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Strengthening the evidence for maternal and child health programs

State MCH-Medicaid Coordination

Title V and Title XIX Interagency Agreements

Title V and Title XIX logo

Purpose. This toolkit supplements an environmental scan of State Interagency Agreements (IAAs) of Title V and Medicaid programs and supports the report: State MCH-Medicaid Coordination: A Review of Title V and Title XIX Interagency Agreements, 2nd edition. It includes access to the final report, full-text, current IAAs (collected from the MCH Title V Block Grant FY 2016 Application/FY 2014 Annual Reports) and the 36 IAAs used in the scan, a searchable database, recommendations, and additional resources

Background. Title V programs complement Medicaid in many ways, including (1) providing gap-filling services to enrollees, (2) assisting in the identification of potentially eligible beneficiaries, and (3) creating an infrastructure in communities to ensure that the capacity exists to support the delivery of quality health care services for women and children.

A key factor in assuring coordination and mutual support can be the Interagency Agreement (IAA), required in both Title V and Title XIX legislation, between the State agencies (or divisions within a State agency) that administer the two programs.

Contact John Richards for additional information on this project.

NEW

This toolkit consists of:


Report: Printer-Friendly Version

U.S. Department of Health and Human Services. 2008. State MCH-Medicaid Coordination: A Review of Title V and Title XIX Interagency Agreements (2nd edition). Click More to download PDFs.


2019 Application/2017 Annual Reports Full-Text State IAAs

These documents were collected from the MCH Title V Block Grant FY 2019 Application/FY 2017 Annual Reports.

