In 2023, Maryland Medicaid began enhanced payments for practices implementing HealthySteps with fidelity: $15 per eligible visit for children 0–3. This advancement was the result of a collaborative effort involving Medicaid, behavioral health agencies, ZERO TO THREE, the University of Maryland, and Child Trends.
In the context of an emerging trend where states look toward novel Medicaid reimbursement solutions, this Child Trends research brief provides an overview of the Maryland model as a promising example of how strategic Medicaid payment reform, paired with cross-sector collaboration, can help scale integrated primary care programs like HealthySteps.
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