OPPAGG Office of Program Analysis and Governmental Accountability July 2008 Report #08-44
The Department of Health has implemented a new provider rate structure for the Early Steps Program. The department plans to implement a family cost system, as part of a project to use a third party administrator for billing. Background- The Early Steps Program provides services to families with infants and toddlers from birth to 3 years old who have developmental delays or disabilities. Part C of the Federal Individuals with Disabilities Act governs this program. This act provides early intervention services. Children’s Medical Services within The Department of Health aids this program. The department contracts with hospitals, universities and Children’s Home Society to function as area offices in 15 areas across the state. Area offices provide evaluations, assessments and early interventions and each of their services but coordinate the majority of early intervention through local communities and their providers. Our 2006 report noted that the budget in 2004-05 this program has accumulated unspent funds. However, at the same time some offices did not have enough money. As a result the department requested an increase of 3 million for 2008-09 . The legislature appropriated both requests with non-recurring funds. In spite of these increases this program is still having a difficult time using this money because the number of children and active care plans served has declined from 14, 719-11,691 in 2007 08.