  • AlabamaIncludes:
    •  Memorandum of Understanding between the Alabama Medicaid Agency and the Alabama Department of Public Health (4 pp., signed 2002; this document was used in the 2008 IAA environmental scan).
    • Alabama Medicaid Agency Medicaid Outstationed Worker Procedures for Alabama Department of Public Health Sites (6 pp.,unsigned).
    • Provider Agreement Between the Alabama Medicaid Agency and Alabama Department of Rehabilitation Services (8 pp., signed 2009).
  • AlaskaInteragency Memorandum of Agreement between the Section of Public Health (DPH), Section of Women's Children's and Family Health (ECFH), and the Division of Health Care Services (DHCS), Medicaid Program (3 pp., signed 2015).
  • American Samoa. Letter explaining the state of Medicaid.
    • Cooperative Agreement between American Samoa Medicaid State Agency and the American Samoa Department of Health Maternal and Child Health Title V Program (3 pp., unsigned)
  • ArizonaArizona Health Care Cost Containment System Data Sharing Agreement: Data Sharing of Blood Lead Level Data between the Arizona Health Care Cost Containment System and the Arizona Department of Health Services Offices of Environmental Health (6 pp., signed 2013).
  • ArkansasIncludes:
  • California. Includes:
    • Contract Request (2 pp., signed 2012).
    • Exhibit A: Additional Provisions (15 pp.).
    • Exhibit B: HIPAA Business Associate Addendum (11 pp.).
  • Colorado. Includes:
  • Connecticut. Memoranda of Agreement Between The Department of Public Health and Department of Social Services (13pp, signed 2011)
  • DelawareState of Delaware Department of Health and Social Services: Intra-Departmental Cooperative Agreement Related to Maternal and Child Health Services (5 pp., signed 1993).
    • Memorandum of Understanding #18-374 Between The Delaware Department of Health and Social Services Division of Public Health and The Delaware Department of Health and Social Services Division of Medicaid and Medical Assistance to Improve Coordination and Outcomes for Programs Impacting Women, Infants and Children (8 pp., signed 2018).
  • District of Columbia. Memorandum of Agreement Between the Department of Health Care Finance and the District Department of Health Administration Data Sharing Agreement (6 pp., not signed).
    • Memorandum of Agreement Between Department of Health and The Department of Health Care Finance and DC Public Schools (12 pp., signed 2014).
  • Federated States of Micronesia. Not eligible for Medicaid.
    • FSM is not eligible for the Title V-Medicaid and Medicare Programs and Special Children’s Health Insurance Program (CHIP).
  • FloridaPer the state Block Grant Application/Report, "The Department of Health’s Maternal and Child Health Section is working with the Office of General Counsel to draft a current Inter-Agency Agreement between the Department and the Agency for Health Care Administration, Florida’s Medicaid Agency."
  • Georgia. Interagency Agreement Between the Georgia Department of Public Health and the Georgia Department of Community Health for Title V and Title XIX Coordination (11pp., signed 2016).
    • Interagency Agreement Between the Georgia Department of Public Health and the Georgia Department of Community Health for Title V and Title XIX Coordination (11pp., signed 2017).
  • Guam. Memorandum of Agreement between the Department of Public Health and Social Services, Division of Public Health/Bureau of Family Health and Nursing Services and the Department of Public Health and Social Services, Division of Public Welfare (3 pp., signed 2015).
  • HawaiiMemorandum of Agreement between Department of Human Services and Department of Health (6 pp., electronically signed).
    • This document updates the original IAA used in the 2008 environmental scan.
    • Memorandum of Agreement between Department of Human Services and Department of Health (6 pp., signed 2015).  States “this document is being updated.”
    • Memorandum of Agreement Between Family Services Division, Department of Health and Med-Quest Division, Department of Human Services (1 page, signed).
  • IdahoMemorandum of Understanding between Idaho Department of Health and Welfare, Division of Public Health and Division of Medicaid and Department of Welfare (4 pp., signed 2016).
  • Memorandum of Understanding Between Idaho Department of Health and Welfare, Division of Public Health and Division of Medicaid and Department of Welfare (4 pp., signed 2018).
  • IllinoisIntergovernmental Agreement between the Department of Public Health and the Department of Healthcare and Family Services (9 pp., signed 2015).
  • IndianaMemorandum of Understanding between Indiana State Department of Health and Indiana Office of Medicaid Policy and Planning for Data Sharing (28 pp., signed 2003).
    • This document was used in the environmental scan.
    • Memorandum of Understanding Between the Indiana State Department of Health and the Indiana Family and Social Services Administration (43 pp., electronically signed 2017).
  • Iowa. Contract Declaration and Execution (50pp., Signed 2016)
    • Second Amendment to the Maternal and Child Health Omnibus Contract-Between the Iowa Department of Human Services Agency and Iowa Department of Public Health Contractor (18 pp., signed 2018).
  • KansasIntra-agency Agreement between the Division of Health Care Finance and the Division of Public Health of the Kansas Department of Health and Environment for Implementing the Provision of Health Care to Persons Eligible for Services Under Titles V, XIX, and XXI of the Social Security Act (19 pp., Not signed)
    • Intra-agency Agreement between the Division of Health Care Finance and the Division of Public Health of the Kansas Department of Health and Environment for Implementing the Provision of Health Care to Persons Eligible for Services Under Titles V, XIX, and XXI of the Social Security Act (9 pp., signed 2016).
  • Kentucky. Commonwealth of Kentucky Purchase Order: Preventive Health Services FY17 (35 pp., Signed 2016).
  • Commonwealth of Kentucky Purchase Order: Preventive Health Services (43 pp., signed 2018).
  • Louisiana. Department of Health and Hospitals Intra-Departmental Agreement between Office of Public Health (Title V) and Bureau of Health Services Financing (Title XIX) (4 pp., signed 1990).
    • This document omits the data sharing Agreement included in the 2015 version.
    • This document is the same at that used in the 2008 environmental scan.
