In establishing a system of family-centered early intervention services, it is essential to bridge gaps between the needs voiced by families and the policies that drive the delivery of services. This article discusses the findings of a qualitative study involving six states regarding the state-level policy- and organization-centered strategies that are compatible with the needs identified by families of young children with disabilities. Families of Part H-eligible children participated in focus groups and the three priorities they perceived are identified and linked with examples of state-level policies that address the priorities. Challenges states face in meeting parent priorities are discussed, followed by federal recommendations to support family-centered, coordinated service systems.