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Strengthen the Evidence for Maternal and Child Health Programs

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Items in this list may be obtained from the sources cited. Contact information reflects the most current data about the source that has been provided to the MCH Digital Library.


Displaying records 1 through 20 (508 total).

Washington State Department of Health. n.d.. [Washington] Statement of Work: Interlocal Agreement [Exhibit A, B7, C, E, and F7]. , 33 pp.

Annotation: This Interlocal Agreement is between (1) the Department of Social and Health Services (DSHS) - Medical Assistance Administration (MAA) [T19] and (2) the Department of Health (DOH) [T5]. It is in 5 Exhibits: Exhibit A (Statement of Work); Exhibit B7 (Agency Responsibilities); Exhibit C (Administrative Match Reimbursable Activities: Outreach and Linkage); Exhibit E (Compensation and Administration); Exhibit F7 (DOH/DSHS-MAA Accounting Procedures). It documents the state of Washington's response to legislation in Title V and Title XIX of the Social Security Act requiring state Title V programs and Medicaid agencies to develop an interagency agreement to work together. The objectives of this agreement are (1) to provide DOH reimbursement for a portion of the expenses incurred when performing Medicaid-related administrative activities as described in the Exhibits, (2) to document responsibilities for implementation of the shared DOH and MAA programs and activities and to assure documented accounting procedures are adhered to and maintained, and (3) to document the delegation of certain administrative duties from the T19 Single State Agency to the DOH and to designate responsibilities of DOH and DSHS in their jointly operated programs and activities.

Keywords: Cooperative agreements, Interagency cooperation, Medicaid, State MCH programs, State agencies, Washington

Colorado Department of Health Care Policy and Financing. n.d.. [Colorado] Interagency Agreement. , 18 pp.

Annotation: This Interagency Agreement is between (1) the Colorado Department of Health Care Policy and Financing [T19] and (2) the Colorado Department of Public Health and the Environment (CDPHE) [T5]. It documents the state of Colorado's response to legislation in Title V and Title XIX of the Social Security Act requiring state Title V programs and Medicaid agencies to develop an interagency agreement to work together. The Interagency Agreement includes an amendment dated 12/29/2014 that lists additional definitions, a list of public health programs covered by the agreement, programs included in Colorado's health systems and health care services, and health facilities emergency medical services information.

Keywords: Colorado, Cooperative agreements, Interagency cooperation, Medicaid, State MCH programs, State agencies

Maryland State Department of Health and Mental Hygiene. n.d.. 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). , 14 pp.

Annotation: This Cooperative Agreement is between (1) the Maryland State Department of Health and Mental Hygiene [T19] Medicaid Agency, (2) the Maternal and Child Health Agency, Family Health Administration (FHA) [T5], and (3) Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). It documents the state of Maryland's response to legislation in Title V and Title XIX of the Social Security Act requiring state Title V programs and Medicaid agencies to develop an interagency agreement to work together. The objective of this agreement is to establish roles and responsibilities between the parties for the purpose of providing coordination of services to promote prompt access to high quality prenatal, intrapartum, postpartum, postnatal, and child health services for women and children eligible for benefits under Title V and XIX of the Social Security Act, and section 17 of the Child Nutrition Act of 1996, as amended.

Keywords: Cooperative agreements, Interagency cooperation, Maryland, Medicaid, State MCH programs, State agencies

South Dakota Department of Social Services. n.d.. Joint Powers Agreement between South Dakota Department of Social Services, Office of Medical Services and South Dakota Department of Health, Division of Health and Medical Services. , 3 pp.

Annotation: This Joint Powers Agreement is between (1) the South Dakota Department of Social Services (DSS), Office of Medical Services [T19] and (2) the South Dakota Department of Health (DOH), Division of Health and Medical Services [T5]. It documents the state of South Dakota's response to legislation in Title V and Title XIX of the Social Security Act requiring state Title V programs and Medicaid agencies to develop an interagency agreement to work together. The objective of this agreement is to promote high-quality health care and services for Medical Assistance program recipients. NOTE: This document has been superseded by http://www.ncemch.org/iaa/states/SD_1_1_2014.pdf

Keywords: Cooperative agreements, Interagency cooperation, Medicaid, South Dakota, State MCH programs, State agencies

New York State Department of Health. n.d.. Medicaid/EPSDT - Title V Action Plan: New York State Department of Health. , 3 pp.

