ECI Referral

ECI and Healthcare Professionals

As a healthcare professional, families look to you for guidance regarding their child's growth and development. ECI wants to work with you to help families get the services they need for their infants and toddlers. For over 30 years, ECI has provided specialized services to Texas families and their young children with developmental delays or disabilities.

The state agency responsible for ECI is the Department of Assistive and Rehabilitative Services, (DARS). DARS contracts with local agencies to provide ECI services.

Did You Know?

  • ECI serves children from birth to 36 months
  • ECI programs cover all areas of the state
  • Evaluations to determine ECI eligibility are at no cost to the family
  • Translation and interpreter services are available
  • ECI provides services to families at all income levels
  • Families receiving services from other providers/agencies may still be eligible for ECI services

What is the Approach to ECI Services?

ECI's approach:

  • Specializes in infants and toddlers
  • Provides services individualized to the needs of each child and family
  • Involves families in services that incorporate therapeutic intervention strategies in their child's daily routines
  • Utilizes an interdisciplinary team of licensed or credentialed professionals
  • Includes measurable outcomes
  • Provides services in the home and community settings
  • Provides case management for all families

Who is Eligible for ECI Services?

ECI determines eligibility for infants and toddlers living in Texas based on:

Developmental Delay

Children with a developmental delay that affects function-ing in one or more areas of development, including cognitive, communication, motor, social-emotional and adaptive/self-help.

Medically Diagnosed Condition

Children with a medically diagnosed condition with a high probability of resulting in a developmental delay. (Medical diagnoses list located on back of brochure.)

Auditory or Visual Impairment

Children who have an auditory or visual impairment as defined by the Texas Education Agency. (Contact your local ECI program for more information.)

What are Some Examples of ECI Services?

  • Audiology and vision services
  • Nursing and nutrition services
  • Physical therapy
  • Occupational therapy
  • Speech-language therapy
  • Specialized skills training
  • Family education and training
  • Case management
  • Assistive technology

How are ECI Services Determined?

After referral, an interdisciplinary team conducts a comprehensive evaluation to determine eligibility. If the child is eligible for services, the team, along with the parents, develops an Individualized Family Service Plan (IFSP). In developing the IFSP, all pertinent medical information is considered. With written parental consent, the IFSP can be shared with the physician.

Who Provides ECI Services?

  • Licensed or credentialed professional staff including:
  • Speech Language Pathologists
  • Physical Therapists
  • Occupational Therapists
  • Psychologists
  • Registered Nurses and Dietitians
  • Social Workers and Counselors
  • Credentialed Early Intervention Specialists (EIS)
    college graduates who complete a state approved training program

How are ECI Services Funded?

ECI receives federal, state and local funds, as well as, Medicaid, CHIP, private insurance and family fees.

The following services are provided at no cost to families regardless of income. However families with insurance will be asked for permission to bill for reimbursement.

  • Evaluation and/or assessment
  • IFSP development
  • Case management
  • Translation and interpreter services
  • Services for children eligible due to auditory or visual impairments
  • Services for children in foster care

Family Cost Share

Families with children enrolled in Medicaid or CHIP, or whose income is at or below 200% of the Federal Poverty Level, do not pay for any ECI services. Other families pay a cost share determined by a sliding fee scale based on family size and adjusted income after allowable deductions. No family will be denied services due to an inability to pay. For more information or to view the sliding fee scale, visit the DARS website at:

How Do You Make a Referral?

  • Call or fax information about your concerns for a child to your local ECI program.
  • Give the contact information to the family and recommend that they call the ECI program.

Results of a referral can only be provided to referral sources with written parental consent.

How Do You Find a Program in Your Area?

To find the phone number of the ECI program in your area, call the HHS Office of the Ombudsman at 1-877-787-8999, select a language, and then select Option 3. You can also submit your request online

How Can You Help a Family Learn About ECI?

ECI Videos

ECI has developed two short videos to help people better understand ECI's service model.

