Prelingual hearing loss greatly restricts a child’s language development, hindering his or her behavioral, cognitive and social functioning. Although technology such as hearing aids and cochlear implants are an option for providing access to sound, they fail to teach the child how to listen or attend, how to process language (whether visual or spoken), or how to produce language and communicate. Home visiting is widely recognized as a cost-effective intervention service delivery model. Home visiting programs for promoting language development in children who are diagnosed as deaf or hard of hearing have been in existence for over 50 years, yet – there is limited evidence of the effectiveness. This review was undertaken to assess the evidence of effectiveness of home visiting in children with prelingual hearing loss. While many studies have examined early intervention for children who are deaf or hard of hearing, few are published from named home visiting programs meeting the criteria for inclusion in this review. Well-designed studies from named home visiting program models designed to meet the needs of the target population are needed to examine the effectiveness of promoting language development within the context of a home visiting program for children who are deaf or hard of hearing and their families.