north carolina INFANT-TODDLER PROGRAM
(NC ITP)

eligibility & referral

DEFINING ELIGIBILITY Two girls playing in classroom

A child and the child's family may receive Infant-Toddler Program supports and services if the child is younger than age three and has a developmental delay or an established developmental condition.

A. Developmental Delay

A child is considered to have a developmental delay if the child's development is delayed in one or more of the following areas:

  • Cognitive - thinking and learning skills
  • Physical - moving, seeing, hearing and health
  • Communication - understanding and using sounds, gestures, and words
  • Social-Emotional - responding to and developing relationships with other people
  • Adaptive - taking care of one's self when doing things like feeding or dressing

The specific level of the delay shall be:

  • Documented by scores of 2.0 standard deviations below the mean of the composite score (total test score) on standardized tests in at least one of the above areas of development, or
  • Documented by a 30% delay on instruments which determine scores in months in at least one of the above areas of development, or
  • Documented by scores of 1.5 standard deviations below the mean of the composite score (total test score) on standardized tests in at least two of the above areas of development, or
  • Documented by a 25% delay on instruments which determine scores in months in at least two of the above areas of development.
B. Established Conditions

A child is considered to have an established condition if the child has a diagnosed physical or mental condition which has a high probability of resulting in developmental delay. Examples include genetic disorders, vision impairment, hearing loss or autism. Specific conditions through which a child may be deemed eligible in the established conditions category are as follows:

Congenital anomaly/ genetic disorders/ inborn errors of metabolism

Congenital infections

Autism

Attachment disorder

Hearing loss

Visual impairment

Neurologic disease/CNS disorders

Neonatal conditions and associated complications

  • Gestational age less than 27 weeks or birth weight less than 1000 grams
  • Neonatal encephalopathy with neurological abnormality persisting at discharge from the NICU
  • Moderate to severe ventricular enlargement at discharge from NICU or a ventriculoperitoneal shunt
  • Neonatal seizures, stroke, meningitis, encephalitis, porencephaly, holoprosencephaly
  • Bronchopulmonary Dysplasia requiring supplemental oxygen at discharge from NICU
  • Intrauterine Growth Retardation
  • Necrotizing enterocolitis requiring surgery
  • Abnormal neurological exam at discharge
  • Intraventricular hemorrhage III or IV
  • Periventricular leukomalacia
Download a complete eligibility definition [PDF 20KB] >> Download the NC Infant-Toddler Program Referral Form [PDF 359KB] >> Download the Authorization to Disclose Form (English) [DOC 292KB] >> Download the Authorization to Disclose Form (Spanish) [DOC 94KB] >> DETERMINING ELIGIBILITY

Only the CDSA determines if a child is eligible. CDSAs use various methods and procedures to make this decision. Examples include standardized measures of child health and development; interviews and discussions with families; and observations of the child in home or play settings.

NOT ELIGIBLE

The ITP will work to link families with appropriate local resources if a child is found ineligible.

REFERRAL

The following can refer children to the ITP:

  • parents
  • hospitals
  • physicians and other health care providers
  • child care programs
  • public health facilities and other social service agencies
  • other public or private agency receiving public funds.

Referrals to the ITP can be made by phone, email, fax, letter, or in person at your CDSA. The following information should be included:

  • child's name
  • date of birth
  • address
  • telephone number
  • parent's name
  • the reason for the concern.

Parental consent is not required to make a referral. Referral sources are encouraged to talk with the parents before referring a child to the ITP. Parental consent is needed to determine eligibility and conduct evaluations.