Early Intervention - Medical Conditions Resulting In High Probability of Developmental Delay & Division of Specialized Care for Children (DSCC)

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MEDICAL DIAGNOSES

NOTE: this is not an exclusive List

Eligible EI Diagnoses

Children with medical conditions which are not listed may be determined eligible for EI services by a qualified family physician, pediatrician or pediatric subspecialist (pediatric neurologist, geneticist, pediatric orthopedic surgeon, pediatrician with special interest in disabilities) who provides written verification that the child's medical condition is associated with a high probability of developmental delay as listed in eligibility criteria.

Eligible DSCC Diagnoses

Any specific diagnosis alone (except cystic fibrosis and hemophilia) is not eligible for DSCC unless there are associated impairments in the following categories:

  • orthopedic
  • nervous system
  • cardiovascular
  • external body
  • hearing
  • organic speech disorders
  • inborn errors of metabolism leading to severe neurological
  • mental and physical deterioration
  • eye and urinary system

ANOMALIES OF CENTRAL NERVOUS SYSTEM

Diagnosis EI Eligible DSCC Eligible or Description of DSCC Diagnoses
Spina Bifida/Myelomeningocele Yes Yes
Spina Bifida with Hydrocephaly Yes Yes
Encephalocele Yes Yes
Hydroencephalapathy Yes Yes
Microencephaly Yes No
Congenital Hydrocephalus Yes Yes

Reduction deformities of brain, including:

Absence Holoprosencephaly

Agenesis Hypoplasia

Agyria Lissencephaly

Aplasia Microgyria

Arhinecephaly 

Yes No, None of these would be DSCC eligible on their own;
treatable motor/orthopedic impairments or seizures
could be DSCC eligible for these deformities.
Schizencephaly Yes No, Only treatable motor/orthopedic impairments
are potentially DSCC eligible.
Anomalies of the Spinal Cord Yes Yes
Birth weight: less than 1000 grams Yes No, not by itself

CHROMOSOMAL DISORDERS

(Most Common, List Not Exclusive)

Note: Syndromes are not DSCC eligible by themselves but may include DSCC eligible conditions.

Diagnosis EI Eligible DSCC Eligible or Description of DSCC Diagnoses
Trisomy 21 (Down Syndrome) Yes No, but typically cover cardiac and hearing
impairments.
Trisomy 13 Yes No, but craniofacial, limb deformities, and
cardiac impairments are typically DSCC eligible.
Trisomy 18 Yes No, but cardiac impairments are DSCC eligible.
Autosomal Deletion Syndromes Yes Typically, No, unless it casues cardiac, hypospadias or other DSCC eligible conditions.
Fragile X Syndrome Yes No
Williams Syndrome Yes No
Angelmann's Syndrome Yes Typically, No, unless is causes cardiac impairments
or strabismus.

Congenital Infections

Diagnosis EI Eligible DSCC Eligible or Description of DSCC Diagnoses

Toxoplasmosis

Rubella

Cytomegalovirus

Herpes Simplex with CNS involvement

Yes No, unless treatable or chronic
Neonatal Meningitis Yes No, only treatable chronic motor/orthopedic, hearing
loss and eye impairments (defects of eyeball or eye muscle)
are DSCC eligible for these congenital infections.
Cerebral Palsy Yes Yes, motor and neuro impairments
Craniofacial Anomalies (Major) Yes Yes
Cleft Palate Yes Yes, **see instructions on referring to DSCC, listed at bottom of page

DISORDERS OF THE SENSE ORGANS

Diagnosis EI Eligible DSCC Eligible or Description of DSCC Diagnoses
Hearing loss of 30dB or greater at
any 2 of the following frequencies:
500, 1000, 2000, 4000 and 8000 Hz;
or hearing loss of 35 dB or greater at
any one of the frequencies 500, 1000
and 2000 Hz; involving one or both ears.
Yes Yes, if hearing loss of 30dB or greater at any 2 of the following frequencies:
500, 1000, 2000, 4000 and 8000 Hz; or hearing loss of 35 dB or greater at any
one of the frequencies 500, 1000 and 2000 Hz; involving one or both sides.
Visual Impairment Yes Potentially DSCC eligible (blindness not DSCC eligible) eye muscle
imbalance - DSCC eligible.
Bilateral Amblyopia Yes Yes, if eye muscle imbalance, (blindness not DSCC eligible)
Severe Retinopathy of Prematurity ROP 3+ Yes Yes
Bilateral Cataracts Yes Yes
Myopia of 3 diopters or more Yes No
Albinism Yes No