  • "Texas ECI: Family to Family"

    This short (10 minute) video offers a special perspective for families who have been or who may be referred to ECI and who would like to learn more about what to expect from ECI. Four families talk openly about their ECI

  • "About Texas ECI"

    This short (8 minute) informational video offers an overview of ECI’s unique model of services.

If a family wants to see a video but does not have access to the internet, have them contact their local ECI program.

Diagnoses List

Achondrogenesis I (Parenti-Fraccaro)
Achondrogenesis II (Langer-Saldino)
Agenesis of the Corpus Collosum
Alpers’ Disease
Amniotic Band (affecting fetus or newborn)
Angelman’s Syndrome
Anoxic Insult to Brain
Apert Syndrome (Acrocephalosyndactyly)
Argininosuccinic Aciduria
Autism Spectrum Disorders
Bartter’s Syndrome
Beals’ Syndrome (Beals-Hecht Syndrome)
Beckwith-Wiedemann Syndrome
Biedl-Bardet Syndrome
Brachial Plexus Injury, Perinantal Origin (Erb’s Palsy)
Brachial Plexus Injury, Post Pareinantal Origin

Camptomelic Dysplasia (CMD I, Camptomelic Dwarfism)
Canavan Disease
Carpenter Syndrome (Acrocephalopoly-syndactyly)
Caudal Regression Syndrome
Cerebral Astrocytoma
Cerebral Ataxia, Congenital
Cerebral Cysts, Congenital
Cerebral Dysplasia
Cerebral Gigantism
Cerebral Palsy
Cerebrocostomandibular Syndrome
Cerebrohepatorenal Syndrome
CHARGE Syndrome
Chondrodysplasia Punctata Syndromes
Chromosomal Anomalies 10p+, 10q+, 11p-, 12p-, 13q-, 13q+, 18q-, 21q-, 22q-, 3q+, 4p-, 4p+, 4q-, 4Q+, 5p- (Cri Du Chat or Cat's Cry), 7q+, 9p-, 9p+, 9q-, Triploidy, Trisomy 13, Trisomy 14q1, Trisomy 18, Trisomy 21, Trisomy 22, Trisomy 8, XO (Turner’s Syndrome) , XXXXX, XXXXY, XXXY, XXY (Klinefelter's Syndrome)
Cleft Hand, Congenital
Cleft Lip and/or Palate
Cloverleaf Skull (Kleeblattschadel)
Clubfoot, Congenital
Cockayne Syndrome
Coffin-Lowry Syndrome
Coffin-Siris Syndrome
Convulsions in Newborn (Newborn Seizures)
Crouzon's Disease (Craniofacial Dysostosis)
Cryptophthalmos Syndrome
Cutis Laxa Syndromes - Recessive Form
Cytomegalic Inclusion Disease, Congenital

Dandy Walker Syndrome
DeLange's Syndrome
Diaphragmatic Hernia
Diastrophic Dysplasia
DiGeorge's Syndrome
Down Syndrome
Drug Withdrawal Syndrome
Dubowitz Syndrome
Duchenne Muscular Dystrophy
Dyggve-Melchoir-Clausen Syndrome
Dystonia Musculorum Deformans - Torsion Dystonia

Ehlers-Danlos Syndromes
Encephalopathy, Congenital
Encephalopathy, Hypoxic Ischemic
Encephalopathy, Static
Failure to Thrive
Familial Dysautonomia (Riley Day Syndrome)
Fanconi Syndrome
Farber Disease
Fetal Alcohol Syndrome
Fracture of Vertebral Column with Spinal Cord Injury
Fragile X Syndrome

Gastroschisis, Congenital
Gaucher's Disease
Gm2 Gangliosidosis (Tay-Sachs or Sandhoff Disease)
Goldenhar's Syndrome (Oculoauriculovertebral Dysplasia)

Hallervorden-Spatz Disease
Holt-Oram (Cardiac-Limb) Cyndrome (Atriodigital Dysplasia)
Hypertrophic Intersitial Neuritis (Dejerine-Sottas Disease)
Hypoglossia-Hypodactylia Spectrum
Hypothyroidism (Untreated), Congenital
Hypotonia, Congenital, Non-Benign Form