Annotation: This Action Plan is between the New York State Department of Health and the New York Office of Medicaid Management. It documents the state of New York's response to legislation in Title V and Title XIX of the Social Security Act requiring state Title V programs and Medicaid agencies to develop an interagency agreement to work together. The objective of this agreement is to provide: (1) access to health insurance for every New Yorker, (2) comprehensive, high quality and accessible medical services for every New Yorker, (3) a medical home for every New Yorker, (4) non-discriminatory provision of assistance, and of medical services, to Medicaid applicants and recipients, (5) delivery of all services to Medicaid applicants and recipients in a culturally and language appropriate manner, (6) an increase in the public's awareness of Title V and Title XIX services available to them, and (7) coordination of services delivery, to ensure services will be provided without duplication of effort, or fragmentation.

Keywords: EPSDT, Cooperative agreements, Interagency cooperation, Medicaid, New York, State MCH programs, State agencies

Georgia Department of Community Health. n.d.. Interagency Master Agreement between the Georgia Department of Community Health and the Georgia Department of Human Resources for Services in Support of the Medicaid Program for the State of Georgia. , 34 pp.

Annotation: This Interagency Master Agreement is between (1) the Georgia Department of Human Resources (DHR) and (2) the Georgia Department of Community Health (DCH). It documents the state of Georgia's response to legislation in Title V and Title XIX of the Social Security Act requiring state Title V programs and Medicaid agencies to develop an interagency agreement to work together.

Keywords: Cooperative agreements, Georgia, Interagency cooperation, Medicaid, State MCH programs, State agencies

Virginia Department of Medical Assistance Services. n.d.. Interagency Agreement Between Virginia Department of Medical Assistance Services and Virginia Department of Health. , 55 pp.

Annotation: This Interagency Agreement is between (1) the Virginia Department of Medical Assistance Services (DMAS) [T19] and (2) the Virginia Department of Health (VDH) [T5]. It documents the state of Virginia's response to legislation in Title V and Title XIX of the Social Security Act requiring state Title V programs and Medicaid agencies to develop an interagency agreement to work together. This Agreement consolidated DMAS-VDH agreements into one document. The agreements are organized into three discrete sections as follows: (1) Long-term Care Agreements, (2) Business Associate Agreement and Data Projects, and (3) Maternal and Child Health Collaborative.

Keywords: Cooperative agreements, Interagency cooperation, Medicaid, State MCH programs, State agencies, Virginia

Colorado Department of Health Care Policy and Financing. n.d.. [Colorado] HIPAA Business Associate Interagency Memorandum of Understanding. , 9 pp.

Annotation: This Memo of Understanding (MOU) describes an Interagency Agreement effective in 2004 between the Colorado Departments of Health Care Policy and Financing and of Public Health and the Environment regarding the sharing of protected health information as per HIPAA Privacy Rules. Provisions of the agreement include obligations of the parties regarding permitted uses and disclosures; safeguards; reporting; access to protected information; amendments; accounting rights; minimum necessary access; data ownership; retention of protected information; audits, inspection, and enforcement; and safeguards. Additional provisions include termination clauses, no waiver of immunity, defense, disclaimer, certification, amendment, assistance in litigation or administration proceedings, no third party beneficiaries, interpretation, survival of certain terms, representatives and notice, and availability of funds. The attachment sets forth additional terms in uses, disclosures, subcontractors, receipts, and restrictions on use of data.

Keywords: Colorado, Cooperative agreements, Interagency cooperation, Medicaid, State MCH programs, State agencies

State of Connecticut Department of Public Health. n.d.. [State of Connecticut:] Memorandum of Understanding between Department of Public Health and (Name of Managed Care Organization). , 4 pp.

Annotation: This Memorandum of Understanding is between (1) the State of Connecticut Department of Public Health (DPH) and (2) the CYSHCN Regional Medical Home Support Centers (CT has contracted with 5 Managed Care Organizations). It documents the state of Connecticut's response to legislation in Title V and Title XIX of the Social Security Act requiring state Title V programs and Medicaid agencies to develop an interagency agreement to work together. The objective of this agreement is to recognize shared goals and to establish methods of coordination and cooperation to ensure that children and youth served by the Regional Medical Home Support Centers who are enrolled in Connecticut's HUSKY, Part A managed care program receive timely and comprehensive health care services under the EPSDT program.

Keywords: Connecticut, Cooperative agreements, Interagency cooperation, Medicaid, State MCH programs, State agencies

National Center for Education in Maternal and Child Health. n.d.. Title V information system glossary. Germantown, MD: HRSA Call Center, 6 pp.

