First Steps

Helping children develop and succeed, one step at a time.

Our Services

First Steps is Kentucky’s Early Intervention System (KEIS) that serves children from birth to age 3 who have a developmental delay or a particular medical condition that is known to cause a developmental delay. First Steps services are provided statewide and coordinated by the Cabinet for Health and Family Services.

Early Intervention means providing appropriate services and supports to families to enhance children’s growth and development. First Steps believes that all families know how their child best and are the primary decision makers.

What Services Are Available?

•Service Coordination
•Developmental intervention
•Occupational therapy
•Speech therapy
•Physical therapy
•Audiology services
•Vision services
•Social Work

Eligibility for services is determined
through a process of child and family

What Services Are Available?

Early Intervention services are provided in a child’s natural environment which includes their home, child care, or other community setting.

Referral Procedures

Make Contact

Once determined eligible, families must pay a participation fee. This is called “Family Share” and it is based on the family’s total household income and household size. The fee amounts range from $0 to a maximum of $100 per month.

Call the Therapist

First Steps uses a variety of funding sources including: Family Share Participation fees, private insurance and Medicaid. However, no family is denied services due to the lack of insurance or the inability to pay Family Share.

Schedule Appointment

Anyone can make a referral. For questions regarding program services or to make a referral to the First Steps program, contact the local First Steps Point of Entry (POE) office.

Point of Entry Contact Information

Barren River District

(270) 901-5749

(800) 642-6233

Allen, Barren, Butler, Edmonson, Hart, Logan, Metcalfe, Monroe, Simpson, Warren

Buffalo Trace District

(606) 564-3919

(800) 335-4249

Bracken, Fleming, Lewis, Mason, Robertson

Gateway District

(606) 674-3204

(800) 942-4358

Bath, Menifee, Montgomery, Morgan, Rowan

Kentucky River District

(606) 439-1325

(800) 328-1767

Breathitt, Knott, Lee, Leslie, Letcher, Owsley, Perry, Wolfe

Northern Kentucky

(859) 655-1195

(888) 300-8866

Boone, Campbell, Carroll, Gallatin, Grant, Kenton, Owen, Pendleton

Big Sandy District

(606) 886-4417

(800) 230-6011

Floyd, Johnson, Magoffin, Martin, Pike

Cumberland Valley District

(606) 523-0229

(800) 509-9559

Bell, Clay, Harlan, Jackson, Knox, Laurel, Rockcastle, Whitley

Green River District

(270) 852-2905

(888) 686-1414

Daviess, Hancock, Henderson, McLean, Ohio, Union, Webster

Lake Cumberland District

 (606) 678-2821

(800) 378-2821

Adair, Casey, Clinton, Cumberland, Green, McCreary, Pulaski, Russell, Taylor, Wayne

Pennyrile District

 (270) 886-5186

(800) 609-0047

Caldwell, Christian, Crittenden, Hopkins, Lyon, Muhlenburg, Todd, Trigg

Bluegrass District


(800) 454-2764

Anderson, Bourbon, Boyle, Clark, Estill, Fayette, Franklin, Garrard, Harrison, Jessamine, Lincoln, Madison, Mercer, Nicholas, Powell, Scott, Woodford

FIVCO District

(606) 929-9155

(800) 650-1329

Boyd, Carter, Elliott, Greenup, Lawrence

Kentuckiana District

(502) 459-0225

(800) 442-0087

Bullitt, Henry, Jefferson, Oldham, Shelby, Spencer, Trimble

Lincoln Trail District

(270) 737-5921

 (800) 678-1879

Breckenridge, Grayson, Hardin, Larue, Marion, Meade, Nelson, Washington

Purchase District

(270) 442-6223

 (800) 678-6599

Ballard, Carlisle, Calloway, Fulton, Graves, Hickman, Livingston, Marshall, McCracken


Providing Trauma Informed Care for Breathitt, Knott, Lee, Leslie, Letcher, Owsley, Perry, and Wolfe Counties

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