This paper considers the use of parental fees and private insurance as sources of funding for early intervention services under Part H of Public Law 99-457, the 1986 amendments to the Education of the Handicapped Act. First, relevant legislative authorities are cited including the Maternal and Child Health Service Block Grant (1981) and guidelines to relevant sections of P.L. 99-457, Part H. The role of the financial counselor on the team developing services is stressed and a full job description provided. The paper then addresses sources of payment especially private insurance; the calculation of family financial responsibility (sample forms and tables provided), illustrated by three sample vignettes; and options for implementing payment for services identifying advantages and disadvantages of six progressive levels: (1) totally free care; (2) Medicaid is charged, but not private insurance nor parents; (3) Medicaid and private insurance are charged, and parents may need to pay for deductibles and co-insurance; (4) Medicaid and private insurance are charged and parents are charged for deductibles and co-insurance on a sliding scale; (5) Medicaid, private insurance, and clients are charged on a sliding fee scale; and (6) Medicaid, private insurance, and clients are charged on a sliding fee scale and parents have the additional option of paying privately for additional services. (DB)