  • Louisiana Department of Health Memorandum of Understanding Between Office of Public Health, Bureau of Family Health (Title V) and Bureau of Health Services Financing (Title XIX and XXI) (6 pp., signed 2017).
  • Data Sharing Agreement Louisiana Department of Health and Hospitals, Bureau of Health Services Financing, and Office of Public Health, and Office of Behavioral Health (13 pp., signed 2015).
  • Maine. PHN Office / Division Project Work Plan. (10pp., Signed 2016).
    • Includes a cover page signed by in 2016
    • Cover page states that Maine’s current IAA is outdated and they have initiated planning meetings to begin formalizing a new version.
      • Old version attached: Memorandum of Understanding Between the Office of Maine Care Services and the Division of Family Health within the Maine Center for Disease Control (8 pp., 2009).
  • MarylandCooperative Agreement between Maryland State Department of Health and Mental Hygiene (Title XIX) Medicaid Agency, (Title V) Maternal and Child Health Agency, and the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). (16 pp., signed 2015).
    • This document updates the original IAA used in the 2008 environmental scan.
  • Massachusetts. Interagency Agreement (IAA) between Title V Agency and Medicaid (Title XIX), Massachusetts Department of Public Health, Bureau of Family Health and Nutrition and MassHealth (2 pp., signed, 2016).
  • Michigan. [Michigan Title V/Title XIX Interagency Agreement] (10 pp., unsigned 1995. Partial document).
    • This document is the same at that used in the 2008 environmental scan.
    • Medicaid State Plan is an agreement between the State of Michigan and the Centers for Medicare and Medicaid Services of the Department of Health and Human Services (2 pp., 2017).
      • Includes Contract Between the Michigan Department of Social Services and the Michigan Department of Public Health as Attachment A from 1980).
  • Minnesota. State of Minnesota Interagency Memorandum of Understanding (5 pp., signed 2003).
    • This document is the same at that used in the 2008 environmental scan.
    • State of Minnesota Interagency Memorandum of Understanding, Minnesota Department of Health and Minnesota Department of Human Services (3 pp., signed 2017).
  • Mississippi. Includes:
    • Mississippi Division of Medicaid: Data Use Agreement (8 pp., signed 2015). Includes data file (2013) as Attachment A.
    • Cover letter (1 pp., signed 2012).
    • Computer Matching and Privacy Protection Act Agreement between the Social Security and the State of Mississippi (12 pp., signed 2012). Includes security controls as Attachment C, notice of breach (Attachment D), certificate of return or destruction of confidential data (Attachment E), and Memorandum of Understanding between the Division of Medicaid in the Office of the Governor, State of Mississippi and the Mississippi State Department of Health (Maternal and Infant Vital Records Data (Attachment F. singed, 2014).
    • Attachment F seems to supplement the original IAA used in the 2008 environmental scan.
    • Data Use Agreement Attachment B (13 pp., signed 2017). [Note: Double-check this one].
  • Missouri. Includes:
  • Montana. Intra-Agency Agreement between the Public Health and Safety Division, the Health Resources Division, and the Human and Community Services Division of the Montana Department of Public Health and Human Services (6 pp., Signed 2016).
  • Nebraska. Inter-Agency Protocol: Titles V, XIX, and XXI (3 pp., signed, 2015).
    • This document updates the original IAA used in the 2008 environmental scan.
  • NevadaMemorandum of Agreement between Division of Public and Behavioral Health (DPBH) -- Bureau of Child, Family and Community Wellness (BCF&CW) Title V Maternal and Child Health (MCH) Program and Division of Health Care Financing and Policy (DHCF) -- Title XIX Medicaid (4 pp., Signed 2015).
  • New HampshireState of New Hampshire, Department of Health And Human Services: Agreement between the New Hampshire Division of Public Health Services and the New Hampshire Division of Human Services Relative to Joint Planning, Coordination and Improvement of Health Programs Under Title V, Title X, Title XIX and WIC/CSFP (11 pp., signed, 1993 in document; 1 p. signed cover sheet, 1994, is appended).
    • State of New Hampshire, Department of Health And Human Services: Agreement between the New Hampshire Division of Public Health Services and the New Hampshire Division of Human Services Relative to Joint Planning, Coordination and Improvement of Health Programs Under Title V, Title X, Title XIX and WIC/CSFP (13 pp., signed, 2018).  [Note:  signed in 2017, and 2018 – double-check]
  • New JerseyMemorandum of Understanding (MOU) between the New Jersey Department of Health and Senior Services and the New Jersey Department of Human Services, Division of Medical Assistance and Health Services: "Administration of Maternal Child Block Grant Programs" (8 pp., signed 2005).
  • New MexicoState of New Mexico Human Services Department Medical Assistance Division Provider Participant Agreement (6 pp., signed 2003).
    • This document is the same at that used in the 2008 environmental scan.
    • Memorandum of Agreement Between New Mexico Department of Health and New Mexico Human Services Department (7 pp., signed 2017).
  • New YorkLetter highlighting the requirements of HRSA (3 pp., signed 2016).
    • Intra-Agency Agreement Between the New York State Department of Health Office of Health Insurance Programs and Office of Public Health (2 pp., signed 2017).
  • North CarolinaIntra-Departmental Memorandum of Agreement between NC Department of Health and Human Services (DHHS) Division of Medical Assistance (DMA) and NC Department of Health and Human Services (DHHS) Division of Public Health (DPH) (124 pp., signed 2014)
  • North DakotaCooperative Agreement between North Dakota Department of Human Services and North Dakota Department of Health and Primary Care Office/Primary Care Association (9 pp., signed, 20013).[possible typo? 2003]
    • This document is the same at that used in the 2008 environmental scan.
  • Northern Mariana Islands. Commonwealth of the Northern Mariana Islands Title V-Title XIX Agreement (1 pp., signed, 2016).
  • OhioAttachment A through G -- Maternal and Child Health Interagency Agreement between the Ohio Department of Medicaid and the Ohio Department of Health (108 pp., Signed 2015).
    • Includes:
      • Ohio Department of Health Administrative Claiming Methodology Guide (p26)
