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Early Childhood Profile

OverviewHealthEarly Care and Education

State Choices to Promote Access

Young children who lack health insurance, 2009

Young children who lack health insurance, 20091

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). [2010]4

  • Children <1 year
    State eligibility set at 300% FPL (Separate State CHIP Program)
  • Children ages 1-5 years
    State eligibility set at 300% FPL (Separate State CHIP Program)
  • Pregnant women
    State eligibility set at 200% FPL (Medicaid)
  • Immigrant children <1 year
  • Immigrant children 1-5 years
  • Immigrant pregnant women
  • 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
    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 [2010]4

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 7 screens. 75% of eligible screens were completed in 2009.
  • 4 Screenings for children 1-2 years
    State requires 4 screens. 94% of eligible screens were completed in 2009.
  • 3 Screenings for children 3-5 years
    State requires 3 screens. 61% of eligible screens were completed in 2009.
  • Require newborn screening for the 29 metabolic deficiencies/disorders recommended by the March of Dimes [2011]8
OverviewEarly Care and Education

Data Notes and Sources

Last Updated: September 26, 2011

Send us recent developments to update your state's profile.

  1. 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.
  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. 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)
  5. 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)
  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. 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
  8. 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).