Northeastern Kentucky KEIS · Formerly First Steps

Early support for every child's first steps.

Developmental services for children birth to age 3 and their families, delivered where your child already learns — at home, at daycare, on the playground.

Anyone can refer · Screenings are always free

A parent gently holding an infant's hand in soft natural light
00 — What is KEIS?

Kentucky's Early Intervention System (KEIS) is Kentucky's response to the federal Infant-Toddler Program, administered by the Department for Public Health within the Cabinet for Health and Family Services.

Comprehensive services are delivered through a network of community agencies and disciplines — developmental specialists, therapists, and family coaches working together to support each child's growth.

01 — Core Services

Developmental services built around the individual child.

01 / DEVELOPMENT

Developmental Intervention

Coached support to help your child meet milestones in cognition, communication, and self-help skills.

02 / DAILY SKILLS

Occupational Therapy

Building everyday skills — feeding, dressing, play — to help your child engage with the world.

03 / PHYSICAL

Physical Therapy

Strengthening movement, balance, and coordination through guided, age-appropriate activity.

04 / COMMUNICATION

Speech Therapy

Supporting expressive and receptive language so your child can connect, ask, and be understood.

A father carrying his giggling toddler on his shoulders in a sunlit backyard
02 — Our Approach

Therapy that fits into real life.

Personalized environment

Intervention happens where your child feels most comfortable — usually right at home.

Family-centered

Family members are directly involved, learning strategies to support development through everyday routines.

Natural learning moments

Therapists embed techniques into meal time, playtime, and bedtime — real life as the classroom.

Continuity

Families practice strategies consistently in the child's natural environment, fostering long-term success.

Less disruption

No travel to a clinic. We work around your family's schedule — even at daycare.

Community linkage

Families receive connections to other valuable community resources and programs along the way.

Everyday Moments

The classroom of early childhood.

A toddler stacks colorful wooden blocks on a rug while a parent steadies them
A mother reading a picture book to her baby on a sunlit rug
A toddler laughing while a parent claps along in a sunlit living room
A laughing child on a backyard swing pushed by a parent
A baby crawls across a wooden floor toward a smiling parent

Everyday moments — where development happens.

03 — Eligibility

Three paths to qualify.

KEIS serves children from birth to age 3 and their families. A child may be eligible in one of three ways:

01

Developmental delay

An evaluation shows the child is not developing typically in at least one of the measured skill areas: communication, cognition, physical, social-emotional, or self-help.

02

Established risk condition

The child is diagnosed with a physical or mental condition likely to result in developmental delay, such as Down Syndrome.

03

Informed clinical opinion

An approved multidisciplinary team of professionals determines the child is in need of services based on their clinical expertise.

04 — Cost

Always free to start.

All screenings are free. Ongoing services are typically free or low cost. Families enrolled are assessed for ability to help with the cost of services through a sliding scale.

About Family Share

  • — Monthly fees are calculated on a sliding scale ranging from no cost up to $400 per month, based on one child only — regardless of how many siblings are enrolled or how many services your child receives.
  • — Families may waive the Family Share fee while consent to bill private insurance is active.
  • — You always have the right to refuse any service, to have the Family Share cost assessed, and to refuse consent for billing private insurance.
05 — Points of Entry

Where we serve.

Northeastern Kentucky is served by two regional Points of Entry. Call the office that covers your county — or submit a referral and we'll route it to the right team.

FIVCO District

BoydCarterElliottGreenupLawrence
Fax
(606) 929-9833
Office
5850 US Route 60, Box 11
Summit Plaza
Ashland, KY 41102

Gateway District

BathMenifeeMontgomeryMorganRowan
Fax
(606) 674-8390
Office
68 Oberline Street
Owingsville, KY 40360
Program Administrator

Clorissa McConnell, M.A.

KEIS Program Administrator · FIVCO & Gateway Points of Entry

  • KIDS Safe Sleep Certified Instructor
  • NEKY Foster Ambassador
  • PCAKY Upstream Trainer
In partnership with
  • Gateway District Health Department
  • Team Kentucky — Cabinet for Health & Family Services
  • Kentucky Public Health
A toddler taking first wobbly steps toward a smiling parent on a soft rug
Voices of Families
Our therapist met us right in our living room. Within a few months our son was babbling, then signing, then saying his first words. KEIS gave our family the tools — and the confidence — to keep going.

— A Northeastern Kentucky parent

Frequently Asked

Quick answers.

Who can make a referral?

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Anyone — parents, grandparents, doctors, childcare providers, or even a concerned neighbor. You don't need a diagnosis to refer.

How old does my child have to be?

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KEIS serves children from birth up to their third birthday. Earlier referrals mean more time for support.

How much does it cost?

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Screenings and evaluations are always free. Ongoing services are billed on a sliding scale (Family Share) — many families pay nothing at all.

Where do services happen?

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In your child's natural environment — usually at home, sometimes at daycare or a relative's house. We come to you.

How long does it take to get started?

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Once a referral is received, federal regulations require evaluation and an Individualized Family Service Plan within 45 days.

06 — How to Refer

Anyone can refer a child.

Parents, doctors, childcare providers, or family friends. If you have a concern about a child's development, that's enough to start.

01

Submit a referral

Fill out the online form, or call the Point of Entry for your county.

02

Evaluation

Our team meets with you to understand your child's strengths and where extra support could help.

03

IFSP

If eligible, we build an Individualized Family Service Plan around your family's daily life and goals.