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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.

FFY18 Annual Performance Report
New Hampshire’s (NH’s) Part C, Family Centered Early Supports and Services (FCESS) State Performance Plans (SPP) Letters and Annual Performance Report (APR) Letters are 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 2020 SPP/APR & State Determination Letters PART C – New Hampshire that was issued June 23, 2020 and describes how the department made determinations for Grant Year 2018-2019. Also available is OSEP’s Response to the SPP/APR Adobe Acrobat Reader Symbol and NH’s 2020 submission.

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