Initial and ongoing eligibility for early intervention is determined through an evaluation by a multidisciplinary team exercising sound clinical judgment and using a developmental inventory tool approved by the Massachusetts Department of Public Health. Instruments approved by the Department of Public Health for establishing eligibility, as of 7/1/2005 are: the Early Intervention Developmental Profile (Michigan) and the Battelle Developmental Inventory - 2 (BDI-2).

Effective January 1, 2009 All children eligible based on the state's definition of developmental delay (child exhibits a 30% delay in one or more areas of development or the child's development is 1.5 standard deviations below the norm), clinical judgment (the child has questionable quality of developmental skills and functioning based on the informed clinical opinion of a multi-disciplined team) or the at-risk criteria (four or more risk factors being present), will have their eligibility for early intervention services re-determined every six months with parental consent.

Effective January 1, 2009 All children eligible for the Massachusetts EI with an Established Condition must have a diagnosed condition from the Massachusetts Early Intervention Diagnosed Conditions List (January 2009). Documentation of their diagnosis by an appropriately qualified medical/clinical professional must be present in the child's record. These children will fall into one of two categories depending on their diagnoses;

  1. Children with a diagnosis or condition that may resolve are denoted on the Massachusetts Early Intervention Diagnosed Conditions List (January 2009) with an asterisk * next to the name. These conditions may only be used in determining initial eligibility and would require eligibility to be re-determined through evaluation by a multidisciplinary team exercising sound clinical judgment on an annual basis with parental consent. Ongoing eligibility for these children will be based on a delay in one or more areas of development.

  2. Children with a non-asterisked diagnosis as noted on the Massachusetts Early Intervention Diagnosed Conditions List (January 2009) are eligible for early intervention services until the child's third birthday, unless there is a change in the status of a diagnosis or the condition improves with medical/surgical treatment provided through the health care system combined with developmental support services provided through EI.

    Early Intervention Providers are encouraged to provide ongoing assessment for IFSP planning purposes. In addition, although redetermination of eligibility is not required on an annual basis for children with a non-asterisked diagnosed established condition, a discharge evaluation utilizing the same eligibility tool must be completed as close to discharge as possible for child outcome reporting . Annual IFSPs do not need to be entered into the EIIS for these children. This information will be captured on the EIIS Discharged Form. Only IFSP's associated with an initial Eligibility Evaluation should be entered in the EIIS.

Eligibility for children referred to early intervention before January 1, 2009 and determined eligible based on a diagnosis listed on the "previous" Established Conditions list not included on the Massachusetts Early Intervention Diagnosed Conditions List (January 2009) will need to have their eligibility re-determined within a year's time. At this point in time eligibility is to be re-determined based on the Massachusetts Early Intervention Diagnosed Conditions List (January 2009). The EIIS Client system will not be updated to reflect these changes until sometime in 2009.

Approval by the DPH staff would be required for eligibility based on diagnosed established condition not on the current Diagnosed Conditions List and before entering into the Early Intervention Information System.


This information is provided by the Early Intervention (EI) Division within the Department of Public Health.