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In NH Family-Centered Early Supports and Services (FCESS) are delivered by contractual agreements between Bureau of Developmental Services and designated non-profit and specialized service agencies located throughout the state.

Anyone who is concerned about an infant or toddler's development, including a parent, may make a referral to FCESS. The program is designed for children birth through age three who have a diagnosed, established condition that has a high probability of resulting in delay, are experiencing developmental delays, or are at risk for substantial developmental delays if supports and services are not provided.

FFY19 Annual Performance Report
New Hampshire’s (NH’s) Part C, Family Centered Early Supports and Services (FCESS) State Performance Plan (SPP)/Annual Performance Report (APR) and OSEPs determination letter is available for review on the IDEA Office of Special Education Program’s (OSEP) website. Once you select New Hampshire on the drop down, you can view the “2021 SPP/APR and State Determination Letters PART C – New Hampshire”, issued on June 22, 2021, and a word document of NH’s 2021 SPP/APR Submission for Part C. The SPP/APR describes how the department made determinations for Grant Year 2019-2020. Also available is OSEP’s response to the NH’s SPP/APR 2021 submission Adobe Acrobat Reader Symbol.

Family-centered early supports and services are provided within a child's home or where a child spends time. In this way, a child and family are better able to participate and become more actively involved in their community.

Family-centered early supports and services are provided in all communities throughout NH and can include any of the supports and services listed below:

  • Family Support, Education and Counseling
  • Vision Services
  • Hearing Services
  • Health and Nursing Services
  • Medical and Diagnostic and Evaluation Services
  • Nutrition Counseling & Assessment
  • Occupational Therapy
  • Physical Therapy
  • Special Equipment
  • Special Instruction
  • Speech and Language Therapy
  • Transportation Services
  • Service Coordination


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New Hampshire Department of Health and Human Services
129 Pleasant Street | Concord, NH | 03301-3852

copyright 2016. State of New Hampshire