The Maryland Infants and Toddlers Program (MITP) provides a statewide, community based interagency system of comprehensive early intervention services to eligible infants and toddlers, from birth until the beginning of the school year following a child’s fourth birthday, and their families (Md. Code Ann., Educ. §8-416). The MITP is committed to starting early because research shows that the age at which a child begins high-quality interventions and supports is the greatest predictor for closing the gap in development between children who are Deaf or hard-of-hearing and their typically developing peers. In fact, early intervention services result in better language outcomes regardless of hearing status or even communication approach (Yoshinaga-Itano, 2003).