Columbia University Mailman School of Public Health

State Choices to Promote Access

Young children under age 6 who
lack health insurance, 2016

Source1

  • 49 states and the District of Columbia 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. [2016]2
  • 34 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. [2016]2
  • 12 states set the income eligibility limit for public health insurance (Medicaid/SCHIP) at or above 200% of the federal poverty level (FPL) for immigrant children 0-1yr. [2016]2
  • 6 states set the income eligibility limit for public health insurance (Medicaid/SCHIP) at or above 200% of the federal poverty level (FPL) for immigrant children 3-5yrs. [2016]2
  • 18 states set the income eligibility limit for public health insurance (Medicaid/SCHIP) at or above 200% of the federal poverty level (FPL) for immigrant pregnant women. [2016]2
  • 28 states [2014]3
  • 23 states [2014]3
  • 30 states provides temporary coverage to pregnant women under Medicaid until eligibility can be formally determined [2017]4
  • 20 states provides temporary coverage to children under Medicaid or CHIP until eligibility can be formally determined [2017]4
  • 6 states includes at-risk children in the definition of eligibility for IDEA Part C [2014]5
  • 32 states does not require redetermination of eligibility for Medicaid/CHIP more than once a year [2017]4
  • 32 states has adopted Medicaid expansion as part of the Affordable Care Act [2017]6

State Choices to Promote Quality

EPSDT screening periodicity schedule meets recommendations of American Academy of Pediatrics [FY 2016]7

  • 18 states 7 screenings for children <1 year
  • 45 states 4 screenings for children 1-2 years
  • 51 states 3 screenings for children 3-5 years
  • 33 states 4 screenings for children 6-9 years
  • 8 states requires newborn screening for the 31 metabolic deficiencies/disorders and core conditions [2014]8
  

Data Notes and Sources

Last Updated: October 29, 2015

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  1. National data were calculated from the 2015 American Community Survey, representing information from 2015. State data were calculated from the 2011-2015 American Community Survey, representing information from the years 2011-2015.
  2. Brooks, Tricia; Miskell, Sean; Artiga, Samantha; Cornachione, Elizabeth; and Gates, Alexandra. 2016. Medicaid and CHIP Eligibility, Enrollment, Renewal, and Cost-Sharing Policies as of January 2016: Findings from a 50-State Survey. Kaiser Commission on Medicaid and the Uninsured, The Henry J. Kaiser Family Foundation. http://files.kff.org (accessed February 29, 2016)
  3. Medicaid. 2014. Medicaid and CHIP Coverage of Lawfully Residing Children and Pregnant Women. http://medicaid.gov (accessed August 25, 2015).
  4. Brooks, T., Miskell, S., Artiga, S., Cornachione, E., & Gates, A. (2017). Medicaid and CHIP Eligibility, Enrollment, Renewal, and Cost-Sharing Policies as of January 2017: Findings from a 50-State Survey. Kaiser Commission on Medicaid and the Uninsured, The Henry J. Kaiser Family Foundation. http://files.kff.org (accessed February 3, 2017).
  5. Ringwalt, S. (Comp.). (2015). Summary table of states' and territories' definitions of/criteria for IDEA Part C eligibility. http://www.nectac.org (accessed August 25, 2015).
  6. Kaiser Commission on Medicaid and the Uninsured. (2017). Status of State Action on the Medicaid Expansion Decision. http://kff.org (accessed February 2, 2017).
  7. U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services. (2017). The Annual EPSDT Report (Form CMS-416) for FY 2016. https://www.medicaid.gov (accessed December 11, 2017). Data were not reported for ND.
  8. National Newborn Screening and Genetics Resource Center. (2014). National Newborn Screening Status Report. http://genes-r-us.uthscsa.edu (accessed March 24, 2015).