STATE ELIGIBILITY CRITERIA (34 CFR 303.21) Children who are eligible for early intervention services are children between the ages of birth and 36 months who have been determined to have a diagnosed physical or mental condition associated with developmental disabilities, or a high probability of resulting in a developmental delay or disability, or children who have a developmental delay. A) State Definition of Diagnosed Conditions 1) Newborn condition, for a child referred prior to 12 months of age with a birth weight less than 1,500 grams with one or more of the following conditions diagnosed at birth or within 30 days post birth: • APGAR of 6 or less at 5 minutes • Intraventricular hemorrhage (IVH) (Grade II, III, or IV) • Any Positive Pressure Ventilation greater than 48 hours, including ventilator or oscillator• Resuscitation/code-event requiring chest compressions 2) Diagnosed conditions, for a child referred prior to 36 months of age, include, but are not limited to, the following: • Autism Spectrum DisordersAutism, Pervasive Development Disorder-Not Otherwise Specified • Chromosomal TrisomyDown syndrome, Edwards Syndrome, Patau Syndrome • Craniofacial AnomaliesCleft Lip, Cleft Palate, Cleft Lip/Palate • Disorders of the Nervous SystemCerebral Palsy, Encephalopathy, Epilepsy, Hydrocephalus, Infantile Spasms, Macro/Microcephalus, Periventricular Leukomalacia, Seizure Disorder, Shaken Baby Syndrome, Spina Bifida, Stroke, Traumatic Brain Injury • Disorders Related to Exposure to Toxic SubstancesFetal Alcohol Syndrome, Lead Poisoning Level >10 µg/dL • Infections/Viruses/BacteriaAcquired Immune Deficiency Syndrome, Cytomegalovirus, Herpes, Rubella, Syphilis, Toxoplasmosis • Other Chromosomal AbnormalitiesAngelman Syndrome, Cri-du-Chat Syndrome, DiGeorge Syndrome, Fragile X Syndrome, Triple X Syndrome, Williams Syndrome • Other Genetic/Congenital/Metabolic ConditionsCyanotic Congenital Heart Disease, Hypoplastic Left Heart Syndrome, Muscular Dystrophy - Duchenne Type, Noonan Syndrome, Phenylketonuria (PKU), Pierre Robin, Tetralogy of Fallot • Sensory Impairments Missouri Part C State Plan - Revised December 2013 Page 19 Blind, Deaf, Hard of Hearing, Visually Impaired • Severe Attachment Disorders 3) Other Diagnosed Conditions, for a child referred prior to 36 months of age, include conditions known to be associated with developmental disabilities. In order for other diagnosed conditions to be considered for eligibility, there must be an informed clinical opinion provided by Board certificated neonatologists, pediatricians, geneticists, pediatric neurologists and/or other pediatric specialists. These physicians may refer a child by indicating the specific condition and documenting the potential impact of the condition in any of the five developmental areas. B) State Definition of Developmental Delay (34 CFR 303.111 and 303.321) A developmental delay, as measured by appropriate diagnostic measures and procedures emphasizing the use of informed clinical opinion, is defined as a child who is functioning at half the developmental level that would be expected for a child developing within normal limits and of equal age. Informed clinical opinion may be used as an independent basis to establish eligibility even when other instruments do not establish eligibility at half the developmental level; however, when evaluation instruments establish eligibility at half the developmental level, informed clinical opinion may not be used to negate the results.
In the case of infants born prematurely, the adjusted chronological age, which is calculated by deducting one-half of the prematurity from the child's chronological age, should be assigned for a period of up to 12 months or longer if recommended by the child's physician. A developmental delay must be identified in one or more of the following areas: • cognitive development • communication development • adaptive development • physical development, including vision and hearing • social or emotional development C) Services to At-Risk Children It is the policy of the State of Missouri to not include children considered to be "at-risk" of having substantial developmental delays for eligibility in the Part C program. D) Residency Requirements 1) A child must be a resident of the State of Missouri to receive Part C services from the Part C program.This means: • a child living with a parent as defined in Part C of the IDEA in the State of Missouri is considered a resident.• a child living in Missouri solely for the purpose of receiving Part C services is not considered a resident. 2) Citizenship or immigrant status is not a requirement of residency and cannot be used to deny Part C services to an eligible child and family.