  • Interagency Agreement Between the Ohio Department of Medicaid and The Ohio Department of Health (7 pp., signed 2018).
  • OklahomaInteragency Agreement between the Oklahoma Health Care Authority and the Oklahoma Department of Human Services (116 pp., including purchase order, signed 2011).
  • OregonState of Oregon Intergovernmental Agreement (37 pp., includes cover and document return statement, signed 2014).
    • This document supersedes [Oregon] Intergovernmental Agreement [and Amendment] (10 pp., singed 1995 and 2000).
    • Memorandum of Understanding Between Oregon’s Title XIX and Title XXI Medicaid Program, Title V Maternal Child and Adolescent Health Program, and Title V Children and Youth with Special Health Needs Program (19 pp., signed 2018).
  • Palau. Not eligible for Medicaid.
  • PennsylvaniaIncludes:
    • Cover letter (2 pp., xxx).
    • Memorandum of Understanding among Pennsylvania Department of Education, Pennsylvania Department of Public Welfare, Pennsylvania Department of Labor and Industry, Pennsylvania Department of Health (17 pp., signed 1999).
    • Commonwealth of Pennsylvania Governor's Office Executive Order (5 pp., unsigned 1998).
    • Memorandum of Understanding for a Shared Agenda for Youth and Young Adults with Disabilities. Two versions: Version 1 (2 pp., stamped 2006 and signed) and Version 2 (3 pp., signed, no date).
    • Memorandum of Understanding Among the Pennsylvania Department of Health and The Pennsylvania Department of Human Services (2 pp., not signed). [also no signature blocks and stamped as a draft].
  • Puerto Rico. Agreement between the PR Department of Health (Medicaid office and PR MCAH) and the PR Health Insurance Administration (10 pp., signed, 2015).
  • Republic of the Marshal Islands. Not eligible for Medicaid.
    • [RMI does not have Medicaid services.  We have our own local insurance.]
  • Rhode IslandState of Rhode Island and Providence Plantation Interagency Agreement between Executive Office of Health and Human Services and Department of Health for Participation in the Rhode Island Medicaid Program (24 pp., not signed, draft version).
  • South Carolina. Contract between South Carolina Department of Health and Human Services and South Carolina Department of Health and Environmental Control for the Purchase and Provision of Medicaid Services (23 pp., signed 2014). Includes extensive appendices.
  • South Dakota. Joint Powers Agreement between South Dakota Department of Social Services, Division of Medical Services and South Dakota Department of Health, Division of Health and Medical Services (7 pp., 2014) [Previously added to IAA collection; Biblio No. SD1_1_2008].
  • Tennessee. Medicaid/Title V Agreement: Tennessee Department of Health: 1. Bureau of Health Services, 2. Bureau of Health Systems Development, 3. Bureau of Medicaid, and 4. Tennessee Department of Finance and Administration (27 pp., unsigned 1991).
    • Includes a cover page (dated 2018).
  • Texas. Health and Human Services Commission and Department of State Health Services: Memorandum of Understanding (3 pp., signed 2015).
  • United States Virgin IslandsStatement of Agreement to Ensure Maximum Collaboration and Utilization of the Needs Program Under the Virgin Islands State Plan for Medical Assistance, Title XIX of the Social Security Act (13 pp., signed, 1995).
  • UtahMemorandum of Agreement: Utah Department of Health, Division of Health Care Financing and Division of Community and Family Health Services (39 pp., signed 2013).
    • Utah Department of Health Memorandum of Agreement Between the Medicaid and Health Financing and Family Health and Preparedness (6 pp., 2018).
  • VermontIntra-Governmental Agreement for the Delivery of Services Under Vermont's Global Commitment to Health Demonstration Waiver (13 pp., signed 2006).
    • Department of Vermont Health Access and Vermont Department of Health Intra-Government Agreement (17 pp., signed 2017).
  • VirginiaIncludes:
    • Master Interagency/Business Associate Agreement; Privacy and Security of Protected Health Information DRAFT (5 pp., unsigned, no date).
    • Scope of Work (39 pp., unsigned, no date).
    • Extensive attachments and exhibits, including the VA APCD Data Submission Manual (40 pp., 2013).
    • These documents appear to supercede Interagency Agreement Between Virginia Department of Medical Assistance Services and Virginia Department of Health (55 pp., unsigned, no date).
    • Memorandum of Understanding Between the Department of Medical Assistance Services and the Virginia Department of Health (60 pp., signed 2016).
      • Includes Scope of Work.
  • WashingtonContract Amendment: Children with Special Health Care Needs (27 pp., signed 2013).
    • This document perhaps amends [Washington] Statement of Work: Interlocal Agreement [Exhibit A, B7, C, E, and F7] (33 pp., unsigned with "track changes," no date).
    • Maternal Infant Health Interagency Agreement Between State of Washington Health Care Authority and Department of Health (23 pp., signed 2018).
    • Restated and Amended Interagency Agreement Between State of Washington Health Care Authority and Department of Health (24 pp., signed 2017).
    • Mutual Information Sharing Agreement for Confidential Information or Limited Dataset(s) Between State of Washington Department of Health and Washington State Health Care Authority-Medicaid Program (67 pp., signed 2017). [Note: might want to revisit and double check this one].
  • West Virginia. West Virginia Department of Health and Human Resources: Agreement between Bureau for Medical Services and Bureau for Public Health (7 pp., signed, 2016).
    • West Virginia Department of Health and Human Resources: Agreement between Bureau for Medical Services and Bureau for Public Health (7 pp., signed, 2018).
      • Included a cover letter.
  • WisconsinState of Wisconsin, Department of Health Services: Memorandum of Understanding between the Department of Health Services (DHS)/Division of Health Care Access and Accountability (sic) and Division of Public Health (DPH) (22 pp., signed 2016).
  • Memorandum of Understanding Between the Department of Health Services/Division of Medicaid Services and Division of Public Health (10 pp., signed 2018).
  • WyomingIntra-Agency Agreement between the Public Health Division and the Division of Healthcare Financing of the Wyoming Department of Health (7 pp., signed, 2013) [Previously added to IAA collection; Biblio No.WY1_1].

