State Choices to Promote Access

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Young children who lack health insurance, 2010¹

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Percent of eligible children who received at least one EPSDT* screening, by age, 2011²

Income eligibility limit for public health insurance (Medicaid/CHIP) at or above 200% of the federal poverty level (FPL). [2012]³

• Children <1 year
  Set eligibility at 300% (CHIP)
• Children ages 1-5 years
  Set eligibility at 300% (CHIP)
• Children ages 6-8
  Set eligibility at 300% (CHIP)
• Pregnant women
  Set eligibility at 150% (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 [2012]³
  
• Provide lawfully residing pregnant immigrant women with Medicaid/CHIP coverage without 5-year waiting period [2012]³
  
• Provide temporary coverage to pregnant women under Medicaid until eligibility can be formally determined. [2012]³
  
• Provide temporary coverage to children under Medicaid or CHIP until eligibility can be formally determined. [2012]³
  
• Include at-risk children in the definition of eligibility for IDEA Part C. [2012]⁴
  
• Do not require redetermination of eligibility for Medicaid/CHIP more than once a year [2012]³
  

State Choices to Promote Quality

EPSDT screening periodicity schedule meets recommendations of American Academy of Pediatrics [FY 2010]²

• 7 Screenings for children <1 year
  State requires 7 screens. 100% of eligible screens were completed in 2010.
• 4 Screenings for children 1-2 years
  State requires 4 screens. 91% of eligible screens were completed in 2010.
• 3 Screenings for children 3-5 years
  State requires 3 screens. 98% of eligible screens were completed in 2010.
• 4 Screenings for children 6-9 years
  State requires 2 screens. 100% of eligible screens were completed in 2011.

• Require newborn screening for the 29 metabolic deficiencies/disorders recommended by the March of Dimes [2013]⁵
  

Data Notes and Sources