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Fostering Social and Emotional Health through Pediatric Primary Care: A Blueprint for Leveraging Medicaid and CHIP to Finance Change (June 2019)

This blueprint explores how Medicaid and Children’s Health Insurance Program (CHIP)—which cover nearly half of children under three—can be leveraged to finance and sustain effective and proven pediatric well-child visit practices that make social and emotional health a routine, expected part of pediatric care. 

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This issue brief outlines the Pierce County PPC’s efforts to sustainably fund Community Health Workers (CHWs) within pediatric primary care to promote physical and behavioral health integration. Drawing on lessons from Pediatrics Northwest’s implementation experience, it highlights remaining barriers—including billing limitations—and offers actionable strategies to ensure the growth and sustainability of the CHW workforce to advance whole‑child, integrated care across diverse clinical and community settings. 

HealthySteps, a program of ZERO TO THREE, is an evidence-based program that embeds child development specialists directly into pediatric primary care practices, ensuring all families with children ages 0–3 receive tiered, whole-child support for healthy social, emotional, and cognitive development—right where families already go for care. 

Reach Out and Read leverages the well-child visit to put books in the hands of families, equipping clinicians with a built-in strategy to promote early literacy, strengthen caregiver-child relationships, and support the healthy development of young children from birth. 

 

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