 

 

 


2018 Application/2016 Annual Reports Full-Text State IAAs

These documents were collected from the MCH Title V Block Grant FY 2017 Application/FY 2015 Annual Reports.

  • Alabama. Includes:
    •  Memorandum of Understanding between the Alabama Medicaid Agency and the Alabama Department of Public Health (4 pp., signed 2002; this document was used in the 2008 IAA environmental scan).
    • Alabama Medicaid Agency Medicaid Outstationed Worker Procedures for Alabama Department of Public Health Sites (6 pp.,unsigned).
    • Provider Agreement Between the Alabama Medicaid Agency and Alabama Department of Rehabilitation Services (8 pp., signed 2009).
  • Alaska. Interagency Memorandum of Agreement between the Section of Public Health (DPH), Section of Women's Children's and Family Health (ECFH), and the Division of Health Care Services (DHCS), Medicaid Program (3 pp., signed 2015).
  • American Samoa. Letter explaining the state of Medicaid.
  • Arizona. Arizona Health Care Cost Containment System Data Sharing Agreement: Data Sharing of Blood Lead Level Data between the Arizona Health Care Cost Containment System and the Arizona Department of Health Services Offices of Environmental Health (6 pp., signed 2013).
  • Arkansas. Includes:
  • California. Includes:
    • Contract Request (2 pp., signed 2012).
    • Exhibit A: Additional Provisions (15 pp.).
    • Exhibit B: HIPAA Business Associate Addendum (11 pp.).
  • Colorado. Includes:
  • Connecticut. Memoranda of Agreement Between The Department of Public Health and Department of Social Services (13pp, signed 2011)
  • Delaware. State of Delaware Department of Health and Social Services: Intra-Departmental Cooperative Agreement Related to Maternal and Child Health Services (5 pp., signed 1993).
  • District of Columbia. Memorandum of Agreement Between the Department of Health Care Finance and the District Department of Health Administration Data Sharing Agreement (6 pp., not signed).
  • Federated States of Micronesia. Not eligible for Medicaid.
  • Florida. Per the state Block Grant Application/Report, "The Department of Health’s Maternal and Child Health Section is working with the Office of General Counsel to draft a current Inter-Agency Agreement between the Department and the Agency for Health Care Administration, Florida’s Medicaid Agency."
  • Georgia.Interagency Agreement Between the Georgia Department of Public Health and the Georgia Department of Community Health for Title V and Title XIX Coordination (11pp., signed 2016)
  • Guam. Memorandum of Agreement between the Department of Public Health and Social Services, Division of Public Health/Bureau of Family Health and Nursing Services and the Department of Public Health and Social Services, Division of Public Welfare (3 pp., signed 2015).
  • Hawaii. Memorandum of Agreement between Department of Human Services and Department of Health (6 pp., electronically signed).
    • This document updates the original IAA used in the 2008 environmental scan.
  • Idaho. Memorandum of Understanding between Idaho Department of Health and Welfare, Division of Public Health and Division of Medicaid and Department of Welfare (4 pp., signed 2016).
  • Illinois. Intergovernmental Agreement between the Department of Public Health and the Department of Healthcare and Family Services (9 pp., signed 2015).
  • Indiana. Memorandum of Understanding between Indiana State Department of Health and Indiana Office of Medicaid Policy and Planning for Data Sharing (28 pp., signed 2003).
    • This document was used in the environmental scan.
  • Iowa. Contract Declaration and Execution (50pp., Signed 2016)
  • Kansas. Intra-agency Agreement between the Division of Health Care Finance and the Division of Public Health of the Kansas Department of Health and Environment for Implementing the Provision of Health Care to Persons Eligible for Services Under Titles V, XIX, and XXI of the Social Security Act (19 pp., Not signed)
  • Kentucky. Commonwealth of Kentucky Purchase Order: Preventive Health Services FY17 (35 pp., Signed 2016).
  • Louisiana. Department of Health and Hospitals Intra-Departmental Agreement between Office of Public Health (Title V) and Bureau of Health Services Financing (Title XIX) (4 pp., signed 1990).
    • This document omits the data sharing Agreement included in the 2015 version.
    • This document is the same at that used in the 2008 environmental scan.
  • Maine. PHN Office / Division Project Work Plan. (10pp., Signed 2016).
    • Includes a cover page signed by in 2016
  • Maryland. Cooperative Agreement between Maryland State Department of Health and Mental Hygiene (Title XIX) Medicaid Agency, (Title V) Maternal and Child Health Agency, and the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). (16 pp., signed 2015).
    • This document updates the original IAA used in the 2008 environmental scan.
  • Massachusetts. Interagency Agreement (IAA) between Title V Agency and Medicaid (Title XIX), Massachusetts Department of Public Health, Bureau of Family Health and Nutrition and MassHealth (2 pp., signed, 2016).
  • Michigan. [Michigan Title V/Title XIX Interagency Agreement] (10 pp., unsigned 1995. Partial document).
    • This document is the same at that used in the 2008 environmental scan.
  • Minnesota. State of Minnesota Interagency Memorandum of Understanding (5 pp., signed 2003).
    • This document is the same at that used in the 2008 environmental scan.
  • Mississippi. Includes:
    • Mississippi Division of Medicaid: Data Use Agreement (8 pp., signed 2015). Includes data file (2013) as Attachment A.
    • Cover letter (1 pp., signed 2012).
    • Computer Matching and Privacy Protection Act Agreement between the Social Security and the State of Mississippi (12 pp., signed 2012). Includes security controls as Attachment C, notice of breach (Attachment D), certificate of return or destruction of confidential data (Attachment E), and Memorandum of Understanding between the Division of Medicaid in the Office of the Governor, State of Mississippi and the Mississippi State Department of Health (Maternal and Infant Vital Records Data (Attachment F. singed, 2014).
    • Attachment F seems to supplement the original IAA used in the 2008 environmental scan.
  • Missouri. Includes:
