Early Start includes four levels of service intensity:
- Level 1 - High need: Up to three hours of client contact per week, which includes direct contact (via home visits) and indirect contact (such as reviewing client case notes and health recordings, planning, and discussing cases)
- Level 2 - Moderate need: Up to three hours of home visiting per two-week period
- Level 3 - Low need: Up to one hour of home visiting per month
- Level 4 - Graduate: Up to one hour of contact (phone/home visitation) per three months
All families enter the program at Level 1 and move to higher levels over time based on their progress. Level changes are determined by home visitors in consultation with their supervisors.
Families can continue to receive services until the child reaches age 5.