High Probability Conditions

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The following list of diagnosed conditions that result in automatic eligibility for Minnesota´s Infant and Toddler Intervention services has been developed through a review of current literature and other state´s lists of eligible conditions. Developing an exhaustive list of conditions is not practical. Therefore, the list below should be considered as examples of conditions with a high probability of resulting in a delay. If you are unsure, please view the list of actions you should take in determining eligibility if a specific condition is not listed.

The absence of a specific diagnosis or condition listed on this web page does not automatically rule out a child´s eligibility status. In order to provide a definite “yes” or “no” answer, you may need to obtain additional information from the child´s health care provider, as well as compile available developmental outcome information from various reputable sources. Eligibility technical assistance is available by emailing mde.ecse@state.mn.us.


* It is important to remember that children with conditions with a high probability of resulting in a delay are eligible for services even if the child is not currently demonstrating a need or delay.


Conditions or disorders with a high probability of resulting in a delay

1) Chromosomal / genetic 4) Physical conditions
2) Neurodevelopmental 5) Sensory conditions
3) Prenatal / perinatal conditions 6) Social or emotional conditions

 


1. Chromosomal / genetic

A. Conditions or syndromes that are likely to result in intellectual disabilities such as:

B. Conditions where life expectancy may be limited such as:

C. Certain metabolic, endocrine and hemoglobinopathies generally identified by the newborn screening program

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2. Neuro–developmental disorders such as:

A. Autism Spectrum Disorders
(may include Autistic Disorder, Childhood Autism, Atypical Autism, Pervasive Developmental Disorder Not Otherwise Specified, Asperger´s Disorder, or other related pervasive developmental disorders)

B. Cerebral palsy

C. Neural Tube Defects
(NTDs – birth defects of the spine and brain) such as:

D. Epilepsy

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3. Certain prenatal / perinatal conditions

A. Disorders secondary to exposure to toxic substances, such as:

B. Prenatal infections such as: Cytomegalovirus (CMV)

C. Very Low Birth Weight: Infants born at <1500 grams

D. Grades III and IV intracranial hemorrhage (PVH–IVH, stroke)

E. Hypoxic–Ischemic Encephalopathy (HIE)

F. Congenital Diaphragmatic Hernia (CDH)

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4. Physical conditions

A. Neuro–muscular disorders such as:

B. Respiratory

      Bronchopulmonary Dysplasia (BPD)

C. Toxic Exposures such as:

Elevated blood lead level of ≥ 45 µg/dL (based on
MN Childhood Blood Lead Screening Guidelines

A child with ≥ 15 µg/dL should be automatically referred to:
Minnesota Help Me Grow for a developmental evaluation.

D. Complex Health Conditions which are conditions impacting multiple organs or systems

E. Musculoskeletal

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5. Sensory

A. Hearing loss as recommended by the Minnesota Early Hearing Detection and Intervention team

B. Vision impairment: A diagnosed vision impairment that is not correctable with treatment, surgery, glasses or contact lenses. CDC Vision Loss Fact Sheet, English and Spanish (PDF 118KB/2 pages)

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6. Social or Emotional Conditions

A. Axis I conditions from the Diagnostic Classifications 0–3 including:

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How will I know if a condition is one that meets the eligibility criteria?

In order to help determine if a child has a condition or disorder that has a high probability of resulting in a delay, you will need the following information. You can also visit our Eligibility Decision Guidelines
(birth to 3 years)
webpage.

1. Obtain the name of all diagnoses, conditions or disorders from the child´s health care or mental health provider.

  • Be sure to get a list of all health conditions a child has. This information will give the team a complete picture upon which to make an eligibility determination.
  • Since many conditions sound similar, make sure to get an accurate spelling.
  • Verbal confirmation of the diagnosis/condition/disorder from the appropriately licensed health care professional or clinic is required prior to determining eligibility.

2. Review the literature and available research in order to learn about the condition:

3. Solicit input from the child´s health care provider(s) to assist in establishing eligibility by using Informed Clinical Opinion independently:

  • What is this child´s prognosis?
  • Do you anticipate there will be an impact on development in either the short–term or long–term?
  • Has this child been hospitalized frequently? Are frequent hospitalizations anticipated?
  • Has this child had other complications?

Eligibility technical assistance is available by emailing mde.ecse@state.mn.us.

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What does “conditions or disorders with a high probability of resulting in a delay” mean?

“High probability” means that current research findings indicate that at least 50% of children with a given condition will experience a developmental delay in one or more areas of development at school age.

 

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