Agencies
Services
Medical Conditions Resulting In High Probability of Developmental Delay & Division of Specialized Care for Children (DSCC)
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; |
Schizencephaly |
Yes |
No, Only treatable motor/orthopedic impairments |
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 |
Trisomy 13 |
Yes |
No, but craniofacial, limb deformities, and |
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 |
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 |
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 |
Yes |
Yes, if hearing loss of 30dB or greater at any 2 of the following frequencies: |
Visual Impairment |
Yes |
Potentially DSCC eligible (blindness not DSCC eligible) eye muscle |
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 |
Yes |
Not DSCC eligible by itself but seizures, renal impairments, |
|
Hypoxic Ischemic Encephalopathy |
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 |
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 |
PERVASIVE DEVELOPMENTAL DISORDER/AUTISTIC SPECTRUM
Diagnosis |
EI Eligible |
DSCC Eligible or Description of DSCC Diagnoses |
Pervasive Developmental 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 |
Lowe's |
Yes |
No, but cataracts and kidney problems are |
Rett |
Yes |
No |
Rubenstein-Taybi |
Yes |
No, unless it causes DSCC eligible hip dislocation |
CHARGE (Multiple anomalies) |
Yes |
Yes, eye, kidney, cardiac, nervous, hearing and |
VATER |
Yes |
Yes, urinary, cleft palate and esophageal atresia |
Fetal Alcohol Syndrome (Not just exposure to alcohol in utero or |
Yes |
No, but could cause some types of motor/orthopedic |
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 |
OTHER
Diagnosis |
EI Eligible |
DSCC Eligible or Description of DSCC Diagnoses |
Lead Poisoning: Elevated Blood Lead Level of 3.5 micrograms per deciliter (µg/dL) of whole blood confirmed by a venous blood test |
Yes |
Not DSCC eligible 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.