Require coverage for home visiting programs
Recommendation
Evidence-based home visiting programs should be a mandated benefit of health plans and be integrated into collaborative care models.[1]
Background/summary
Evidence-based home visiting programs provide new parents with health, social, and child-development services that have proven effective in the detection and intervention of prenatal complications, postpartum depression, Adverse Childhood Events (ACEs), and developmental concerns for pregnant parents and young children under five.[1][2] In partnership with the Administration for Children and Families (ACF), the Health Resources and Services Administration’s (HRSA) Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program provides funding to state programs to deliver these services through local agencies; however not all state Medicaid programs cover these visits, and-out-of-pocket costs can range from one to five thousand dollars annually.[3][4] Home visiting programs can improve health equity and provide a head start for all families.[5] However, to do so, they must be offered as a covered benefit for all health plans.[1]
citations
1. The Kennedy Forum. Navigating The New Frontier of Mental Health and Addiction: A Guide for the 115th Congress. Last Updated 2017.
2. Health Resources and Services Administration. The Maternal, Infant, and Early Childhood Home Visiting Program. Last Updated May 2023.
3. National Academy for State Health Policy. Medicaid Reimbursement for Home Visiting Services. Last Updated May 1, 2023.
4. U.S. Department of Health and Human Services, Office of Planning, Research, & Evaluation; An Office of the Administration for Children & Families. Costs of Evidence-Based Early Childhood Home Visiting: Results from the Mother and Infant Home Visiting Program Evaluation. Last Updated June 17, 2022.
5. Better Mental Health Care for Americans Act. S. 923 (Bennet-Wyden), 118th Congress (2023-2024). Last Updated March 22, 2023.