Appendix B - Personnel Qualified to Diagnose EIP Eligible Conditions

Condition Licensed Physician Nurse Practitioner80 Audiologist Optometrist Psychologist (licensed) Speech-Language Pathologist Licensed Clinical Social Worker
Cleft Palate X X          
Extreme Prematurity X X          
Angelman's X X          
CHARGE X X          
Down X X          
Edwards' X X          
Fetal Alcohol X X          
Fragile X X X          
Patau's X X          
Prader-Willi X X          
Neuromuscular/Musculoskeletal Disorders
Congenital Muscular Dystrophy X X          
Other Myopathies X X          
Werding-Hoffman Syndrome X X          
Spinal Cord Injury X X          
Lobster Claw X X          
Arthrogryposis X X          
Phocomelia X X          
Spina Bifida w/o hydrocephalus X X          
Central Nervous System (CNS) Abnormalities
Infantile Cerebral Palsy X X          
Infantile Spasms X X          
Encephalocele X X          
Microcephalus X X          
Reduction Deformities of Brain X X          
Congenital Hydrocephalus X X          
Cystic Periventricular Leukomalacia (CPVL) X X          
Intraventricular Hemorrhage (Grade IV) X X          
Kernicterus X X          
Multiple Anomalies of the Brain X X          
Hearing, Vision, and Communication Disorders
Retinopathy of Prematurity X X          
Conductive Hearing Loss X X X        
Sensorineural Hearing Loss X X X        
Mixed Conductive & Sensorineural Hearing Loss X X X        
Unspecified Anomalies of Ear w/ Hearing Impairment X X X        
Dyspraxia syndrome X X       X  
Blindness, both eyes X X   X      
Blindness one eye, low vision other eye X X   X      
Low vision both eyes (Mod. to severe) X X   X      
Optic Nerve coloboma (bilateral), congenital X X   X      
Optic Nerve coloboma (bilateral), acquired X X   X      
Aniridia X X   X      
Albinism X X   X      
Visual Deprivation Nystagmus X X   X      
Psychiatric/ Emotional/ Behavioral Disorders
Infantile Autism active state X X     X   X
Pervasive Developmental Disorder (PDD) X X     X   X
Prolonged Post Traumatic Stress Disorder X X     X   X
Emotional Disturbance of Childhood (Unspecified) X X     X   X
Attention Deficit Disorder w/o Hyperactivity X X     X   X
Attention Deficit Disorder with Hyperactivity X X     X   X

80A nurse practitioner may diagnose these conditions provided that the diagnosis is related to the nurse practitioner's specialty and competency. Otherwise, the nurse practitioner must refer the child and family to a licensed qualified professional with the training and expertise needed to make an appropriate diagnosis.

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