Upcoming Webinars 


The analysis of any legal or medical billing is dependent on numerous specific facts — including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

Log in

Log in

California Early Intervention Definitions G-L

Gross Motor

The use of large muscle groups of the body, arms, or legs, as in sitting up, walking, or balancing.

Health Services

Services necessary to enable an otherwise eligible child to benefit from the other early intervention services during the time that the child is eligible to receive early intervention services. Such services include clean intermittent catheterization, tracheostomy care, tube feeding, the changing of dressings or colostomy collection bags, and other health services.

This term does not include:

    • Services that are surgical in nature (such as cleft palate surgery, surgery for club foot, or the shunting of hydrocephalus), purely medical in nature (such as hospitalization for management of congenital heart ailments, or the prescribing of medicine or drugs for any purpose), or related to the implementation, optimization (e.g., mapping), maintenance, or replacement of a medical device that is surgically implanted, including a cochlear implant.
      • Nothing in this section limits the right of an infant or toddler with a disability with a surgically implanted device (e.g., cochlear implant) to receive the early intervention services that are identified in the child's IFSP as being needed to meet the child's developmental outcomes.
      • Nothing in this section prevents the early intervention service provider from routinely checking that either the hearing aid or the external components of a surgically implanted device (e.g.. cochlear implant) of an infant or toddler with a disability are functioning properly;
    • Devices (such as heart monitors, respirators and oxygen, and gastrointestinal feeding tubes and pumps) necessary to control or treat a medical condition; and
    • Medical-health services (such as immunizations and regular “well-baby” care) that are routinely recommended for all children.

Health Status

A description of the physical and mental condition of an infant or toddler. Health status may include current diagnoses, medications, required regular medical procedures, current medical supplies and technological devices, primary and specialty care providers, and immunization status, nutrition and oral health.

Hearing Impairment

A condition, whether permanent or fluctuating, which impairs the processing of linguistic information through hearing, even with amplification, and which adversely affects an infant's or toddler's development. Processing linguistic information includes speech and language reception and speech and language discrimination.


A condition in which an excessive amount of bilirubin, a bile pigment released from the breakdown of red blood cells, is in the blood.


A condition of excessive tone or tension in the skeletal muscles.


A condition of diminished tone of the skeletal muscles.


A condition in which the blood sugar is abnormally low.

Immediate Needs

A situation in which an infant or toddler requires early intervention services without delay pursuant to a physician's order or written determination by the multidisciplinary team specifying consequences of a delay in the provision of services.

Individual Program Plan (IPP)

Aplan developed for persons with developmental disabilities to describe the provisions of services and supports to meet the written goals and objectives pursuant to Welfare and Institutions Code sections 4646-4648.

Individualized Education Program (IEP)

A written statement that is developed and implemented pursuant to Title 20 United States Code Section 1401(b)(20).

Individualized Family Service Plan (IFSP)

A written plan for providing early intervention services to infants or toddlers and their families who have been determined eligible for early intervention services. The plan must:

    • Be developed in accordance with Sections 52100 through 52110; and,
    • Be based on the evaluation and assessment processes described in Sections 52082 through 52086 of these regulations.

Informed Clinical Opinion

The judgment of a qualified professional who is a member of the multidisciplinary team. Informed clinical opinion is based on but is not limited to opinions derived from: a review of records, parental and professional observation of the infant or toddler, and professional knowledge.

Language of the Parent's Choice

A primary written or oral language or mode of communication that the family chooses as a means of communication. Language of the parent's choice may be the native language. If the parent is deaf or blind or has no written language, the mode of communication shall be that normally used by the parent such as sign language, braille, or oral communication.

Local Educational Agency (LEA)

The school district in which the infant or toddler resides or the county office of education or the special education local plan area (SELPA) that is responsible for providing early intervention services to infants and toddlers with disabilities.

Low Incidence Disability

A severe disabling condition with an expected incidence rate of less than one percent of the total statewide enrollment in kindergarten through grade 12. For purposes of this definition, severe disabling conditions are hearing impairments, vision impairments, and severe orthopedic impairments, or any combination thereof.


17 CCR ยง 52000

Powered by Wild Apricot Membership Software