EFMP With a Baby or Toddler: Enrolling and Moving
EFMP, the Exceptional Family Member Program, covers a child from birth who is eligible for, or already receiving, early intervention through an individualized family service plan (IFSP). If your baby or toddler is in early intervention, enrollment is mandatory for the service member, not optional. It means the child’s needs are weighed when your next assignment is coordinated. The move itself is the part to plan: early intervention runs through a state’s Part C program in most US locations and through the military’s EDIS program overseas, so the IFSP has to travel with you, by hand.
What EFMP is, in one paragraph
Military OneSource describes the Exceptional Family Member Program as a program “that provides comprehensive support and services to military families with special medical or educational needs.” Each service runs its own version under DoD Instruction 1315.19, and the program has three parts that work together: identification and enrollment, assignment coordination, and Family Support.
The definition that matters for a house with small kids is the education one. A family member with special needs includes a “Child (birth through age 21) with special education needs who is eligible for, or receives, early intervention services through an individualized family service plan.” So a one-year-old seeing a speech therapist through early intervention already fits. EFMP isn’t reserved for the rare diagnosis.
Enrollment: who starts it, and why it’s mandatory
The same page is plain on both points: “EFMP enrollment is mandatory for service members who have a family member with a special medical or educational need. Enrollment ensures the family’s needs are considered during the assignment process.”
You usually don’t start enrollment from a blank form. Military OneSource says “your medical provider or staff from early intervention services or your child’s school will provide support and help to coordinate your family’s enrollment.” The forms and steps differ by service, so take them from your installation’s EFMP office, not from another family’s checklist.
Two things worth asking about while you’re in there:
- TRICARE ECHO. While enrolling, Military OneSource says you can “request a referral to TRICARE to request a review for eligibility for the TRICARE Extended Care Health Option.” Whether your child qualifies is TRICARE’s call.
- Respite care. Families enrolled in EFMP “may receive respite care through their branch of service’s EFMP respite care program if they meet eligibility requirements.” The page says that, depending on the family member’s level of need, a family “may receive 20 or 32 hours of respite care each month.” Eligibility is reviewed through the EFMP Family Support office. For a parent running a toddler’s therapy schedule alone during a deployment, that review is worth the time it takes.
Assignments are still driven by the mission. What enrollment changes is that your child’s needs are on the table when the next one is coordinated.
How enrollment shapes the next assignment
Military OneSource lists what the stateside (CONUS) assignment coordination process weighs: “Availability of appropriate medical staff”, “Distance to care”, “Wait time for medical providers”, “Severity of the family member’s need” and “Frequency of care”.
For a toddler in early intervention, frequency of care is usually the factor that matters most, since therapy can be weekly or more. Two rules from the same page are worth knowing before orders arrive:
- For CONUS assignments, “notifications will include the reason for the decision.”
- “Service members can request a second review of the decision within 14 business days of receiving their assignment notification.”
Fourteen business days goes quickly in a house with a toddler, so read the notification the day it arrives.
The move: Part C in the States, EDIS overseas
Stateside, early intervention is Part C. The Military OneSource page for EFMP and early intervention at Kadena Air Base explains that “All states and territories must provide early intervention services to children who have, or are at risk for having, developmental delays, from birth to their third birthday.” It adds that in most CONUS locations, “local school districts or health departments provide these early intervention services,” under a name that varies by state, often shortened to Part C after the section of the law that covers it.
So a stateside-to-stateside move means leaving one state’s program and applying to the next one. Your IFSP doesn’t transfer on its own.
Overseas, it’s EDIS. The same page: “If you are moving OCONUS or to a CONUS location with a DoWEA school (and you live on installation), your child will receive EIS through the War Department’s Educational and Developmental Intervention Services, or EDIS, program.” At Kadena it says children from birth to three “with a qualifying medical diagnosis or developmental delay are eligible,” and that “Referrals to EDIS can come from medical providers or the families themselves.” So you can call EDIS yourself. Check the details with the EDIS office at your gaining location, because programs differ.
The overseas half of the move (passports, pets, the long flight) is covered in the OCONUS PCS with kids guide. EFMP adds one more long-lead item to it.
The hand-carry folder
The single most practical line on the official page is this one: “When moving, you should hand carry copies of your child’s most current individual family service plan, or IFSP, and the most current evaluation reports to your new home to ensure they are not lost.”
Hand-carry means in the bag you can reach on the plane, not in the household goods shipment, and not in a box marked “office.” Build one folder:
- the current IFSP and the most recent evaluation reports;
- contact details for the current early intervention team and the pediatric clinic;
- your EFMP enrollment paperwork and anything showing the date it was completed;
- a short page in your own words: what therapy your child gets, how often, and what’s working.
An expanding file with a flap closure, such as the Smead Poly Expanding File, keeps all of that in one place that survives a carry-on.
The warm handoff, and who to call
EFMP Family Support is the part of the program you’ll actually talk to. Military OneSource says there is a Family Support center on most installations, providing “Information about early intervention and local school services” and a “Warm handoff to the EFMP program at the next location.” It also says families can contact their EFMP Family Support provider “to request a warm handoff to the gaining installation to ease their PCS transition.”
Ask for that handoff early, before you’re trying to sort out lodging. Then add the EFMP office to your own move list. The PCS checklist has the timeline it slots into, and the school side for an older sibling (records, the school liaison, IEPs) is in the military school transfer checklist. Military OneSource also offers free special needs consultations, at 800-342-9647, if you’d rather talk it through with someone outside your chain.
FAQ: EFMP with a young child
Does my baby need EFMP if they’re only in early intervention?
Military OneSource’s definition includes a child from birth who is eligible for, or receives, early intervention services through an IFSP, and enrollment is mandatory for service members with a family member who has a special medical or educational need. Confirm with your installation’s EFMP office how your branch applies it to your child.
Will EFMP hurt my career?
Assignments are still driven by the mission. Enrollment means your family member’s needs are considered when an assignment is coordinated. If a CONUS assignment decision doesn’t fit your family, you can request a second review within 14 business days of the notification.
What happens to early intervention when we move overseas?
If you move OCONUS, or to a stateside location with a DoD school where you live on the installation, early intervention comes through EDIS rather than a state Part C program. Hand-carry the current IFSP and evaluation reports, and contact EDIS at the gaining location. Parents can refer their own child.
What happens at age three?
Part C early intervention runs from birth to the third birthday. After that, services for an eligible child move to special education through the school system, under an IEP rather than an IFSP. Start that conversation with your current team well before the third birthday, especially if a move falls near it.