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Kentucky’s Early Intervention System (KEIS) contracts with a variety of disciplines to provide early intervention services based on the outcomes identified on the Individualized Family Service Plan. Early interventionist specialties include:

Developmental intervention
Occupational therapy
Speech therapy
Physical therapy
Education for the visually impaired
Education for the hearing Impaired
Social work

All children and families who participate in early intervention services also receive service coordination, evaluation and assessment.

902 KAR 30.150 Personnel Qualification

902 KAR 30.160 Covered Services

How are Early Intervention Services Provided?

Research shows early intervention is more effective when the focus is on the adults in the child’s life –the parent, guardian and/or other caregivers. This works because children learn best from meaningful activities that happen in usual daily routines with familiar people. The early intervention visit is an opportunity for the parent, guardian or caregiver and the provider to work together as a team on activities that are important during the daily routines of the family. When families learn to help their child, learning can happen all day, every day, not just when the provider is with the family and child. First Steps providers use a coaching approach to help families and other caregivers support the child’s learning and development.

Coaching Families to Support Children’s Learning and Development

Coaching in Early Intervention Training and Mentorship Program Frequently Asked Questions (FAQ)

Early Intervention: A Routines-Based Approach - Part 1: Traditional vs Routines

How to Become an Early Intervention Provider for Kentucky

KEIS providers are independent contractors with the state.  KEIS providers, there are two options:  enroll with KEIS as an independent provider (agency of one) or enroll as a subcontractor or employee with an existing KEIS agency. 

If you are interested in becoming a First Steps provider or have questions regarding the
enrollment process, please email email Provider Enrollment

Guidance Documents

KEIS Policy and Procedure Manual
Doing Business with First Steps
KEIS Program Standards
Early Intervention Core Competencies
Early Intervention Provider Performance Standards
Early Intervention Provider Self-Assessment
KEIS Service Coordinator Performance Standards
KEIS Service Coordinator Self-Assessment

Early Childhood Data System (KEDS)
Adobe Connect

Provider Payment Information

Early Intervention Services are costly and depend upon a variety of funding sources for support. The Individuals with Disabilities Education Improvement Act of 2004 requires that Part C be the payor of last resort and requires that Part C funds only be used for early intervention services that an eligible child needs but is not currently entitled to under any other federal, state, local or private source. First Steps uses a variety of public and private resources to support the costs for early intervention services.

All resources for payment are explored prior to the use of early intervention funds and include:

Family Share participation fee;
Public health insurance (Medicaid);
Private health insurance;
State First Steps funds; and
Federal Part C funds.

The Department for Public Health is committed to processing your payments as quickly as possible. Though it is not our intent to delay processing payments, remember that we are obligated to provide payment within 30 days of receipt of an accurate and properly submitted billing. As a business, you are responsible for managing your cash flow in order to meet your operating expenses within this allowable time frame.

2018 Pay Cycle Schedule

2019 Pay Cycle Schedule

902 KAR 30.200 Coverage and Payments for Services

TOTS Insurance Billing System (TIBS)

TIBS is an automated billing service through the TOTS system.  TIBS uses the information in a provider’s service log and accounts payable to bill electronically through Availity.  

If you are interested in enrolling in TIBS, please contact email First Steps to request an enrollment form.

After the state lead agency receives the TIBS enrollment form you will be enrolled into a TIBS training module that will give you additional tips on billing and submission of claims for processing. Once the certificate of completion for the TIBS training module is received your enrollment is complete. Email the certificate to First Steps Billing or fax to 502-564-0329.

Questions about the 1099 tax form?

By law, form 1099s must be mailed by January 30th each year. If you have not received your 1099 tax form or have questions about your form, please contact The Office of the State Controller at (502) 564-7227.

For more information on provider payment or billing, please contact: email First Steps Billing.