The purpose of this study was to gain an understanding of six state-wide policies and procedures used in the family assessment process within early intervention services. This qualitative study examined the administrative understanding of the family assessment federal regulations, state policies and procedures, and local implementation from the perspective of the Part C coordinator in the state, using in-depth interviews that included six state Part C coordinators. Based on the findings of this study, two broad conclusions are offered, and recommendations are made for early interventionists in rural settings, Part C coordinators, and researchers in the area of family assessment.