Initial and Annual Eligibility Determination

ASSESSMENT INSTRUMENTS

DEVELOPMENTAL AREA/TEST NAME DISCIPLINE(S)

Cognitive

¨ Bayley Scales of Infant Development-Mental

¨ Functional Emotional Assessment Scales (FEAS)

¨ Infant Toddler Sensory Profile

¨ Pediatric Evaluation of Disability Inventory (PEDI)

¨ Test of Sensory Functioning in Infants

¨ Vineland Adaptive Behavior Scales (VABS)

A professional with training and credentials

and meeting the requirements specified by the

particular test instrument.

Motor

¨ Alberta Infant Motor Scale

¨ Bayley Scales of Infant Development- Motor

¨ Erhardt Developmental Test of Prehension

¨ Gross Motor Functional Measures (must be used in combination with a tool that provides age equivalents or % delay)

¨ Peabody Developmental/ Motor Test 2

¨ Test of Infant Motor Performance (TIMP)

¨ TIME: Miller

A professional with training and credentials

and meeting the requirements specified by the

particular test instrument.

Communication

¨ Callier-Azusa Scale

¨ Communication & Symbolic Behavior Scales (CSBS) ( must use all 3 portions: Infant Toddler Checklist, Caregiver Questionnaire, & Behavioral Sample)

¨ Early Language Milestone Scales (ELM-2)

¨ McCarthy Communicative Developmental Inventory

¨ Non-Speech Test

¨ Pre-School Language Scale (PLS 3 or 4)

¨ Receptive Expressive Emergent Language Scale (REEL)

¨ Reynell Developmental Language Scales-American Version

¨ Rosetti Infant Toddler Language Scale

¨ Sequenced Inventory of Communication Development (SICD)

¨ SKI-HI Learning Development Scales (Hearing Impaired

0-3)

Articulation (must be used in combination with one of the approved communication tools for evaluation & assessment)

¨ Assessment of Phonological Processes-R (English & Spanish)

¨ Goldman-Fristoe Test of Articulation

¨ Hodson Phonological Screening

¨ Paden Phonological Screening

¨ Spanish Articulation Measure (SPAM)

A professional with training and credentials

and meeting the requirements specified by the

particular test instrument.

Social/Emotional

¨ Achenbach Child Behavior Checklist

¨ Carey Temperment Scales (must be used with tool that provides age equivalents or % delay)

¨ Early Coping Inventory

¨ Functional Emotional Assessment Scale (FEAS)

¨ Infant-Toddler Social and Emotional Assessment (ITSEA)

¨ Vineland Social Emotional Early Childhood Scale

A professional with training and credentials

and meeting the requirements specified by the

particular test instrument.

Adaptive

¨ Early Coping Inventory

¨ Functional Emotional assessment Scales (FEAS)

¨ Functional Independence Measures (WEE FIMS)

¨ Infant Toddler Sensory Profile

¨ Pediatric Evaluation of Disability Inventory (PEDI)

¨ Test of Sensory Functioning in Infants

¨ Vineland Adaptive Behavior Scales

A professional with training and credentials

and meeting the requirements specified by the

particular test instrument.

Global

¨ Assessment Evaluation & Programming System (AEPS)

¨ Alpen-Boll Developmental Profile II

¨ Batelle Developmental Inventory

¨ Carolina Curriculum for Infants and Toddlers

¨ Child Developmental Inventory (CDI)

¨ Early Learning Accomplishment Profile (ELAP)

¨ Infant Development Inventory (IDI)

¨ INSITE (for visually impaired)

¨ Hawaii Early Learning Profile (HELP)

¨ Infant Toddler Developmental Profile (IDA)

¨ Mullen Scales of Early Learning (MSEL)

¨ Reynell-Zinkin Scales: Developmental Scales for Young Handicapped Children

¨ Transdiscplinary Play Based Assessment (TPBA)

A professional with training and credentials

and meeting the requirements specified by the

particular test instrument.

Hearing

¨ Conditioned Play Audiometry (CPA)

¨ Otoacoustic Emissions (OAE)

¨ Speech Awareness Thresholds (SAT)

¨ Speech Discrimination Test

¨ Visual Reinforcement Audiometry (VRA)

A professional with training and credentials

and meeting the requirements specified by the

particular test instrument.

Vision

¨ Erhardt Developmental Test of Vision

¨ The Oregon Project Global Assessment Tool (assessment only)

A professional with training and credentials

and meeting the requirements specified by the

particular test instrument.

Other

¨ Autism Diagnostic Observation Scale (assessment)

NOTE: If a provider requests permission to use a tool not on this list, the CFC should submit the request

to their developmental pediatrician consultation contractor. The developmental pediatrician consultation contractor

should review the tool and submit their findings and recommendations to DHS for a decision about

whether or not to add the tool. DHS will then notify all CFCs regarding the final decision.