| Overview | Health | Early Care and Education |
State Choices to Promote Access
Income eligibility limit for public health insurance (Medicaid/CHIP) at or above 200% of the federal poverty level (FPL). [2010]4
- Children <1 year
State eligibility set at 200% FPL (Separate State CHIP Program) - Children ages 1-5 years
State eligibility set at 200% FPL (Separate State CHIP Program) - Pregnant women
State eligibility set at 200% FPL (Medicaid) - Immigrant children <1 year
200% FPL - covers all or most legal immigrants - Immigrant children 1-5 years
150% FPL - covers all or most legal immigrants - Immigrant pregnant women
200% FPL - covers all or most legal immigrants
- Provide lawfully residing immigrant children with Medicaid/CHIP coverage without 5-year waiting period [2010]5
- Provide lawfully residing pregnant immigrant women with Medicaid/CHIP coverage without 5-year waiting period [2010]5
- Provide temporary coverage to pregnant women under Medicaid until eligibility can be formally determined. [2010]4
- Provide temporary coverage to children under Medicaid or CHIP until eligibility can be formally determined. [2010]4
- Include at-risk children in the definition of eligibility for IDEA Part C. [2009]6
- Do not require redetermination of eligibility for Medicaid/CHIP more than once a year [2010]4
True for Medicaid and CHIP
State Choices to Promote Quality
EPSDT screening periodicity schedule meets recommendations of American Academy of Pediatrics [FY 2009]7
- 7 Screenings for children <1 year
State requires 6 screens. 46% of eligible screens were completed in 2009. - 4 Screenings for children 1-2 years
State requires 4 screens. 100% of eligible screens were completed in 2009. - 3 Screenings for children 3-5 years
State requires 3 screens. 100% of eligible screens were completed in 2009.
- Require newborn screening for the 29 metabolic deficiencies/disorders recommended by the March of Dimes [2011]8
28 universally required by law or rule. Screen for hearing deficiency universally offered but not yet required.
| Overview | Early Care and Education |
Data Notes and Sources
Last Updated: September 26, 2011
Send us recent developments to update your state's profile.
- National data were calculated from the Annual Social and Economic Supplement (the March supplement) of the Current Population Survey from 2010, representing information from the previous calendar year. State data were calculated from the 2009 American Community Survey, representing information from 2009.
- U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services. 2009. The Annual EPSDT Report (Form CMS-416). www.cms.hhs.gov/MedicaidEarlyPeriodicScrn/03_StateAgencyResponsibilities.asp (accessed November 18, 2009)
- Child and Adolescent Health Measurement Initiative. 2007 National Survey of Children's Health, Data Resource Center for Child and Adolescent Health. www.nschdata.org. (accessed February 28, 2010).
- Heberlein, Martha; Brooks, Tricia; Guyer, Jocelyn; Artiga, Samantha; and Stephens, Jessica. 2011. Holding Steady, Looking Ahead: Annual Findings of a 50-State Survey of Eligibility Rules, Enrollment and Renewal Procedures, and Cost Sharing Practices in Medicaid and CHIP, 2010-2011 Kaiser Commission on Medicaid and the Uninsured, The Henry J. Kaiser Family Foundation. http://www.kff.org (accessed February 16, 2011)
- Some states might offer this coverage through Medicaid alone, or through Medicaid and CHIP
Heberlein, Martha; Brooks, Tricia; Guyer, Jocelyn; Artiga, Samantha; and Stephens, Jessica. 2011. Holding Steady, Looking Ahead: Annual Findings of a 50-State Survey of Eligibility Rules, Enrollment and Renewal Procedures, and Cost Sharing Practices in Medicaid and CHIP, 2010-2011 Kaiser Commission on Medicaid and the Uninsured, The Henry J. Kaiser Family Foundation. http://www.kff.org (accessed February 16, 2011) - 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. - U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services. 2010. The Annual EPSDT Report (Form CMS-416). Accessed February 18, 2010, from https://www.cms.gov
- National Newborn Screening and Genetics Resource Center. 2011. National Newborn Screening Status Report. http://genes-r-us.uthscsa.edu (accessed September 14, 2011). http://www.marchofdimes.com (accessed September 14, 2011).