Iowa Medicaid is moving to infuse best practices for developmental care into the current EPSDT Care for Kids Program. In planning for this, Iowa has defined three levels of developmental care for Medicaid eligible children birth through three years of age.

Three levels of care

Level 1
Preventive developmental services for all Medicaid eligible children from birth through age three years including, but not limited to:

• Early and periodic well-child care

• Developmental and mental health monitoring, including risk assessment

• Anticipatory guidance

• Care coordination that links the child and family to resources, and assists families to become independent health care consumers

Level 2
Developmental services for Medicaid eligible children birth through age three who are considered to be at risk for developmental, behavioral, and social emotional problems.  Services include:

• Standardized screening of development; social, emotional, and behavioral concerns; and parental stress and other family risk factors

• Case management services provided by a professional to assist the child, family, and health team to develop and implement a plan of care designed to optimize the health and development of the child

• Less intensive interventions such as parenting education and problem-focused counseling

Level 3
Level 3 services include:

EPSDT Care for Kids
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