DISORDERS OF THE CENTRAL NERVOUS SYSTEM

Diagnosis EI Eligible DSCC Eligible or Description of DSCC Diagnoses
Hypsarrhythmia Yes No
Acquired Hydrocephalus Yes Yes
Stroke Yes No, unless motor and speech problems

Traumatic Brain Injury

Intraventricular Hemorrhage - Grade III, IV

Yes Neither are automatically DSCC eligible but either could cause
DSCC eligible motor, speech or orthopedic conditions.
Yes Not DSCC eligible by itself but seizures, renal impairments,
cardiac impairments are DSCC eligible.
Hypoxic Ischemic Encephalopathy
(with organ failure, seizures, renal failure, cardiac failure)
Yes
Spinal Cord Injury Yes No, only if treatable motor/orthopedic impairments are DSCC eligible
Neonatal Seizures (secondary to asphyxia or hypoglycemia) Yes Acute seizures are not DSCC eligible.
Central Nervous System Cysts Yes Potentially Yes, if not cancerous.
Central Nervous System Tumors Yes Potentially Yes, if not cancerous.
Periventricular Leukomalacia Yes No, not by itself, but if causing cerebral palsy, Yes

INBORN ERRORS OF METABOLISM

Diagnosis EI Eligible DSCC Eligible or Description of DSCC Diagnoses
Inborn errors of metabolism Yes No, unless causing physical and neurological impairment and
mental retardation, if left untreated

NEUROMUSCULAR DISORDERS

Diagnosis EI Eligible DSCC Eligible or Description of DSCC Diagnoses

Congenital Muscular Dystrophy

Myotonic Dystrophy

Werdnig-Hoffman (Spinal Muscular Atrophy)

Congenital Myopathy

Duchenne

Yes Potentially, Motor and orthopedic conditions are eligible
for these conditions.

PERVASIVE DEVELOPMENTAL DISORDER/AUTISTIC SPECTRUM

Diagnosis EI Eligible DSCC Eligible or Description of DSCC Diagnoses
Pervasive Developmental Disorder
Autistic Spectrum Disorder
Yes No

SYNDROMES

Diagnosis EI Eligible DSCC Eligible or Description of DSCC Diagnoses
Cornelia de Lange Yes No, not by itself, but orthopedic and craniofacial
impairments are DSCC eligible.
Lowe's Yes No, but cataracts and kidney problems are
Rett Yes No
Rubenstein-Taybi Yes No, unless it causes DSCC eligible hip dislocation
and joint problems.
CHARGE (Multiple anomalies) Yes Yes, eye, kidney, cardiac, nervous, hearing and
external body impairments
VATER Yes Yes, urinary, cleft palate and esophageal atresia

Fetal Alcohol Syndrome

(Not just exposure to alcohol in utero or
fetal alcohol effects, but a
diagnosis of the syndrome)

Yes No, but could cause some types of motor/orthopedic
impairments that are DSCC eligible

ORTHOPEDIC ABNORMALITIES 

Diagnosis EI Eligible DSCC Eligible or Description of DSCC Diagnoses
Brachioplexus at birth Yes Potentially
Caudal Regression Yes No
Proximal Focal Femoral Deformities Yes Potentially
Partial Amputations Yes Yes
Holt-Oram Yes Potentially
Acquired Amputations Yes Yes
Arthrogryposis Multiplex Congenita Yes Yes
Osteogenesis Imperfecta Yes Yes

TECHNOLOGY DEPENDENT

Diagnosis EI Eligible DSCC Eligible or Description of DSCC Diagnoses
Tracheostomy Yes Potentially DSCC eligible if secondary to structural defect of upper airway and not chronic lung disease.
Ventilator Dependent Yes Potentially DSCC eligible for IDHFS/DSCC Home Care Program (waiver).

SOCIAL EMOTIONAL DISORDERS

Diagnosis EI Eligible DSCC Eligible or Description of DSCC Diagnoses
Attachment or Relationship Disorder Yes No, not by itself

Children with undiagnosed medical conditions or who may require further medical evaluation may be referred for a medical diagnostic evaluation. If you have any questions regarding these eligible medical conditions or medical diagnostic services, please contact your developmental pediatrician consultation contractor.

**Referring to DSCC - Children with cleft palate, orthopedic abnormalities, or other potential DSCC eligible diagnoses associated with physical disabilities are to be referred with written consent to the Division of Specialized Care for Children (DSCC) prior to IFSP development. DSCC may provide medical diagnostic support at no cost to the family. Simultaneously Child and Family Connections should complete the intake process as usual. DSCC will determine the type of ongoing assistance they can provide.