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Early Childhood Profile

OverviewHealth and NutritionEarly Care and Education

State Choices to Promote Access

Young children who lack health insurance, 2008

Young children who lack health insurance, 20081

Percent of eligible children who received at least one EPSDT* screening, by age, 2008

Percent of eligible children who received at least one EPSDT* screening, by age, 20082

Income eligibility limit for public health insurance (Medicaid/CHIP) at or above 200% of the federal poverty level (FPL). [2009]3

  • Children <1 year
    State eligibility set at 250% FPL (CHIP)
  • Children ages 1-5 years
    State eligibility set at 250% FPL (CHIP)
  • Pregnant women
    State eligibility set at 200% FPL
  • Immigrant children <1 year
  • Immigrant children 1-5 years
  • Immigrant pregnant women
    State eligibility set at 200% FPL - covers all legal and most undocumented immigrants
  • Provide temporary coverage to pregnant women under Medicaid until eligibility can be formally determined. [2009]4
  • Provide temporary coverage to children under Medicaid or CHIP until eligibility can be formally determined. [2009]4
  • Include at-risk children in the definition of eligibility for IDEA Part C. [2009]5
  • Does not require redetermination of eligibility for Medicaid/CHIP more than once a year [2009]4

State Choices to Promote Quality

EPSDT screening periodicity schedule meets recommendations of American Academy of Pediatrics [2009]2

  • 7 Screenings for children <1 year
    State requires 6 screens. 100% of eligible screens were completed in 2008.
  • 4 Screenings for children 1-2 years
    State requires 4 screens. 100% of eligible screens were completed in 2008.
  • 3 Screenings for children 3-5 years
    State requires 3 screens. 86% of eligible screens were completed in 2008.
  • Require newborn screening for hearing deficiencies. [2009]6
  • Require newborn screening for the 28 metabolic deficiencies/disorders recommended by the March of Dimes. [2009]6
OverviewEarly Care and Education

Data Notes and Sources

Last Updated: December 4, 2009

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  1. State data were calculated from the Annual Social and Economic Supplement (the March supplement) of the Current Population Survey from 2007, 2008, and 2009, representing information from calendar years 2006, 2007, and 2008. NCCP averaged three years of data because of small sample sizes in less populated states. The national data were calculated from the 2009 data, representing information from the previous calendar year.
  2. U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, The Annual EPSDT Report (Form CMS-416), 2009, www.cms.hhs.gov/MedicaidEarlyPeriodicScrn/03_StateAgencyResponsibilities.asp (accessed November 18, 2009)
  3. Donna Cohen Ross and Caryn Marks, Challenges of Providing Health Coverage of Children and Parents in a Recession: A 50-State Update on Eligibility Rules, Enrollment and Renewal Procedures, and Cost-Sharing Practices in Medicaid and SCHIP in 2009, Kaiser Commission on Medicaid and the Uninsured, January 2009 http://www.kff.org (accessed February 16, 2009). "New Option for States to Provide Federally Funded Medicaid and CHIP Coverage to Additional Immigrant Children and Pregnant Women. Kaiser Commission on Key Facts, The Henry J. Kaiser Family Foundation. July 2009. http://www.kff.org (accessed November 11, 2009)
  4. Donna Cohen Ross and Caryn Marks, Challenges of Providing Health Coverage of Children and Parents in a Recession: A 50-State Update on Eligibility Rules, Enrollment and Renewal Procedures, and Cost-Sharing Practices in Medicaid and SCHIP in 2009, Kaiser Commission on Medicaid and the Uninsured, January 2009 http://www.kff.org (accessed February 16, 2009).
  5. The Early Intervention Program for Infants and Toddlers with Disabilities (Part C) section of The Individuals with Disability Education Act (IDEA) provides early intervention services to children and families age 0-2yrs. Nationally, an average of 2.53% of children ages 0-2 are served.
    U.S. Department of Education, Office of Special Education Programs, Data Analysis System (DANS). 2008. Infants and Toddlers Receiving Early Intervention Services in Accordance with Part C.
  6. National Newborn Screening and Genetics Resource Center. 2009. National Newborn Screening Status Report. http://genes-r-us.uthscsa.edu (accessed October 23, 2009).