  • Montana. Intra-Agency Agreement between the Public Health and Safety Division, the Health Resources Division, and the Human and Community Services Division of the Montana Department of Public Health and Human Services (6 pp., Signed 2016).
  • Nebraska. Inter-Agency Protocol: Titles V, XIX, and XXI (3 pp., signed, 2015).
    • This document updates the original IAA used in the 2008 environmental scan.
  • Nevada. Memorandum of Agreement between Division of Public and Behavioral Health (DPBH) -- Bureau of Child, Family and Community Wellness (BCF&CW) Title V Maternal and Child Health (MCH) Program and Division of Health Care Financing and Policy (DHCF) -- Title XIX Medicaid (4 pp., Signed 2015).
  • New Hampshire. State of New Hampshire, Department of Health And Human Services: Agreement between the New Hampshire Division of Public Health Services and the New Hampshire Division of Human Services Relative to Joint Planning, Coordination and Improvement of Health Programs Under Title V, Title X, Title XIX and WIC/CSFP (11 pp., signed, 1993 in document; 1 p. signed cover sheet, 1994, is appended).
  • New Jersey. Memorandum of Understanding (MOU) between the New Jersey Department of Health and Senior Services and the New Jersey Department of Human Services, Division of Medical Assistance and Health Services: "Administration of Maternal Child Block Grant Programs" (8 pp., signed 2005).
  • New Mexico. State of New Mexico Human Services Department Medical Assistance Division Provider Participant Agreement (6 pp., signed 2003).
    • This document is the same at that used in the 2008 environmental scan.
  • New York. Letter highlighting the requirements of HRSA (3 pp., signed 2016).
  • North Carolina. Intra-Departmental Memorandum of Agreement between NC Department of Health and Human Services (DHHS) Division of Medical Assistance (DMA) and NC Department of Health and Human Services (DHHS) Division of Public Health (DPH) (124 pp., signed 2014)
  • North Dakota. Cooperative Agreement between North Dakota Department of Human Services and North Dakota Department of Health and Primary Care Office/Primary Care Association (9 pp., signed, 20013).
    • This document is the same at that used in the 2008 environmental scan.
  • Northern Mariana Islands. Commonwealth of the Northern Mariana Islands Title V-Title XIX Agreement (1 pp., signed, 2016).
  • Ohio. Attachment A -- Maternal and Child Health Interagency Agreement between the Ohio Department of Medicaid and the Ohio Department of Health (108 pp., Signed 2015).
    • Includes:
      • Ohio Department of Health Administrative Claiming Methodology Guide (p26)
  • Oklahoma. Interagency Agreement between the Oklahoma Health Care Authority and the Oklahoma Department of Human Services (116 pp., including purchase order, signed 2011).
  • Oregon. State of Oregon Intergovernmental Agreement (37 pp., includes cover and document return statement, signed 2014).
  • Palau. Not eligible for Medicaid.
  • Pennsylvania. Includes:
    • Cover letter (2 pp., xxx).
    • Memorandum of Understanding among Pennsylvania Department of Education, Pennsylvania Department of Public Welfare, Pennsylvania Department of Labor and Industry, Pennsylvania Department of Health (17 pp., signed 1999).
    • Commonwealth of Pennsylvania Governor's Office Executive Order (5 pp., unsigned 1998).
    • Memorandum of Understanding for a Shared Agenda for Youth and Young Adults with Disabilities. Two versions: Version 1 (2 pp., stamped 2006 and signed) and Version 2 (3 pp., signed, no date).
  • Puerto Rico. Agreement between the PR Department of Health (Medicaid office and PR MCAH) and the PR Health Insurance Administration (10 pp., signed, 2015).
  • Republic of the Marshal Islands. Not eligible for Medicaid.
  • Rhode Island. State of Rhode Island and Providence Plantation Interagency Agreement between Executive Office of Health and Human Services and Department of Health for Participation in the Rhode Island Medicaid Program (24 pp., draft version).
  • South Carolina. Contract between South Carolina Department of Health and Human Services and South Carolina Department of Health and Environmental Control for the Purchase and Provision of Medicaid Services (23 pp., signed 2014). Includes extensive appendices.
  • South Dakota. Joint Powers Agreement between South Dakota Department of Social Services, Division of Medical Services and South Dakota Department of Health, Division of Health and Medical Services (7 pp., 2014) [Previously added to IAA collection; Biblio No. SD1_1_2008].
  • Tennessee. Medicaid/Title V Agreement: Tennessee Department of Health: 1. Bureau of Health Services, 2. Bureau of Health Systems Development, 3. Bureau of Medicaid, and 4. Tennessee Department of Finance and Administration (27 pp., unsigned 1991).
    • Includes a cover page
  • Texas. Health and Human Services Commission and Department of State Health Services: Memorandum of Understanding (3 pp., signed 2015).
  • United States Virgin Islands. Statement of Agreement to Ensure Maximum Collaboration and Utilization of the Needs Program Under the Virgin Islands State Plan for Medical Assistance, Title XIX of the Social Security Act (13 pp., signed, 1995).
  • Utah. Memorandum of Agreement: Utah Department of Health, Division of Health Care Financing and Division of Community and Family Health Services (39 pp., signed 2013).
  • Vermont. Intra-Governmental Agreement for the Delivery of Services Under Vermont's Global Commitment to Health Demonstration Waiver (13 pp., signed 2006).
  • Virginia. Includes:
  • Washington. Contract Amendment: Children with Special Health Care Needs (27 pp., signed 2013).
  • West Virginia. West Virginia Department of Health and Human Resources: Agreement between Bureau for Medical Services and Bureau for Public Health (7 pp., signed, 2016).
  • Wisconsin. State of Wisconsin, Department of Health Services: Memorandum of Understanding between the Department of Health Services (DHS)/Division of Health Care Access and Accountability (sic) and Division of Public Health (DPH) (22 pp., signed 2016).
  • Wyoming. Intra-Agency Agreement between the Public Health Division and the Division of Healthcare Financing of the Wyoming Department of Health (7 pp., signed, 2013) [Previously added to IAA collection; Biblio No.WY1_1].

