Basic Information on Early Intervention (EI)

EI Operational Standards 2022


Early Intervention is a service available to the families of children from birth to their third birthday, for whom there are developmental concerns due to identified disabilities, or whose typical development is at risk due to certain birth or environmental factors.

The Massachusetts Department of Public Health (DPH) is responsible for administering and overseeing the statewide system of Early Intervention services, for certifying programs and coordinating funding sources, and for carrying out monitoring and technical assistance activities. There are many certified community-based programs serving all cities and towns in the Commonwealth. Each Early Intervention program is certified to provide services for a specified group of cities and towns, called a catchment area.

Early Intervention programs provide comprehensive, integrated services, using a family-centered approach to assist in the developmental progress of eligible children. Early Intervention services are designed to meet the developmental needs of each child and the needs of the family related to enhancing the child’s development. Services are selected in collaboration with families and focus on the concerns, priorities and available resources of the family in relation to the child’s needs. Parent(s) are involved in the evaluation/assessment process, development of the Individualized Family Service Plan (IFSP) and on-going programming. The family’s growth toward independence in planning for the child’s continuing and changing needs is supported and encouraged.

Early Intervention staff works in partnership with those people present in the child’s natural environment, which may include settings other than the child’s home. Staff disciplines on individual teams may include speech, occupational and physical therapists, developmental educators, social workers, psychologists and nurses. In addition, Early Intervention programs may contract with consultants in areas such as nutrition, adaptive equipment, and behavior management.



Referrals to Early Intervention programs are an open process and are made directly to the individual program. Referrals may be made by any individual concerned about a child’s development and are often made by family members, physicians, hospitals, community social service agencies and family friends. Families are encouraged to refer themselves, but if referred by someone else, the family will be contacted to request permission to proceed.

Early Intervention accepts referrals for evaluations of eligibility for services. Within forty-five days of referral, a meeting to plan for evaluation/assessment will take place and, if eligibility is established and the family elects to receive services, an Individualized Family Service Plan (IFSP) will be developed by the team of which the family is a member.

When making a referral to an Early Intervention program, it is important to have pertinent information available. The following is a list of information to supply to the program at the time of referral:

Child’s name
Parent’s name
Telephone numbers (work and home)
Date of Birth
Primary Pediatrician
Other physicians/agencies/services involved
Reason for referral
Insurance coverage


Each city and town in the Commonwealth has at least one Early Intervention program that provides services to its eligible residents. Families should be referred to the Early Intervention program certified for the catchment area in which they live.

Some of the larger catchment areas in the state have more than one certified Early Intervention program. When making a referral, families should be given the names of all the programs in the catchment area in which they reside. This Guide lists all programs serving a specific catchment area together. Parents may want to find out more about each program before having an eligibility evaluation. Since a family may only enroll in one Early Intervention program at a time, a parent must make a choice prior to having a child evaluated for eligibility. Once a program is chosen, the child will be evaluated; if the child is eligible and if the family elects to receive services, an Individualized Family Service Plan (IFSP) meeting will be held within 45 days after the choice was made. Early Intervention programs are responsible for providing individualized services to families as outlined in the IFSP. Occasionally this means that services may be provided outside the catchment area where the family resides.

Special note for families residing within the City of Boston and its environs: The Boston area, with the exception of Charlestown and East Boston, is considered to be one catchment area (this includes: Allston, Brighton, Brookline, Dorchester, Hyde Park, Jamaica Plain, Mattapan, Roslindale, Roxbury, and West Roxbury). Families who live in Boston may choose any of the programs listed within this Guide, but many families choose the program closest to their home because of the close ties they may have and the connections that the specific Early Intervention program has with other neighborhood services.


Family members are encouraged to be active participants in every component of Early Intervention service delivery. On an individual level, family members are involved in determining and participating in services for their child and family. On the program level, families are encouraged to advise and participate in the development and monitoring of policies, procedures and practices. Family members may choose to participate in these advisory functions as part of a group or as individuals.

To ensure comprehensive family participation, all members of the EI service team share responsibility for providing an environment in which such participation can occur. Early Intervention programs provide multiple and varied opportunities for family participation that ensure responsiveness to the diverse needs and interests of the families in the service population and enhance the collaborative nature of service delivery.

Family Involvement across the broad Early Intervention System is a core value of the Massachusetts EI system. The Early Intervention Parent Leadership Project (EIPLP), a parent-run project of the Department of Public Health, supports families to get involved and develop lifelong leadership and advocacy skills. For more information, contact the EIPLP at 877-353-4757 or visit their Web site at


For additional information on Early Intervention services, please contact the Massachusetts Department of Public Health, Early Intervention services at 617-624-6060 or call Family TIES, the statewide information, resource, referral and support network for families. Family TIES can be reached at 1-800-905-TIES or 8437. Also see the Family TIES of Massachusetts web site for updated information.