NYS Early Intervention Program Assistive Technology Medical Necessity Justification Form
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People also ask
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What criteria does NY State use to define a developmental delay?
Section 2541(5) of the PHL defines disability as a developmental delay; or, a diagnosed physical or mental condition with a high probability of resulting in developmental delay, such as extreme prematurity (birthweight of 999 grams or less60), Down syndrome or other chromosomal abnormalities, sensory impairments ( ... -
What is a letter of justification for assistive technology?
A letter of medical necessity is written by a health care professional to explain the reasons the assistive technology is needed. The letter should convince the reader that the requested assistive technology is necessary to meet the person's medical needs. -
What are examples of assistive technology for early intervention?
Examples include items such as building blocks, dolls, puzzles, balls, non-adaptive electronic devices (e.g. smart phones, tablets) and other common play materials that are used by all children and are not specifically designed or adapted to increase, maintain, or improve the functional capabilities of children with ... -
Is Early Intervention free in NY?
EIP is available to all families in New York City regardless of income or immigration status. There is no cost to families. Your health insurance, including Medicaid, may be used to pay for Early Intervention services, at no direct cost to you or impact on health benefits. -
What is the need for Early Intervention?
Early Intervention Services are special services for infants and toddlers at risk for developmental delays. These services are designed to identify and meet children's needs in five developmental areas. These are physical, cognitive, communication, social or emotional development, sensory and adaptive development. -
For which ages are Early Intervention services available in New York?
If you have concerns about the development of a child from birth to age three, one place you can refer families to is the New York State Department of Health Early Intervention Program. -
What are the criteria for a child to be eligible for early intervention in NY State?
To be eligible for services, children must be under 3 years of age and have a confirmed disability or established developmental delay, as defined by the State, in one or more of the following areas of development: physical, cognitive, communication, social-emotional, and/or adaptive. -
How do I get early intervention in New York?
Families, doctors, and community members can make a referral by: Calling 311 and asking for Early Intervention. Completing the Early Intervention Program Referral Form (Fillable PDF) and faxing it to a regional office in the family's home borough.
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