2017 Application/2015 Annual Reports Full-Text State IAAs

These documents were collected from the MCH Title V Block Grant FY 2017 Application/FY 2015 Annual Reports.

  • Alabama. Includes:
    •  Memorandum of Understanding between the Alabama Medicaid Agency and the Alabama Department of Public Health (4 pp., signed 2002; this document was used in the 2008 IAA environmental scan).
    • Alabama Medicaid Agency Medicaid Outstationed Worker Procedures for Alabama Department of Public Health Sites (6 pp.,unsigned).
    • Provider Agreement Between the Alabama Medicaid Agency and Alabama Department of Rehabilitation Services (8 pp., signed 2009).
  • Alaska. Interagency Memorandum of Agreement between the Section of Public Health (DPH), Section of Women's Children's and Family Health (ECFH), and the Division of Health Care Services (DHCS), Medicaid Program (3 pp., signed 2015).
  • American Samoa. Letter explaining the state of Medicaid.
  • Arizona. Arizona Health Care Cost Containment System Data Sharing Agreement: Data Sharing of Blood Lead Level Data between the Arizona Health Care Cost Containment System and the Arizona Department of Health Services Offices of Environmental Health (6 pp., signed 2013).
  • Arkansas. Includes:
  • California. Includes:
    • Contract Request (2 pp., signed 2012).
    • Exhibit A: Additional Provisions (15 pp.).
    • Exhibit B: HIPAA Business Associate Addendum (11 pp.).
  • Colorado. Includes:
  • Connecticut. Memoranda of Agreement Between The Department of Public Health and Department of Social Services (13pp, signed 2011)
  • Delaware. State of Delaware Department of Health and Social Services: Intra-Departmental Cooperative Agreement Related to Maternal and Child Health Services (5 pp., signed 1993).
  • District of Columbia. Memorandum of Agreement Between the Department of Health Care Finance and the District Department of Health Administration Data Sharing Agreement (6 pp., not signed).
  • Federated States of Micronesia. Not eligible for Medicaid.
  • Florida. Per the state Block Grant Application/Report, "The Department of Health’s Maternal and Child Health Section is working with the Office of General Counsel to draft a current Inter-Agency Agreement between the Department and the Agency for Health Care Administration, Florida’s Medicaid Agency."
  • Georgia.Interagency Agreement Between the Georgia Department of Public Health and the Georgia Department of Community Health for Title V and Title XIX Coordination (11pp., signed 2016)
  • Guam. Memorandum of Agreement between the Department of Public Health and Social Services, Division of Public Health/Bureau of Family Health and Nursing Services and the Department of Public Health and Social Services, Division of Public Welfare (3 pp., signed 2015).
  • Hawaii. Memorandum of Agreement between Department of Human Services and Department of Health (6 pp., electronically signed).
    • This document updates the original IAA used in the 2008 environmental scan.
  • Idaho. Memorandum of Understanding between Idaho Department of Health and Welfare, Division of Public Health and Division of Medicaid and Department of Welfare (4 pp., signed 2016).
  • Illinois. Intergovernmental Agreement between the Department of Public Health and the Department of Healthcare and Family Services (9 pp., signed 2015).
  • Indiana. Memorandum of Understanding between Indiana State Department of Health and Indiana Office of Medicaid Policy and Planning for Data Sharing (28 pp., signed 2003).
    • This document was used in the environmental scan.
  • Iowa. Contract Declaration and Execution (50pp., Signed 2016)
  • Kansas. Intra-agency Agreement between the Division of Health Care Finance and the Division of Public Health of the Kansas Department of Health and Environment for Implementing the Provision of Health Care to Persons Eligible for Services Under Titles V, XIX, and XXI of the Social Security Act (19 pp., Not signed)
  • Kentucky. Commonwealth of Kentucky Purchase Order: Preventive Health Services FY17 (35 pp., Signed 2016).
  • Louisiana. Department of Health and Hospitals Intra-Departmental Agreement between Office of Public Health (Title V) and Bureau of Health Services Financing (Title XIX) (4 pp., signed 1990).
    • This document omits the data sharing Agreement included in the 2015 version.
    • This document is the same at that used in the 2008 environmental scan.
  • Maine. PHN Office / Division Project Work Plan. (10pp., Signed 2016).
    • Includes a cover page signed by in 2016
  • Maryland. Cooperative Agreement between Maryland State Department of Health and Mental Hygiene (Title XIX) Medicaid Agency, (Title V) Maternal and Child Health Agency, and the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). (16 pp., signed 2015).
    • This document updates the original IAA used in the 2008 environmental scan.
  • Massachusetts. Interagency Agreement (IAA) between Title V Agency and Medicaid (Title XIX), Massachusetts Department of Public Health, Bureau of Family Health and Nutrition and MassHealth (2 pp., signed, 2016).
  • Michigan. [Michigan Title V/Title XIX Interagency Agreement] (10 pp., unsigned 1995. Partial document).
    • This document is the same at that used in the 2008 environmental scan.
  • Minnesota. State of Minnesota Interagency Memorandum of Understanding (5 pp., signed 2003).
    • This document is the same at that used in the 2008 environmental scan.
  • Mississippi. Includes:
    • Mississippi Division of Medicaid: Data Use Agreement (8 pp., signed 2015). Includes data file (2013) as Attachment A.
    • Cover letter (1 pp., signed 2012).
    • Computer Matching and Privacy Protection Act Agreement between the Social Security and the State of Mississippi (12 pp., signed 2012). Includes security controls as Attachment C, notice of breach (Attachment D), certificate of return or destruction of confidential data (Attachment E), and Memorandum of Understanding between the Division of Medicaid in the Office of the Governor, State of Mississippi and the Mississippi State Department of Health (Maternal and Infant Vital Records Data (Attachment F. singed, 2014).
    • Attachment F seems to supplement the original IAA used in the 2008 environmental scan.
  • Missouri. Includes:
  • Montana. Intra-Agency Agreement between the Public Health and Safety Division, the Health Resources Division, and the Human and Community Services Division of the Montana Department of Public Health and Human Services (6 pp., Signed 2016).
  • Nebraska. Inter-Agency Protocol: Titles V, XIX, and XXI (3 pp., signed, 2015).
    • This document updates the original IAA used in the 2008 environmental scan.
  • Nevada. Memorandum of Agreement between Division of Public and Behavioral Health (DPBH) -- Bureau of Child, Family and Community Wellness (BCF&CW) Title V Maternal and Child Health (MCH) Program and Division of Health Care Financing and Policy (DHCF) -- Title XIX Medicaid (4 pp., Signed 2015).
