State Choices to Promote Access
- 42 states set the income eligibility limit for public health insurance (Medicaid/SCHIP) at or above 200% of the federal poverty level (FPL) for children ages birth to 5. [2008]1
- 20 states set the income eligibility limit for public health insurance (Medicaid/SCHIP) at or above 200% of the federal poverty level (FPL) for pregnant women. [2008]1
- 11 states set the income eligibility limit for public health insurance (Medicaid/SCHIP) at or above 200% of the federal poverty level (FPL) for working parents. [2008]1
- 30 states provide temporary coverage to pregnant women under Medicaid until eligibility can be formally determined. [2008]1
- 14 states provide temporary coverage to children under Medicaid or SCHIP until eligibility can be formally determined. [2008]1
- 6 states include at-risk children in the definition of eligibility for IDEA Part C. [2006]2
- 9 states supplement WIC funding. [2006]3
Young children who lack health insurance, 20064
Medicaid births as a percentage of total births, 20025
Young children, ages 3-5 years, on Medicaid receiving at least one EPSDT* screen in a 12-month period, 20056
State Choices to Promote Quality
- 7 states meet the national benchmark that 80% of children on Medicaid receive an annual health screening under EPSDT*. [2005]7
- 31 states require newborn screening for hearing deficiencies. [2007]8
- 20 states require newborn screening for the 28 metabolic deficiencies/disorders recommended by the March of Dimes. [2007]8
- 4 states use the Diagnostic Classification of Mental Health and Development Disorders of Infancy and Early Childhood (DC:0-3) when seeking Medicaid reimbursement. [2006]9
Data Notes and Sources
Last Updated: June 16, 2008
- Donna Cohen Ross, Aleya Horn, and Caryn Marks, Health Coverage for Children and Families in Medicaid and SCHIP: State Efforts Face New Hurdles: A 50-State Update on Eligibility Rules, Enrollment and Renewal Procedures, and Cost-Sharing Practices in Medicaid and SCHIP in 2008, Kaiser Commission on Medicaid and the Uninsured, January 2008 http://www.kff.org (accessed April 11, 2008).
- Jo Schackelford, State and Jurisdictional Eligibility Definitions for Infants and Toddlers with Disabilities under IDEA, NECTAC Notes, Issue No. 21, July, 2006.
- U.S.D.A., Food and Nutrition Services, Data reflect state appropriations for State Fiscal Years 2001 and 2006, personal email (received April 25, 2006).
- State data were calculated from the Annual Social and Economic Supplement (the March supplement) of the Current Population Survey from 2005, 2006, and 2007, representing information from calendar years 2004, 2005, and 2006. NCCP averaged three years of data because of small sample sizes in less populated states. The national data were calculated from the 2007 data, representing information from the previous calendar year.
- Data from some states includes the Medicaid wiaver expansion population.
National Governors Association Center for Best Practices, Health Division, Maternal and Child Health (MCH) Update 2005: States Make Modest Expansions to Health Care Coverage, 2006.
- U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, EPSDT CMS-416 Data, FY 2005, updated on July, 20, 2006.
- Data reflect the most recent information reported by the states: 2002 for ME, NH, and OK; 2003 for IL and WV; 2004 for AZ, CA, GA, HI, IA, MS, NV, NM, NY, and OH; 2005 for all other states.
U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, EPSDT CMS-416 Data, FY 2005, updated on July, 20, 2006.
- National Newborn Screening and Genetics Resource Center, National Newborn Screening Status Report, updated August 3, 2007 http://genes-r-us.uthscsa.edu (accessed August 2007).
- Ngozi Onunaku, Zero to Three, personal email (received February 6, 2006).