Ichthyosis Congenita
Infantile Spasms, Epilepsy (Infantile Myoclonic Seizures)
Intracerebral Hemorrhage
Intraventricular Hemorrhage -Grade IV
Isovaleric Acidemia

Johnson-Blizzard Syndrome
Juvenile Rheumatoid Arthritis
Klippel-Trenaunay-Weber Syndrome
Kniest's Syndrome (Metatrophic Dwarfism II)
Krabbe Disease
Langer-Giedion Syndrome
Larsen's Syndrome
Leigh Disease
Lennox-Gastaut Syndrome
Lesch-Nyan Syndrome
Linear Sebaceous Nevus Syndrome
Lumbosacral Agenesis

Mandibulofacial Dysostosis
Maple Syrup Urine Disease
Marfan's Syndrome
Meckel Disease
Menkes Syndrome (Kinky Hair Disease)
Metachromatic Leukodystrophy
Methylmalonic Aciduria with Glycinemia, Groups 1, 2, 3, 4
Methylmalonic Aciduria without Glycinemia, Group 5
Mobius (-Poland) Syndrome (Congenital facial diplegia, Mobius II)
Muscular Dystrophy, Congenital
Myasthenia Gravis
Myoclonic Encephalopathy of Childhood (Kinsbourne Syndrome)
Myositis Ossificans Progressiva
Myotonia Congenita - Thomsen Disease
Myotonic Dystrophy

Nemaline Rod Myopathy
Neuronal Ceroid-Lipofuscinoses-Amaurotic Familial Idiocy, Batten Disease, Jansky-Bielschowsky Syndrome, Spielmeyer-Vogt Disease, Kufs Disease
Niemann-Pick Disease (Classic Infantile and Juvenile)
Noonan Syndrome
Norrie's Syndrome (Andersen-Warburg’s Syndrome)

Oculocerebrorenal Syndrome (Lowe Syndrome)
Oral-Facial Digital Syndrome
Orotic Aciduria
Osteodystrophy, Congenital
Osteogenesis Imperfecta Syndromes
Otopalatodigital Syndrome

Paralytic Syndromes
Periventricular Leukomalacia (PVL)
Persistent Hyperplastic Primary Vitreous
Pervasive Development Disorder (PDD), Unspecified
Phenylketonuria (PKU)
Poland's Syndrome (Pectoralis Muscle Deficiency-Syndacty)
Pompe's Disease-Glycogen Storage Disease
Prader-Willi Syndrome
Prune Belly Syndrome
Reduction Deformity of Brain
Reduction Deformities of Limbs
Roberts Syndrome
Robin's Syndrome
Rubinstein - Taybi Syndrome
Russell (-Silver) Syndrome

Saethre-Chotzen Syndrome (Chotzen's, Acrocephalosyndactyly III)
Scimitar Syndrome
Seizure Disorders
Short Bowel Syndrome
Sjogren-Larssen Syndrome
Smith-Lemli-Opitz Syndrome
Spastic Paraplegia, Hereditary
Spina Bifida with Meningomyelocele (Arnold Chiari/Spinal Cord Injury)
Spinal Cord Injury
Spondyloepiphyseal Dysplasia (SED)
Sturge-Weber Syndrome
Subacute Sclerosing Panencephalitis
Symptomatic Torsion Dystonia

TAR Syndrome
Thanatophoric Dysplasia
Tuberous Sclerosis
Tyrosinemia Type I (Tyrosinosis) and Type II (Richner-Hanhart Syndrome)
VATER Syndrome
Velo-cardio-facial Syndrome (VCFS)
Waardenburg's Syndrome, Type 1
Werdnig-Hoffman Disease
Williams Syndrome
Wilson Disease
Wolman Disease and Cholesteryl Ester Storage Disease
Xeroderma Pigmentosum

Milestones matter. Download the free CDC app to track your child's milestones.

Do you have questions about how your child under age 3 is growing or developing?

Visit the ECI Program Search page to find the local program in your area or call the HHS Office of the Ombudsman at 877-787-8999, select a language, then select Option 3.