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

Related Resources:


Recent federal actions:

Medicaid Opportunities to Support Early Relational Health:

Related Initiatives:
ZERO TO THREE launched the Infant and Early Childhood Mental Health Financing Policy Project  (IECMH-FPP) in 2016 with support from the Irving Harris Foundation, Robert Wood Johnson Foundation, Alliance for Early Success, and University of Minnesota to support states’ advancement of IECMH policies that will contribute to the healthy development of young children.
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: ArkansasColoradoConnecticutFloridaNew MexicoOregon; Maternal Depression Screening and Response: LouisianaMassachusettsMichiganNew YorkNorth 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.