| Overview | Health and Nutrition | 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). [2009]4
- Children <1 year
Set eligibility at 235% (Medicaid) - Children ages 1-5 years
Set eligibility at 235% (Medicaid) - Pregnant women
Set eligibility at 235% - Immigrant children <1 year
- Immigrant children 1-5 years
- Immigrant pregnant women
- 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
Meets the broad eligibility standard, and meets or exceeds serving the national average of children ages 0-2 participating in Part C. - Do 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 [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. 56% of eligible screens were completed in 2008. - 3 Screenings for children 3-5 years
State requires 3 screens. 67% 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
| Overview | Early Care and Education |
Data Notes and Sources
Last Updated: March 23, 2010
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- 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.
- 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)
- 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)
- 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. - National Newborn Screening and Genetics Resource Center. 2009. National Newborn Screening Status Report. http://genes-r-us.uthscsa.edu (accessed October 23, 2009).