Family Voices. n.d.. First steps for family leaders: Forming collaborative relationships with your state Title V Program. Albuquerque, AZ: Family Voices, 2 pp.

Mississippi Maternal Health Symposium Workgroups, Mississippi State Department of Health. n.d.. Mississippi maternal health action plan & strategies guide. Jackson, MS: Mississippi Maternal Health Symposium Workgroups, 32 pp.

Annotation: This document provides an overview of maternal health landscape in Mississippi and outlines its vision, mission and purpose. It serves as a road map for the development, planning and implementation of prevention strategies for adverse outcomes in maternal health. This plan seeks to direct efforts to improve maternal health outcomes in Mississippi by advocating for equitable access to healthcare, promoting education and awareness about maternal health issues, supporting healthcare providers in underserved areas, and fostering collaboration among stakeholders and community organizations to address maternal health disparities.

Keywords: Access to care, Collaboration, Health care equity, Maternal health, Plans, State MCH programs, State initiatives

Association of Maternal and Child Health Programs. 2025. State systems development initiative – Turning data into impact. ,

Annotation: This fact sheet describes the State Systems Development Initiative (SSDI) program, which aims to improve maternal and child health outcomes in 59 states and jurisdictions by increasing capacity to collect, analyze, and use reliable data for Title V MCH Services Block Grant policy and program development. The document explains that SSDI is funded through the Special Projects of Regional and National Significance portion of the Title V Block Grant, distributing up to $100,000 annually to state and jurisdiction awardees to support expansion of data linkages, improved access to data on fair access to care, and translation of data into action. It outlines SSDI's alignment with the Title V MCH Services Block Grant by serving as the sole program supporting the data systems and capacity that Title V programs rely on for planning, implementation, and evaluation. The fact sheet emphasizes that all 59 states and jurisdictions receive SSDI support, providing examples of impact including linking datasets to improve data accuracy, expanding public health dashboards, and identifying areas with poor outcomes for targeted interventions.

Keywords: Data analysis, Data collection, Grants, MCH programs, Services delivery systems, State initiatives, Title V

Association of Maternal and Child Health Programs. 2025. State maternal health innovation – strengthening systems. Washington, DC: Association of Maternal and Child Health Programs, 2 pp.

Annotation: This fact sheet describes the State Maternal Health Innovation (MHI) Program, a federal investment launched in 2019 as a Special Project of Regional and National Significance by the Health Resources and Services Administration. The program supports states in building comprehensive, data-driven, and collaborative maternal health systems through competitive grants that enable states to develop tailored strategies reflecting their unique populations and care landscapes. It describes the program's alignment with the Title V MCH Services Block Grant by filling a critical gap in facilitating relationships, coordination, and innovation capacity to move state maternal health systems from fragmentation toward alignment. The fact sheet emphasizes that the State MHI Program is the only federal program funding states to weave together relationships into cohesive maternal health systems and warns that without continued funding, state alliances and innovations would stagnate while maternal health efforts would become fragmented.

Keywords: Federal programs, Funding, Grants, MCH Programs, Model programs, Service delivery systems, State initiatives

Pedersen S, Cohen A, Lally H, Ramos C, Hafner M. 2025. State Medicaid coverage of evidence-based perinatal services varies widely. Arlington, VA: Health Research and Policy Center, 14 pp.

Annotation: This issue brief analyzes state Medicaid coverage of evidence-based perinatal services that can improve maternal and infant health outcomes, particularly during the postpartum period. The document examines coverage across four categories of services including alternative models of care delivery, whole-person wraparound care, mental and behavioral health support, and lactation support beyond the hospital. It finds wide variation in Medicaid coverage of these evidence-based perinatal services across states, with only 11 states requiring and reimbursing maternal depression screening during well-child visits and significant differences between Medicaid expansion and non-expansion states. The analysis emphasizes that despite growing recognition of postpartum care importance, state variation in Medicaid coverage likely influences maternal health outcomes and worsens place-based disparities.

Keywords: Evidence based medicine, Health policy, Medicaid, Perinatal care, Postartum care, Reimbursement, State MCH programs, Statistics

National Maternal and Child Oral Health Resource Center, Association of State and Territorial Dental Directors. 2024. Making a pitch for introducing oral health issues to MCH director or Title V coordinator. Washington, DC: National Maternal and Child Oral Health Resource Center, 1 p.

