School-based services help children with disabilities access the curriculum, but they only address needs that affect school participation. Unlike early intervention, which supports the whole child across daily routines, school-based therapy focuses on specific school tasks like handwriting, mobility in class, or peer communication. OT, PT, and SLP are provided only if tied to educational goals, and they typically don’t cover feeding, toileting, or home routines. 

Families may be able to continue receiving services through the Regional Center after early intervention if their child has a qualifying diagnosis under the Lanterman Act, such as autism, cerebral palsy, or intellectual disability. This provides access to lifelong supports. Families can also explore the Self-Determination Program, which offers more flexibility and choice in how services are used at home and in the community. 

Families may also be able to continue services through private insurance if their child has a formal medical diagnosis, such as autism, developmental delay, or a speech/language disorder. Coverage varies by plan, but insurance-funded services can include occupational therapy, physical therapy, and speech therapy provided in clinics or through home-based providers. A doctor’s referral and documentation of medical necessity are usually required. 

Families may qualify for continued services through California Children's Services (CCS) if their child has a qualifying physical disability or medical condition, such as cerebral palsy, spina bifida, or certain genetic or neurological disorders. CCS provides medical case management and access to specialty care, including therapies, equipment, and specialist visits. Eligibility is based on both medical diagnosis and family income or need.