Federal Financing and Very Young Children Assessing State Opportunities

1. Federal Financing and Very Young ChildrenAssessing State Opportunities Charles Bruner May 23, 2013

2. The Federal Budget and Young Children: A Broad Overview Where the $3.685 Trillion in the 2011 Federal Budget Went

3. Major Sources of Federal Funding for Services for Children 0-2

4. Overall Investments in the Education and Development of Children– by Child Age For every dollar invested in the education and development of a school-aged (6-18) child … 6.7 cents is invested in an infant or toddler (0-2) 24.9 cents is invested in a preschooler (3-5) Source: Earliest Learning Left Out

5. Where We Are Today in Employing Child Health Coverage and Medicaid Participation

6. Where We Are Today in Employing Child Health Practitioners as First Responders for Young Children

7. Medicaid/EPSDT Opportunities in Supporting Children Birth to Three Child Health Practitioner Roles • Developmental Surveillance and Screening • Anticipatory Guidance • Referral for “Medically Necessary” Services • Referral to Care Coordination Care Coordinator/Community Service Networker • Motivational interviewing and while child approach to identify further needs/opportunities • Identification of available services and supports which can meet those needs • Connection (referral/scheduling/follow-up) to services Community Services • Medically necessary services • Other community services

8. 505 5th Avenue, Suite 404 Des Moines, IA 50309 www.cfpciowa.org 515-280-9027 cbruner@cfpciowa.org