Annotation: This document provides information for crafting a pitch to introduce issues to a maternal and child health (MCH) director or Title V coordinator. It provides an overview of a pitch, lists steps to follow to produce a good pitch, and provides a sample pitch that can be modified to fit specific needs. [Funded by the Maternal and Child Health Bureau]

Keywords: Community programs, MCH programs, Oral health, State programs, Title V programs

Prenatal-to-3 Policy Impact Center . 2024. Prenatal-to-3 state policy roadmap . Nashville, TN: Prenatal-to-3 Policy Impact Center ,

Annotation: This roadmap provides detailed information on policies and strategies that foster nurturing environments for infants and toddlers and reduce disparities in access and outcomes. Published annually, the roadmap is designed to help state leaders (1) Assess the wellbeing of its infants and toddlers and prioritize state policy goals; (2) Identify evidence-based policy solutions proven to impact policy goals; (3) Monitor states’ adoption and implementation of effective policies and strategies; and (4) Track the impact that policy changes have on improving the wellbeing of children and families and reducing disparities between racial and ethnic groups. A summary of each state’s progress is included.

Keywords: Child health, Data collection, Early childhood development, Family leave, Health care access, Health status disparities, Home visits, Infant health, MCH programs, Policy, Prenatal care, State initiatives, State policy

Missouri Perinatal Quality Collaborative. 2024. Obstetric hemorrhage resource workbook. Jefferson City, MO: Missouri Perinatal Quality Collaborative, 16 pp.

Annotation: The workbook outlines evidence-based practices for improving recognition of and response to obstetric hemorrhage, including hemorrhage risk assessments categorized as low, medium, and high risk that should be completed on admission, during labor, and post-delivery. It emphasizes the critical importance of quantification of blood loss using volumetric containers, weighing scales, or computerized image recognition rather than estimation, as postpartum hemorrhage occurs in about 40% of low-risk birthing people. The workbook presents the Alliance for Innovation on Maternal Health Patient Safety Bundle components, which include stage-based management plans, hemorrhage supply carts, immediate access to hemorrhage medications, standardized education for obstetric teams, multidisciplinary drills, and case review processes. It addresses Missouri-specific data showing obstetric hemorrhage as the fourth leading cause of pregnancy-related deaths from 2018-2020, with significant racial disparities in transfusion rates, and notes that between 54% to 90% of hemorrhage-related deaths are preventable. The workbook includes extensive resources for implementation including assessment tools, quantification worksheets, stage-based guidelines, simulation training materials, and patient debriefing forms, and provides trauma-informed guidance for supporting patients and families after hemorrhage events.

Keywords: Emergency medical services, Hemorrhage, Missouri, Obstetric care, Obstetric complications, Postpartum hemorrhage, Quality improvement, State MCH Programs

Takyi-Micah N. 2023. How community health workers navigate the infant and maternal health space in Ohio. Cleveland, OH: The Center for Community Solutions, 16 pp.

Annotation: This report examines how community health workers (CHWs) navigate maternal and infant health services in Ohio, based on interviews and focus groups conducted in spring-summer 2023. It describes how CHWs work to reduce mortality rates through mental health support, education, and resource connections, while facing challenges like work-life balance, low wages, and poor coordination with medical providers. The document outlines solutions including improved provider communication, addressing systemic racism, and advocating for sustainable funding. Key findings draw from 13 key informant interviews and three focus groups with CHWs, supervisors, trainers, and other stakeholders working in Ohio's maternal and infant health programs.

Keywords: Community health workers, Infant health services, MCH Services, Ohio , State programs

National Academy for State Health Policy. 2023. Operational state Medicaid policy levers to strengthen perinatal health systems. Portland, ME: National Academy for State Health Policy,

Annotation: This toolkit is designed to assist state health officials in advancing policy initiatives to strengthen perinatal systems of care, improve maternal and infant health outcomes, and address health disparities amid the maternal health crisis. The resource provides key strategies for states using Medicaid policy levers, including policy considerations for strengthening postpartum care coordination under Medicaid, implementing Medicaid coverage of doula and midwifery services to expand the perinatal workforce, and guidelines for optimizing the extension of Medicaid postpartum coverage.

Keywords: Health care systems, Medicaid, Perinatal care, Postpartum care, State MCH programs, policy development

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The MCH Digital Library is one of six special collections at Geogetown University, the nation's oldest Jesuit institution of higher education. The library is supported through foundation, univerity, state, and federal funding. 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 the U.S. Government. Note: web pages whose development was supported by federal government grants are being reviewed to comply with applicable Executive Orders.