Section 500.APPENDIX E   Medical Conditions Resulting in High Probability of Developmental Delay (not an exclusive list)

1.         Anomalies of Central Nervous System

Spina Bifida/Mylomeningolecele

Spina Bifida with Hydrocephaly

Anomalies of the Spinal Cord

Encephalocele

Hydroencephalapathy

Microencephaly

Congenital Hydrocephalus

Reduction Deformities of Brain, including but not limited to:

Absence

Agenesis

Agyria

Aplasia

Arhinecephaly

Holoprosencephaly

Hypoplasia

Lissencephaly

Microgyria

Schizencephaly

2.         Birth weight:  <1000 gm.

3.         Chromosomal Disorders (most common, not to be used as an exclusive list)

Trisomy 21 (Down's Syndrome)

Trisomy 13

Trisomy 18

Autosomal Deletion Syndromes

Fragile X Syndrome

Williams Syndrome

Angelmann's Syndrome

Prader-Willi Syndrome

4.         Congenital Infections

Toxoplasmosis

Rubella

Sytomegalovirus

Herpes Simplex with CNS involvement

5.         Neonatal Meningitis

6.         Cerebral Palsy

7.         Craniofacial Anomalies (Major)

Cleft Palate

8.         Disorders of the Sense Organs

Hearing loss of 30 decibels (dB) or greater at any two of the following frequencies: 500, 1000, 2000, 4000, and 8000 Hertz (Hz) involving one or both ears, or hearing loss of 35 dB or greater at any one of the following frequencies:  500, 1000, and 2000 Hz involving one or both ears.

Visual Impairment

Bilateral Amblyopia

Severe Retinopathy of Prematurity ROP 3+

Bilateral Cataracts

Myopia of 3 Dioptors or More

Albinism

9.         Disorders of the Central Nervous System

Hypsarrhythmia

Acquired Hydrocephalus

Stroke

Traumatic Brain Injury

Intraventricular Hemorrhage – Grade III, IV

Hypoxic Ischemic Encephalopathy (with organ failure, seizures, renal failure, cardiac failure)

Unspecified Encephalopathy

Spinal Cord Injury

Neonatal Seizures (secondary to asphyxia or hypoglycemia)

Central Nervous System Cysts

Central Nervous System Tumors

Periventricular Leukomalacia

10.       Inborn Errors of Metabolism

11.       Neuromuscular Disorders

Congenital Muscular Dystrophy

Myotonic Dystrophy

Werdnig-Hoffman (Spinal Muscular Atrophy)

Congenital Myopathy

Duchenne

12.       Pervasive Developmental Disorder/Autistic Spectrum

13.       Syndromes (*see further instructions for Division of Specialized Care for Children (DSCC) referral)

Cornelia de Lange

Lowe's

Rett

Rubenstein-Taybi

CHARGE (multiple anomalies)

VATER

14.       Fetal Alcohol Syndrome

Not just exposure to alcohol in utero or fetal alcohol effects, but a diagnosis of the syndrome

15.       Orthopedic Abnormalities

Brachioplexus at Birth

Caudal Regression

Proximal Focal Femoral Deformities

Partial Amputations

Holt-Oram

Acquired Amputations

Arthrogryposis Multiplex Congenita

Osteogenesis Imperfecta (*see further instruction for DSCC referral)

16.       Technology Dependent

Tracheostomy

Ventilator Dependent (*see further instruction for DSCC referral)

17.       Social Emotional Disorders

Attachment or Relationship Disorder

18.       Lead Poisoning (as defined in 77 Ill. Adm. Code 845.20) confirmed by a venous blood test

Children with medical conditions that are not listed may be determined eligible for services by a qualified family physician, pediatrician, or pediatric subspecialist (pediatric neurologist, geneticist, pediatric orthopedic surgeon, pediatrician with special interest in disabilities) who provides written verification that the child's medical condition is associated with a high probability of developmental delay as listed in eligibility criteria.

Children with undiagnosed medical conditions or who require further medical evaluation may be referred by Child and Family Connections (regional intake entity) for a medical diagnostic evaluation.

*    Referring to DSCC – Children with Cleft Palate, Orthopedic Abnormalities, or other potential DSCC-eligible diagnoses associated with physical disabilities should be referred to the DSCC.  DSCC may provide medical diagnostic support at no cost to the family.  Simultaneously Child and Family Connections offices should complete the intake process as usual.  DSCC will determine the type of ongoing assistance that they can provide.

(Source:  Amended at 44 Ill. Reg. 12739, effective July 20, 2020)