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Early Steps Operations Guide

This document does not include guidance/procedures for each policy in the Early Steps Policy Handbook.  Guidance is included only as necessary to explain how to implement a policy, outline steps, or recommend actions to support implementation.

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Component:   13.0     Developmental Evaluation and Intervention (DEI)

Related Policy  Component


Reference/Related Documents

13.2.0 Eligibility for DEI


A.      For the purposes of DEI eligibility determination the following conditions are associated with later developmental delay:

1.      Birth weight of 1,200 to 1,500 grams

2.      Neonatal asphyxia

3.      Intraventricular hemorrhage (grade II)

4.      chronic medical conditions such as  broncopulmonary displasia (BPD) or chronic heart condition

5.      Significant congenital/neonatal infection such as toxoplasmosis, meningitis or cytomegalovirus (CMV)

6.      Metabolic or genetic disorders identified through the Newborn Screening Program except those identified as established conditions for IDEA, Part C.










Established Conditions list



A.      The child and/or family may be enrolled in Medicaid, have a pending application for Medicaid, or provide other documentation to show that they meet Medicaid financial eligibility for Medicaid.

B.     Based on the availability of funding, an LES may provide DEI services to an infant or toddler, and the family of the infant or toddler, who do not meet the financial eligibility criteria but who have insurance or other resources to help cover the cost of DEI services.





Eligibility or ineligibility for DEI may be documented on Form C of the DEI IFSP.

DEI IFSP - English

DEI IFSP - Spanish

DEI IFSP - Creole


13.3.0 DEI Services



A.      DEI in-hospital screening services may include monitoring and modification of medical interventions; and enhancement of the environment.

B.     Hospital discharge planning by the DEI evaluation and assessment team may include referral and follow-up to primary medical care and community services, as necessary.

C.     Follow-up support services after hospital discharge may be provided to aid the family in transition into the community.

D.     Parent support and training may include family counseling; financial planning; agency referral; development of parent-to-parent support groups; education concerning growth, development, and developmental intervention and objective measurable skills, including abuse avoidance skills; training of parents to advocate for their child; and bereavement counseling.

E.     The DEI component may include education and training for neonatal and pediatric intensive care services staff, volunteers, and others, as needed, in order to expand the services provided to infants and toddlers.



DEI staff should provide age appropriate developmental materials to every family whose child is eligible for DEI.  The developmental materials will assist the family in monitoring their child’s development.


13.4.0 DEI IFSP


A.      The DEI IFSP will be used for infants, toddlers and families who are eligible for DEI only; however the more comprehensive IFSP form may be used, instead of the DEI IFSP, if the IFSP team determines it is more appropriate.

B.     The DEI IFSP may be used as an electronic form or in a hard copy format.

C.     There is no set timeline requirement in which the DEI IFSP must be developed; it is dependent on the individual child and family circumstances.

DEI IFSP - English

DEI IFSP - Spanish

DEI IFSP - Creole



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