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Early Childhood Profile

OverviewHealth and NutritionEarly Care and Education

State Choices to Promote Access

Young children who lack health insurance, 2012

Young children who lack health insurance, 20121

Percent of eligible children who received at
least one EPSDT* screening, by age, 2012

Percent of eligible children who received at least one EPSDT* screening, by age, 20122

Income eligibility limit for public health insurance (Medicaid/CHIP) at or above 200% of the federal poverty level (FPL). [2013]3

  • Children <1 year
    Set eligibility at 200% (CHIP)
  • Children ages 1-5 years
    Set eligibility at 200% (CHIP)
  • Children ages 6-8
    Set eligibility at 200% (CHIP)
  • Pregnant women
    Set eligibility at 185% (Medicaid)
  • Provide Medicaid and/or CHIP coverage for lawfully residing children [2013]4
  • Provide Medicaid and/or CHIP coverage for lawfully residing pregnant women [2013]4
  • Provide temporary coverage to pregnant women under Medicaid until eligibility can be formally determined. [2013]3
  • Provide temporary coverage to children under Medicaid or CHIP until eligibility can be formally determined. [2013]3
  • Include at-risk children in the definition of eligibility for IDEA Part C. [2012]5
  • Do not require redetermination of eligibility for Medicaid/CHIP more than once a year [2013]3
  • Has adopted Medicaid expansion as part of the Affordable Care Act [2014]6
    MI has approved a waiver for expansion and plans to implement April 2014.

State Choices to Promote Quality

EPSDT screening periodicity schedule meets recommendations of American Academy of Pediatrics [FY 2012]2

  • Meet periodicity schedule of 7 Screenings for children <1 year
    State requires 7 screens. 100% of eligible screens were completed in 2012.
  • Meet periodicity schedule of 4 Screenings for children 1-2 years
    State requires 4 screens. 100% of eligible screens were completed in 2012.
  • Meet periodicity schedule of 3 Screenings for children 3-5 years
    State requires 4 screens. 66% of eligible screens were completed in 2012.
  • Meet periodicity schedule of 4 Screenings for children 6-9 years
    State requires 4 screens. 55% of eligible screens were completed in 2012.
  • Require newborn screening for the 29 metabolic deficiencies/disorders recommended by the March of Dimes [2013]7
  

Data Notes and Sources

Last Updated: June 4, 2014

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

  1. National data were calculated from the 2012 American Community Survey, representing information from 2012. State data were calculated from the 2010-2012 American Community Survey, representing information from the years 2010 to 2012.
  2. Data were not reported for CT. U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services. 2014. The Annual EPSDT Report (Form CMS-416). http://www.medicaid.gov (accessed April 11, 2014).
  3. Heberlein, Martha; Brooks, Tricia; Alker, Joan; Artiga, Samantha; and Stephens, Jessica. 2012. Getting into Gear for 2014: Findings from a 50-State Survey of Eligibility, Enrollment, Renewal, and Cost-Sharing Policies in Medicaid and CHIP, 2012-2013. Kaiser Commission on Medicaid and the Uninsured, The Henry J. Kaiser Family Foundation. http://kaiserfamilyfoundation.files.wordpress.com (accessed August 13, 2013)
  4. Medicaid. 2013. Medicaid and CHIP Coverage of Lawfully Residing Children and Pregnant Women http://medicaid.gov (accessed August 15, 2013).
  5. Ringwalt, S. (Comp.). 2012. Summary table of states' and territories' definitions of/criteria for IDEA Part C eligibility. http://www.nectac.org (accessed August 13, 2013)
  6. Note: Effective January 2014, the ACA established a new minimum Medicaid eligibility level of 138% of poverty for non-disabled adults who were not previously eligible for the program.
    Kaiser Commission on Medicaid and the Uninsured. 2014. The Coverage Gap: Uninsured Poor Adults in States that Do Not Expand Medicaid. http://kff.org (accessed April 15, 2014).
  7. National Newborn Screening and Genetics Resource Center. 2013. National Newborn Screening Status Report. http://genes-r-us.uthscsa.edu (accessed February 1, 2013).