Our latest annual report gives an outline of the progress the project has made since it was renewed in September 2012. The report includes key highlights and milestones, as well as outlining barriers we have encountered and recommendations on addressing them. Our community-based diagnostic partnerships continue to lay the groundwork for providing families with access to an early and timely diagnostic system. Through persistent efforts and a willingness to overcome barriers, the teams involved with ADEP have lowered the average age of diagnosis in Ohio to 28.9 months of age, compared to the national average age of 4 years old. With this dedication, teams continue to change the ways in which families can receive an early diagnosis of ASD in the state of Ohio.