View the Archived 2012 Report

Early Childhood Development

Legislative & Budget Implications:

Challenges of Expanding Home Visiting Services:

  • Fragmented Program Administration and Planning
    • Similar at-risk population programs administered by a variety of agencies
  • Measuring Program Quality and Effectiveness
    • Many “homegrown” models have not been rigorously evaluated
  • Lack of Coordinated Systems and Data
    • Data housed across multiple databases and within different agencies

Challenges of Expanding Medicaid’s Home Visiting Benefit:

  • Increased cost to General Fund
  • Potential duplication of existing services
  • Developing a per-member per-month Managed Care Organization (MCO) rate for the services
  • Workforce capacity – is it achievable, particularly in rural areas?
  • Sustainability/controlling costs