Family Fees

Fees are charged to families whose children receive early intervention services in Virginia. These fees are charged in accordance with federal Part C regulations and the Code of Virginia.

Services Provided at No Cost to Families Include;

• Implementing child find requirements;
• Evaluation and assessment  including the functions related to evaluations and assessment;

Service Coordination; and

• Administration and coordination activities related to;
  1. The development, review, and evaluation of the IFSP
  2. Implementation of procedural safeguards

Services Subject to a Schedule of Fees/Charges include:

• Assistive technology services
• Audiology
• Family training, counseling and home visits
• Health services
• Medical services
• Nursing services
• Nutrition services
• Occupational therapy
• Physical therapy
• Psychological services
• Social work services
• Special instruction
• Speech-language pathology services
• Vision services

Use of Medical Insurance:

Many private insurance plans, as well as Medicaid, cover some early intervention services for which fees are charged.  Families may choose to use their insurance to cover early intervention services or they may choose not to if the family believes accessing insurance will result in financial loss such as a decrease in available lifetime coverage, an increase in premiums or loss of coverage.

Inability to Pay:

Families cannot be denied services due to an inability to pay.

Sliding Fee Scale:

To assist families who may experience financial hardship, Virginia uses a sliding fee scale based upon federal taxable income and family size to determine a reduced family monthly cap if a family agrees to provide information.

• The amount determined that a family is responsible for paying is a maximum monthly cap. This means that a family may pay a lesser amount if the services they receive are less than the maximum monthly cap.
• The maximum monthly payment established for the family will be the same regardless of:
  1. whether one or more children receive services;
  2. the number of agencies from which services are received.

Not Disclosing Financial Information:

Families may choose not to provide financial information and pay the full charge of services.