Any infant or toddler living in Iowa can have an evaluation for development through Early ACCESS. The evaluation can be completed once the child is born until the child is three years old.

Early ACCESS services can take place if:

  • A child has a diagnosed and documented physical or mental condition that has a high probability of resulting in a developmental delay


  • A child experiences at least a 25% or greater delay in one or more areas of development. Common areas are talking, moving, seeing, listening, thinking, eating, or playing.

Click here to read more about Early ACCESS eligibility criteria.

For diagosed physical or mental conditions that have a high probability for causing delays in development, visit Colorado's Established Condition Database.  This database is used by Iowa Early ACCESS when determining eligibility.  Note, the following differences in Colorado and Iowa's eligiblity:

  • Children born less than 32 weeks gestation OR with a very low birth weight of 1500 grams (3 pounds 5 ounces) qualify for Early ACCESS
  • Children with diagnosed blood lead level of 20 ug/dL qualify for Early ACCESS
  • Children witn unilateral or bilateral hearing loss qualify for Early ACCESS  


What happens when a child turns 3?

  • If a child is currently working with Early ACCESS, the Area Education Agency staff will work with the family to determine if the child is eligible for Early Childhood services. If eligible, a Transition Plan will guide families to Early Childhood.

    Early Childhood is similar to Early ACCESS. Early Childhood works with children on the skills needed for school. Services are provided by Area Education Agency staff and most often at a local preschool. Children can continue receiving services in Iowa until they start school.
  • If a child is not currently working with the Area Education Agency and is interested in Early Childhood services, contact the Iowa Family Support Network to request an Early Childhood evaluation.


Last Updated: Nov 20, 2017