Eligibility Criteria for First Steps

1. 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.

  • Cognitive development (thinking skills)
  • Communication development (speech/hearing){combined receptive/expressive}
  • Adaptive development (self help skills)
  • Physical development (motor skills) {combined fine/gross}
  • Social/emotional development (behavior)

2. Conditions diagnosed at birth within 30 days post birth (newborn conditions)

Very Low Birth Weight (VLBW; less than 1,500 grams) with one or more conditions:

  • Apgar of 6 or less at 5 minutes

  • Intracranial bleeds (Grade II, III, or IV)

  • Ventilator dependent for 72 hours or more

  • Asphyxiation



3. Conditions Diagnosed (Neonatal/Infant/Toddler Conditions)

  • Genetic conditions known to be associated with mental retardation or developmental disabilities including but not limited to: 
Down Syndrome, Cri-du-Chat Syndrome, Klinefelter's Syndrome, Trisomy 18 Syndrome (Edward's), Turner's Syndrome, Trisomy 13 Syndrome, 
Triple X Syndrome, Fragile X Syndrome, Prader Willi

  • Additional conditions known to be associated with mental retardation or developmental disabilities including but not limited to:
 Hypoxic ischemic Encephalopathy (HIE) and at term (36 weeks gestation or more), Cranio-facial anomalies (i.e., cleft palate, etc.)
, Epilepsy/Seizure Disorder, Spina Bifida, Blindness (including visual impairments), Macro/Microcephalus (including Hydrocephalus ), Deafness (including hearing impairments
), Fetal Alcohol Syndrome, Cyanotic Congenital Heart Disease
, PKU, Cerebral Palsy, Acquired Immune Deficiency Syndrome (AIDS), Viruses/bacteria (Herpes, syphillis, cytomegalovirus, toxoplasmosis,and rubella), Autism Spectrum Disorders

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