Approved Diagnosis List

Children from birth to age three years automatically qualify for early intervention services if they have a documented medical diagnosis of any of the following conditions:

18q Deletion syndrome Hurler‐Scheie syndrome NICU grad qualifying conditions: 2p21 Deletion syndrome Hypothyroidism, untreated • NEW: Extremely Low Birth Weight 49, XXXXX (Pentasomy X) Hypoxic Ischemic Encephalopathy (HIE) (<1000g) 49, XXXXY syndrome Jacobsen syndrome • NEW: Extremely preterm (<28 wks) 9p Deletion syndrome Kleefstra (9q34 Deletion) syndrome • NEW: Very low birth weight (<1500g) Aicardi syndrome Klinefelter syndrome AND very preterm (28-31 wks) Albinism Kugelburg‐Welander disease (SMA3) • Fluctuating tone Amyoplasia Lead Poisoning, venous blood level • Full/partial NG/NJ/G tube required Angelman syndrome >10mcg/dL • Inconsolability Aniridia Leber's Congenital Amaurosis • Learning to eat difficult/slow Anophthalmia Lesch‐Nyhan syndrome • Poor coord suck/swallow/breath Anoxic brain injury Limb Reduction Defect • Severe sleep disorder Apert syndrome Lowe syndrome • Significant irritability, neuro-based Arthrogryposis Maple Syrup Urine Disease • Significant tremors at rest Autism Spectrum Disorders Marshall‐Smith syndrome • Unable to come to quiet alert state Bardet‐Biedl syndrome Menkes syndrome • Unable to take 100% oral nutrition Bilateral Perisylvian syndrome, Methylmalonic acidemia • congenital Microcephaly Unusually high or low tone Brachial Plexopathy Microphthalmia Semilobar holoprosencephaly Brain Malformation, congenital Möbius Sequence Septo-Optic Dysplasia Cerebral Palsy Muscular Dystrophy Sly syndrome CHARGE syndrome Muscular Dystrophy, Becker Type Spina Bifida Cockayne syndrome Muscular Dystrophy, Duchenne Type Spinal Cord Injury with Cord Cornelia de Lange syndrome Myopathies Involvement Cortical Visual Impairment Neonatal Abstinence syndrome (NAS) Spinal Muscular Atrophy (SMA) Cri du chat syndrome Neurofibromatosis Type 1 Sturge‐Weber syndrome Cytomegalovirus (CMV), congenital Neurotrauma, inflicted Syphilis, congenital Deafblind delayed Niemann‐Pick disease Tay‐Sachs disease Delayed Visual Maturation (DVM) Optic Atrophy Tethered Cord syndrome (TCS) DiGeorge/Velocardiofacial syndrome Optic Nerve Hypoplasia Toxoplasmosis, congenital Down syndrome (Trisomy 21) Osteogenesis imperfecta Treacher Collins syndrome Encephalocele Persistent Hyperplastic Primary Trisomy 13 (Patau syndrome) Failure to Thrive Vitreous Trisomy 18 (Edwards syndrome) Familial Exudative Vitreoretinopathy Pervasive Developmental Disorder Trisomy 21 (Down syndrome) (FEVR) (PDD), NOS Tuberous Sclerosis Fetal Alcohol syndrome Phenylketonuria (PKU), untreated Unbalanced Chromosomal Fetal Hydantoin syndrome Phthisis Bulbi Translocation Fetal Valproate syndrome Pierre‐Robin syndrome VACTERL association FG syndrome Prader‐Willi syndrome Ventilator dependence Fragile X syndrome Retinal Detachment Waardenburg syndrome, Types I & II Gaucher Disease, Type II Retinopathy of Prematurity (ROP), Walker‐Warburg syndrome Goldenhar syndrome Stage 4/5 Werdnig‐Hoffman disease (SMA1) Hearing loss Rubella, congenital Williams syndrome Herpes, congenital Rubenstein‐Taybi syndrome Wolf‐Hirschhorn syndrome HIV, congenital Sanfilippo syndrome Zika, congenital Hunter syndrome Schinzel-Giedion syndrome

7/11/2019 Note: When an initial diagnosis is acute in nature, it may be appropriate to establish ongoing eligibility by Standard Score or Informed Clinical Opinion.