This study seeks an understanding of the opportunities and challenges involved in providing home based early intervention services for children with disabilities in Saudi Arabia (SA), from the perspective of early intervention specialists. A qualitative approach was implemented involving semi-structured interviews with eight (8) participants who were specialists in early intervention with experience of the provision of home based services. The thematic approach was applied for data analysis. The results identify several opportunities, including flexibility, family participation, financial return, developmental advancement, family wishes, use of surrounding environment and daily routines, and use of reliable programmes. The study also indicated certain challenges present relating to high expectations from families, the preparation and professional training of specialists, ministry input, lack of cooperation from families, and transportation issues. The findings of this study have several important implications for future practice.