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Infant Toddler Early Intervention Program (ITEIP)
Services Eligibility
Who is eligible for Early Intervention in Washington State?
To be eligible, a child must have a 25% delay or show a 1.5
standard deviation below his or her age in one or more of the
developmental areas. A child may also be eligible if he or she has
a physical or mental condition such as Down Syndrome that is known
to cause a delay in development.
Detailed eligibility criteria:
1. Developmental Delay:
A child is eligible if he or she demonstrates a delay of 1.5 standard deviation or 25% of
chronological age delay in one or more of the following developmental areas as measured by
appropriate evaluation tests or procedures, and administered by qualified personnel. In the
case of hearing and vision, the criteria listed within hearing impairment and vision impairment
applies:
a. Cognitive;
b. Physical (vision, hearing, fine
or gross motor);
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1) Hearing Impairment that adversely affects the child’s development:
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a) Unilateral sensorineural hearing loss and/or permanent conductive hearing loss of 45dB or
greater;
b) Bilateral sensorineural hearing loss and/or permanent conductive hearing loss which includes:
- Hearing loss of 20 dB or greater in the better ear average of the frequencies 500, 1,000, and 2,000Hz;
- High frequency loss greater than 25dB at two or
more consecutive frequencies or
average of three
frequencies between 2000 and 6000Hz in the better
ear;
- Low frequency hearing loss greater than 30dB at
250 and 500Hz in the better ear; or
- thresholds greater than 25dB on Auditory Brainstem Response threshold testing in the
better ear; or
c) A six-month history of fluctuating conductive hearing loss or chronic middle ear
effusion/infection of 3 months unresolved past initial evaluation.
- 2) Vision Impairment
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a) A vision impairment that adversely affects the child’s development even with
correction. Eligibility is dependent on documentation of a visual impairment, including
one or more of the following conditions:
- Legal blindness or visual handicap as they are customarily defined, either in terms of
qualifying reduction in visual acuity and/or a qualified reduction in visual fields;
- A visual impairment, which is progressive in nature and can be expected to lead to
blindness within a reasonable period of time;
b) If a visual acuity or field cannot be determined:
- Qualified personnel must identify a diagnosis or medical history, which indicates a
high probability of visual loss that >may adversely affect the child’s development;
- functional vision evaluation by a qualified professional is necessary to determine
eligibility.
c. Communication;
d. Social or Emotional; or
e. Adaptive.
2. Or a diagnosed physical or mental condition
A child is eligible if he or she has a diagnosed
physical or mental condition that has a high probability of resulting in a developmental delay, including but
not limited to:
a) Chromosomal abnormalities associated with mental retardation,
such as Down Syndrome;
b) Congenital central nervous system birth defects or syndromes, such as myelomeningocele, fetal alcohol syndrome,
or Cornelia de Lange syndrome;
c) Deaf, blind or deaf-blind;
d) Established central nervous system deficits resulting from hypoxia, trauma, or infection;
e) Cerebral palsy;
f) Health impairments such as autism, epilepsy, neurological impairment or other chronic or acute or degenerative
health problems;
g) Orthopedically impaired (i.e., impairments of the normal function of muscles, joints or bones due to congenital
anomaly, disease or permanent injury; and/or
h) Microcephaly.
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