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services at all times, e.g., medically fragile, attention deficit, etc. To be considered a child with a special need, the child must have one or more of the following conditions which are not related to chronological age:

1. Emotional impairment: including behavioral impairment, requiring special equipment or assistance; 2. Developmental age level lower than chronological age and requires assistance via special supervision; 3. Movement impairment: requires assistance or unable to move; 4. Sensory impairment: requires special environmental modifications or assistance; 5. Speech impairment: requires special equipment or assistance; 6. Hygiene: requires assistance or special equipment; 7. Feeding: requires special equipment or assistance; 8. Toileting: requires assistance or special equipment; 9. Medical conditions: requires respiratory aids or special procedures; 10. Therapy required: physical, occupational, speech, or respiratory; 11. Medications: requires assistance or special procedures.

Childhood diseases such as measles, chicken pox, flu, etc., are not considered special needs.

b) "Families with very low incomes": A family unit whose income is under 100% of the Federal Poverty Level. These individuals are eligible for child care without payment of a fee.

3.2.2 Describe how the Lead Agency will prioritize or target child care services for the following children and families. Effective Date: 10/01/2018

a) Identify how services are prioritized for children with special needs. Check all that apply: Prioritize for enrollment Serve without placing these populations on waiting lists Nebraska Page 87 of 314