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Early Childhood Profile

OverviewHealthEarly 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

Percent of low-income children with a medical home, by insurance type, 2007

Percent of low-income children with a medical home, by insurance type, 20073

Income eligibility limit for public health insurance (Medicaid/CHIP) at or above 200% of the federal poverty level (FPL). [2009]4

  • Children <1 year
    Set eligibility at 280% (Medicaid)
  • Children ages 1-5 years
    Set eligibility at 275% (Medicaid)
  • Pregnant women
    Set eligibility at 275%
  • Immigrant children <1 year
    280% FPL - covers all or most legal immigrants
  • Immigrant children 1-5 years
    275% FPL - covers all or most legal immigrants
  • Immigrant pregnant women
    275% FPL - covers all legal and most undocumented immigrants
  • Provide temporary coverage to pregnant women under Medicaid until eligibility can be formally determined. [2010]5
  • Provide temporary coverage to children under Medicaid or CHIP until eligibility can be formally determined. [2010]5
  • 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]5

State Choices to Promote Quality

EPSDT screening periodicity schedule meets recommendations of American Academy of Pediatrics [FY 2008]2

  • 7 Screenings for children <1 year
    State requires 5 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. 73% of eligible screens were completed in 2008.
  • Require newborn screening for hearing deficiencies. [2010]7
  • Require newborn screening for 28 metabolic deficiencies/disorders recommended by the March of Dimes. [2010]8
OverviewEarly Care and Education

Data Notes and Sources

Last Updated: August 18, 2010

  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. 2009. The Annual EPSDT Report (Form CMS-416). www.cms.hhs.gov/MedicaidEarlyPeriodicScrn/03_StateAgencyResponsibilities.asp (accessed November 18, 2009)
  3. 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).
  4. Ross, Donna Cohen; Marks, Caryn. 2009. A Foundation for Health Reform: Findings of a 50 State Survey of Eligibility Rules, Enrollment and Renewal Procedures, and Cost-Sharing Practices in Medicaid and CHIP during 2009. Kaiser Commission on Medicaid and the Uninsured, The Henry J. Kaiser Family Foundation. http://www.kff.org (accessed February 28, 2010).
  5. Georgetown University Health Policy Institute, Center for Children and Families. 2010. State Medicaid and CHIP Programs, May 1 2010 Snaphshot. http://ccf.georgetown.edu (accessed August 13, 2010).
  6. 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.
  7. National Newborn Screening and Genetics Resource Center. 2010. National Newborn Screening Status Report. http://genes-r-us.uthscsa.edu (accessed August 13, 2010). http://www.marchofdimes.com (accessed August 13, 2010).
  8. The March of Dimes recently added a 29th newborn metabolic screen to their list of reccomended screens. This screen for severe immunodeficiency will be included in future ITO updates.
    National Newborn Screening and Genetics Resource Center. 2010. National Newborn Screening Status Report. http://genes-r-us.uthscsa.edu (accessed August 13, 2010). http://www.marchofdimes.com (accessed August 13, 2010).