Monroe County Early Intervention

How Early Intervention (EI) Works State Level Problems County Response/Problems

A healthcare provider, parent or daycare

provider has a concern about the
development of a child < 3 years old and
calls Monroe County Early Intervention

Eligibility defined by state: 33% Mandated to complete eval and

A County Initial Service Coordinator
determines need for and arranges an
evaluation of the child to determine if
there is a need for EI services
FUNDED by State, County and Private
Insurance/Medicaid
Poor reimbursement of coordination
delay in one area or 25% delay in
two areas across 5 developmental
domains
RATES SET BY NYSDOH
services causes a shortage of
ongoing service coordinators,
leaving the county responsible for
Ongoing Service Coordination
convene an Individualized Family
Service Plan (IFSP) meeting within
45 days of referral; this timeline is
often delayed due to increased
burden on county coordinators,
putting county out of compliance

If services are deemed necessary, Has had to increase case loads of

coordination of services is transferred to county service coordinators to
an Ongoing Service Coordinator, absorb the volume of children
traditionally also contracted with outside needing ongoing service
agencies. coordination
FUNDED by State, County and Private
Insurance/Medicaid
RATES SET BY NYSDOH
Poor reimbursement of providers =
fewer providers = longer delays

If services are deemed necessary, the

County maintains a waiting list for
county contracts with a service provider
children waiting to have an
in community agencies to provide PT, OT,
available service provider, putting
SLP, Feeding, Special Education, TOD,
the county out of compliance with
TVI, Nutrition, SW.
federal 30 day regulation

FUNDED by State, County and Private

Insurance/Medicaid
Mandated to implement services
within 30 days of initial IFSP
meeting
Since children are young when receiving
therapy services, they generally make
significant strides, resulting in decreased
special education and health care costs
and improved outcomes as they age
 Monroe County Preschool Special Education
How Preschool Special Education State Level Problems County Response/Problems
(PSE) Works

A healthcare provider or parent has a

concern about the development/school
readiness of a child 3-5 years old and
calls local school district

Eligibility defined by state: 33% Mandated to complete eval and

School district determines need for and
delay in one area or 25% delay in convene a meeting within 30 days
arranges an evaluation with district eval
two areas across 5 developmental of referral; this timeline is often
team or an outside agency of the child to
domains delayed, putting school districts out
determine if there is a need for PSE
of compliance
services
EVALUATION, SPECIAL ED AND
FUNDED by State, County and Medicaid
CLASSROOM RATES SET BY NYSED
Poor reimbursement of evaluations,
special education services and
classrooms

Poor classroom rates lead to

programs closing preschool
classroom and unavailability of
classroom setting for those who are
eligible
If services are deemed necessary, the
district contracts with a service provider
in community agencies to provide PT, OT,
SLP, Feeding, Special Education, TOD,
behavior.
RELATED SERVICE RATES SET BY
FUNDED by State, County and Medicaid
MONROE COUNTY
Poor reimbursement of providers =
fewer providers = longer delays

Districts maintain waiting lists for

children waiting to have an
available service provider, out of
compliance with federal regulations

Since children are young when receiving

therapy services, services before entering
school leads to decreased special
education costs as they age