Rehabilitative daycare centers operate in accordance with The Rehabilitative Daycare Center Law, which expresses recognition of the necessity for early treatment intervention for toddlers with disabilities, and an understanding that the treatment provided to toddlers in their first years of life is of crucial importance for their future development.
- Click here to view a listing on the Ministry of Health website of rehabilitative daycare centers throughout the country.
Services Provide as Part of Rehabilitative Daycare
- Treatment according to a personalized plan - The center's professional treatment staff determines a personalized treatment plan for every toddler with disabilities, in consultation with a child development center or unit specializing in this as recognized by the Ministry of Health, and in accordance with the toddler's basket of services.
- Paramedical treatments - The toddler will receive developmental treatments (occupational therapy, speech therapy, physical therapy) from the center's professional staff. These treatments are provided with funding from the toddler's health plan and are instead of the paramedical treatments provided by the health plan. The daycare centers may also offer treatments or services beyond that which is established in the healthcare basket, but such treatments and services will be paid for by the parents.
- Additional assistance for toddlers with special medical needs - Toddlers with special medical needs are entitled to have additional hours of assistance from a medical aide or nurse in accordance with the type of medical limitation.
Transportation and Supervision
- According to the Safe Transportation for Children and Toddlers with Disabilities Law, a toddler with disabilities is entitled to transportation from his/her house, or a place close by, to the rehabilitative day care center and back. This must include the supervision of another adult in addition to the driver, according to the needs of the toddler and taking his/her disabilities into account.
- For more information on the supervision see Supervision During the Transportation of Children with Special Needs.
- The local authority or public organization that transports 5 (or more) children with disabilities in one vehicle, must ensure that the vehicle suits the children's types of disabilities. For more information see A Safe Vehicle must be used when Transporting Children with Special Needs.
- If a local authority has less than 5 children with disabilities that it needs to transport it should join with a nearby district in order to transport the children together in a safety vehicle. If there is not local district like this, the local authority (or public organization) can drive the children in a non-safety vehicle, on condition that the way the children sit or lay in the car doesn't impact the children's health or safety.
- The local authority can only drive a toddler with disabilities on condition that the child's guardian supplies a car seat for the ride.
Who is Eligible?
- Toddlers between six months and three years old who receive a Disabled Child Benefit.
- Toddlers between one year and three years old for whom one of the following applies:
- An assessment committee has found that the toddler has an intellectual disability.
- They have been recognized by the service for caring for the population with Autism and P.D.D..
- A recognized child development center has determined that the toddler has a significant developmental delay (on average a general functioning level of DQ55 and below. See also Disabled Child Benefit for Infants and Toddlers with Low Levels of Functioning).
- An authorized entity has determined that the toddler has visual impairment in both eyes which requires placement in rehabilitative daycare.
- An authorized entity has determined that the toddler has hearing impairment in both ears which requires placement in rehabilitative daycare.
- A committee (authorized on behalf of the Minister of Social Affairs and Social Services and the Minister of Health) has determined that due to severe limitations and special family circumstances, placement in rehabilitative daycare is necessary in order to prevent significant developmental harm.
- It has been determined that the toddler suffers from severe neurological damage manifesting itself in the form of severe motor dysfunction in at least two limbs.
- For further information regarding eligible populations, see:
How to Claim It?
- The parents must contact their local authority's social services office.
- A social services office social worker will submit the following documentation (according to the type of disability and relevant requirements) provided by the parents to the district rehabilitation division coordinator:
- Diagnostic report from a recognized child development center.
- Diagnostic report from an assessment committee which establishes that the toddler has an intellectual disability.
- Comprehensive social work report regarding the toddler and the family.
- National Insurance Institute approval of eligibility for a Disabled Child Benefit.
- Medical developmental report indicating that the toddler has one or more of the limitations detailed above.
- The district rehabilitation division coordinator will arrange a placement committee meeting, which will act in accordance with the medical report, the social work report and the other required documentation.
- If the medical report indicates that the toddler has visual impairment in both eyes, the placement committee will send the report on to a Blind Services Department ophthalmological specialist who will determine if the impairment causes significant developmental harm requiring placement in rehabilitative daycare.
- If the medical report indicates that the toddler has hearing impairment in both ears, the placement committee will send the report on to the Ministry of Health's Child Development and Rehabilitation Department director who will determine if the impairment causes significant developmental harm requiring placement in rehabilitative daycare.
- If the medical and social work reports indicate that the toddler has significant limitations and special family circumstances requiring placement in rehabilitative daycare in order to prevent significant developmental harm, the placement committee will send the medical and social work reports on to a senior assistant director of rehabilitation services in the Ministry of Social Affairs and Social Services via a rehabilitation services manager in the community. Their recommendation will be sent for approval from the Ministry of Health's Child Development and Rehabilitation Department director.
- The parents are responsibile for contributing toward the daycare according to the amounts detailed in this chart.
- The treatments that the health plans are obligated to provided are funded directly by the insured's health plan without any additional payment required from the parents.
- The parents' contribution may only be changed if, throughout the course of the year, there are changes related to the parents' family status, the number of members in the family, or the family's financial status.
- Children who do not meet the conditions of eligibility may be accepted to a rehabilitative daycare center under the "reduced coverage" framework which places children into daycare centers based on open spots.
- In such cases, the children will receive all of the treatments provided in the daycare center, but will not be entitled to receive the benefits included in the law, such as transportation and supervision to and from daycare. Additionally, the parents will be required to pay more to the Ministry of Social Affairs and Social Services and to the daycare center itself.
- Acceptance of children who do not meet the conditions of eligibility is contingent on them having undergone diagnosis at an authorized facility and receiving approval from an entity authorized by the Ministry of Health and the Ministry of Social Affairs and Social Services. Requests for this approval are submitted through the local authority's social services office.
- Toddlers with special needs may also be integrated with assistance into a regular daycare or play-group.
- For a comprehensive categorized listing of healthcare organizations offering assistance and support for people with disabilities, click here.
Laws and Regulations
- The Rehabilitative Daycare Center Law
- Rehabilitative Daycare Center Regulations (Licensing, Basket of Services for Toddlers with Disabilities and Conditions for their Care), 5766-2006
- Rehabilitative Daycare Center Regulations (Contributions from Those Who Owe Alimony for a Toddler with Disabilities), 5767-2006
- Provision 1.38 of the Social Work Regulations: Rehabilitative Daycare Center Law (Guidelines and Procedures for Establishing and Claiming Eligibility of a Toddler with Disabilities)
- Provision 8.10 of the Social Work Regulations: Placement of Toddlers in a Daycare/Childcare Center – Implementation of the Toddlers at Risk Law (The Right to Daycare), 5760-2000 and the Integration of Toddlers with Special Needs
- Appendix A in the Social Work Regulations - A chart detailing the amount parents must pay for daycare centers for their children (between age 0-3) who have intellectual/developmental disabilities, autism or blindness.
- The Ministry of Health: Health Insurance and Medical Services for Special Populations informational booklet (in Hebrew)
- Rehabilitative Daycare Centers on the Ministry of Health's "Kol HaBriut" website
- Original information based on an informational booklet from Kesher - Connecting Special Families.
- English translation and maintenance by The Shira Pransky Project.