Medicaid Opportunities for Supporting Early Relational Health
On April 5th, the ECFC Early Relational Health (ERH)Workgroup explored opportunities for supporting early relational health through Medicaid and EPSDT with with Elisabeth Wright Burak, Senior Fellow, Center for Children and Families, Georgetown University McCourt School of Public Policy, Health Policy Institute. Among the challenges and opportunities we explored:
Strategies for using doulas to improve maternal health
Assessment/diagnostic strategies for supporting dyadic treatments
Billing/coding challenges for ERH related diagnosis and treatment
Recent federal actions:
- Implementing Medicaid’s new 12 month postpartum option (CCF blog)
- American Rescue Plan health coverage provision that will strengthen public and private health insurance (CCF blog)
Medicaid Opportunities to Support Early Relational Health:
Child Health Transformation and a Relational Health Workforce, InCK Marks Working Paper 7 outlines unprecedented opportunities in the American Rescue Plan Act to advance children’s, and particularly young children’s, healthy development. A related webinar (and slides) provide a briefing on the concept of early relational health, the research base for providing relational health care for children, and the opportunities to advance this work through federal policy.
- Supporting Social-Emotional and Mental Health Needs of Young Children Through Part C Early Intervention: results of 50 state survey of Part C Directors, CCF and National Center for Children in Poverty (2020)
- National Academy for State Health Policy, Four State Strategies to Employ Doulas to Improve Maternal Health and Birth Outcomes in Medicaid (2020) includes examples from Indiana, Minnesota, Oregon, Nebraska
- Babies Don’t Go to the Doctor By Themselves: Innovating a Dyadic Behavioral Health Payment Model to Serve the Youngest Primary Care Patients and Their Families, May 2020, California Children’s Trust (includes: page 14 – billing codes used by CA Healthy Steps related to dyadic behavioral health services; page 21 –Potential Healthy Steps Billing Opportunities for State Medicaid Agencies’ Consideration (and examples from other states)
- What Makes an Early Childhood Medicaid Partnership Work? Insights from Three Cross-Sector Collaborations, Center for Health Care Strategies, funded by RWJF and David and Lucile Packard Foundation (2019)
National Center for Children in Poverty PRiSM project (Promoting Research-informed State IECMH Policies and Scaled Initiatives) highlights state policies, and profiles exemplary IECMH strategies used in state policies and scaled initiatives. For example, state profiles that include opportunities we discussed: Dyadic Treatment: Arkansas, Colorado, Connecticut, Florida, New Mexico, Oregon; Maternal Depression Screening and Response: Louisiana, Massachusetts, Michigan, New York, North Carolina.
Aligning Early Childhood and Medicaid is a a national initiative made possible by the Robert Wood Johnson Foundation and led by CHCS, in partnership with ZERO TO THREE, the National Association of Medicaid Directors, Social Determinants of Health Consulting, and the Public Leadership Group.
A call recording and PPT is available to ECFC members, please contact ECFC for assistance.