Home Infant Toddler Program Parent Handbook

Is There a Fee For Services?

The following Infant-Toddler Program services must be free of charge to your family. For these services, agencies may only bill your insurance company if you give permission.

• child identification and screening,
• initial evaluations done when your child is referred for Infant-Toddler Program services,
• child service coordination,
• activities related to developing and reviewing the IFSP,
• activities related to making sure that your rights are protected and respected.

Agencies may charge fees for all the other required services listed on the IFSP. Each agency sets its own fees for services. Public agencies charging fees must use a sliding fee scale, taking into account your income and family size, and possibly other special circumstances. Some families may find themselves at the top of the fee scale and having to pay the full amount. Agencies may not deny you services because you are unable to pay for them. Any fees for services must be explained to you and listed on your IFSP.

If a private provider you are using or have been referred to does not use a sliding scale, ask your Child Service Coordinator for help. Your Child Service Coordinator will have information about making financial arrangements.

For the other required services, agencies can bill your insurance company, but must allow you to pay the fee rather than having your insurance company billed. Some families have limited insurance policies. Billing for early intervention services may raise premiums or affect the total amount of coverage the insurance company provides. For other families, billing their insurance companies will help them reach their yearly deductible and would be helpful. Many agencies bill Medicaid for services they provide, if the child is covered by Medicaid.

If you have questions about the costs for services, ask your Child Service Coordinator. He/she may be able to locate resources to help you pay for them. If you disagree with the cost of any service, talk with your Child Service Coordinator. If you still have concerns, contact your Child Service Coordinator's supervisor or the Family Support Network or the Exceptional Children's Assistance Center.

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