is not enrolled at two programs simultaneously — duplicate enrollment can lead to billing conflicts and compliance issues.
3. **Document the custody arrangement** in the child’s file, including which parent holds educational/medical decision-making authority.
4. If both parents want services at different programs in different geographic areas, this is an unusual situation that requires specific guidance from DHS/DDS — contact your DDS regional office before proceeding.
5. The child should not be enrolled at the “other parent’s” EIDT on the off-weeks — confirm this with both families at enrollment.