  • New Hampshire. State of New Hampshire, Department of Health And Human Services: Agreement between the New Hampshire Division of Public Health Services and the New Hampshire Division of Human Services Relative to Joint Planning, Coordination and Improvement of Health Programs Under Title V, Title X, Title XIX and WIC/CSFP (11 pp., signed, 1993 in document; 1 p. signed cover sheet, 1994, is appended).
  • New Jersey. Memorandum of Understanding (MOU) between the New Jersey Department of Health and Senior Services and the New Jersey Department of Human Services, Division of Medical Assistance and Health Services: "Administration of Maternal Child Block Grant Programs" (8 pp., signed 2005).
  • New Mexico. State of New Mexico Human Services Department Medical Assistance Division Provider Participant Agreement (6 pp., signed 2003).
    • This document is the same at that used in the 2008 environmental scan.
  • New York. Letter highlighting the requirements of HRSA (3 pp., signed 2016).
  • North Carolina. Intra-Departmental Memorandum of Agreement between NC Department of Health and Human Services (DHHS) Division of Medical Assistance (DMA) and NC Department of Health and Human Services (DHHS) Division of Public Health (DPH) (124 pp., signed 2014)
  • North Dakota. Cooperative Agreement between North Dakota Department of Human Services and North Dakota Department of Health and Primary Care Office/Primary Care Association (9 pp., signed, 20013).
    • This document is the same at that used in the 2008 environmental scan.
  • Northern Mariana Islands. Commonwealth of the Northern Mariana Islands Title V-Title XIX Agreement (1 pp., signed, 2016).
  • Ohio. Attachment A -- Maternal and Child Health Interagency Agreement between the Ohio Department of Medicaid and the Ohio Department of Health (108 pp., Signed 2015).
    • Includes:
      • Ohio Department of Health Administrative Claiming Methodology Guide (p26)
  • Oklahoma. Interagency Agreement between the Oklahoma Health Care Authority and the Oklahoma Department of Human Services (116 pp., including purchase order, signed 2011).
  • Oregon. State of Oregon Intergovernmental Agreement (37 pp., includes cover and document return statement, signed 2014).
  • Palau. Not eligible for Medicaid.
  • Pennsylvania. Includes:
    • Cover letter (2 pp., xxx).
    • Memorandum of Understanding among Pennsylvania Department of Education, Pennsylvania Department of Public Welfare, Pennsylvania Department of Labor and Industry, Pennsylvania Department of Health (17 pp., signed 1999).
    • Commonwealth of Pennsylvania Governor's Office Executive Order (5 pp., unsigned 1998).
    • Memorandum of Understanding for a Shared Agenda for Youth and Young Adults with Disabilities. Two versions: Version 1 (2 pp., stamped 2006 and signed) and Version 2 (3 pp., signed, no date).
  • Puerto Rico. Agreement between the PR Department of Health (Medicaid office and PR MCAH) and the PR Health Insurance Administration (10 pp., signed, 2015).
  • Republic of the Marshal Islands. Not eligible for Medicaid.
  • Rhode Island. State of Rhode Island and Providence Plantation Interagency Agreement between Executive Office of Health and Human Services and Department of Health for Participation in the Rhode Island Medicaid Program (24 pp., draft version).
  • South Carolina. Contract between South Carolina Department of Health and Human Services and South Carolina Department of Health and Environmental Control for the Purchase and Provision of Medicaid Services (23 pp., signed 2014). Includes extensive appendices.
  • South Dakota. Joint Powers Agreement between South Dakota Department of Social Services, Division of Medical Services and South Dakota Department of Health, Division of Health and Medical Services (7 pp., 2014) [Previously added to IAA collection; Biblio No. SD1_1_2008].
  • Tennessee. Medicaid/Title V Agreement: Tennessee Department of Health: 1. Bureau of Health Services, 2. Bureau of Health Systems Development, 3. Bureau of Medicaid, and 4. Tennessee Department of Finance and Administration (27 pp., unsigned 1991).
    • Includes a cover page
  • Texas. Health and Human Services Commission and Department of State Health Services: Memorandum of Understanding (3 pp., signed 2015).
  • United States Virgin Islands. Statement of Agreement to Ensure Maximum Collaboration and Utilization of the Needs Program Under the Virgin Islands State Plan for Medical Assistance, Title XIX of the Social Security Act (13 pp., signed, 1995).
  • Utah. Memorandum of Agreement: Utah Department of Health, Division of Health Care Financing and Division of Community and Family Health Services (39 pp., signed 2013).
  • Vermont. Intra-Governmental Agreement for the Delivery of Services Under Vermont's Global Commitment to Health Demonstration Waiver (13 pp., signed 2006).
  • Virginia. Includes:
  • Washington. Contract Amendment: Children with Special Health Care Needs (27 pp., signed 2013).
  • West Virginia. West Virginia Department of Health and Human Resources: Agreement between Bureau for Medical Services and Bureau for Public Health (7 pp., signed, 2016).
  • Wisconsin. State of Wisconsin, Department of Health Services: Memorandum of Understanding between the Department of Health Services (DHS)/Division of Health Care Access and Accountability (sic) and Division of Public Health (DPH) (22 pp., signed 2016).
  • Wyoming. Intra-Agency Agreement between the Public Health Division and the Division of Healthcare Financing of the Wyoming Department of Health (7 pp., signed, 2013) [Previously added to IAA collection; Biblio No.WY1_1].

2016 Application/2014 Annual Reports Full-Text State IAAs

These documents were collected from the MCH Title V Block Grant FY 2016 Application/FY 2014 Annual Reports.

IAAs Used in the Environmental Scan. These IAAs were used to develop the report, State MCH-Medicaid Coordination: A Review of Title V and Title XIX Interagency Agreements (2nd edition), and supplemental materials (e.g., the IAA database, resources for writing/revising your State IAA).

* Indicates that the PDF is made up of several individual IAAs developed within the State


Database of State IAAs

The State IAAs used in the environmental scan have been summarized as they correspond to the Code of Federal Regulations. See a Summary of All State IAAs or use the following fields alone or in combination to search the database:




Resources for Writing/Revising Your State IAA

image of a doctors medical kitUse the following resources to begin the process of developing or reworking a State Title V/Title XIX IAA:


Additional Resources


Page Name: State MCH-Medicaid Coordination Toolkit: Title V and Title XIX Interagency Agreements
Author: John Richards, M.A., AITP, NCEMCH 2008, Updated January 2011, July 2013, September 2015, July 2016, July 2017, July 2018, June 2019

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U02MC31613, MCH Advanced Education Policy, $3.5 M. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.