Part C Early Intervention for Infants and Toddlers: Percentage Eligible Versus Served

OBJECTIVE: Part C early intervention is a nationwide program that serves infants and toddlers who have developmental delays. Previous research has revealed that large numbers of candidates for Part C services do not receive early intervention. Current eligibility criteria for Part C services vary from state to state. This article compares estimates of the percentage of children who are likely to be eligible for early intervention in each state and Washington, DC, with the proportion of children who are served in each of those jurisdictions. METHODS: Data for this study were obtained from the Early Childhood Longitudinal Survey–Birth Cohort. Using these data, we computed the proportion of children who would be eligible based on the numerical eligibility definitions currently in use across the United States. RESULTS: This study revealed the proportion of infants and toddlers likely to be eligible for Part C services ranges from 2% to 78% across the United States. The proportion of children enrolled in Part C ranges from 1.48% to 6.96%. CONCLUSIONS: This research documented substantial variability in the proportion of children who are likely to be eligible for Part C services. Most states have adopted eligibility definitions that make many more children candidates for Part C early intervention than they serve. However, current rates of enrollment are insufficient to serve all children with delays that fall under 2 SDs below the mean on any of the 5 developmental domains that are required to be evaluated by Part C regulations. Pediatrics 2013;131:38–46 AUTHORS: Steven A. Rosenberg, PhD,a Cordelia C. Robinson, PhD, RN,a,b Evelyn F. Shaw, MEd,c and Misoo C. Ellison, PhDd Departments of aPsychiatry, bPediatrics, University of Colorado School of Medicine, and dDepartment of Biostatistics and Informatics, Colorado School of Public Health, Aurora, Colorado; and cNational Early Childhood Technical Assistance Center, University of North Carolina–Chapel Hill, Chapel Hill, North Carolina