State Profiles: CCHC Fact Tables

Eight tables allow you to view and compare state facts for the categories listed below. Click on a category name to go directly to that table.

Within the tables, you can click on the name of a state to see a more detailed profile.

Note: Information not available for the following states: Mississippi, Northern Mariana Islands, South Dakota

 

Lead Agency

StateDepartment of Public HealthChild Care Resource and Referral AgencyOther
AlabamaYES Alabama Department of Human Resources (ADHR)
AlaskaYES  
Arizona  Early Childhood Development and Health Board in partnership with the Governor's Division of School Readiness
Arkansas  Arkansas Department of Health and Human Services
California  California Childcare Health Program, UCSF School of Nursing
Colorado  YES 
ConnecticutYES  
DelawareYES  
District of Columbia  Office of Early Childhood Development
FloridaYES Early Learning Coalitions (Programs differ in various locales- Pre-K program, VPre-K program, Subsidized CCR&R agencies)
GeorgiaYES  
Guam YES Department of Public Health and Social Services, MCH Program, Division of Public Welfare
Hawaii  Department of Human Services and Department of Health, Children with Special Health Care Needs
Idaho YES 
Illinois  Department of Human Services
Indiana  Family and Social Services Administration, Bureau of Child Care
IowaYES  
KansasYES  
KentuckyYES The Department of Education, specifically the Office of Early Childhood Development is the source of the KIDS NOW initiative, which is funding the training and services of the consultants
LouisianaYES  
Maine  Division of Early Childhood, Office of Child and Family Services in the Maine Department of Health and Human Services
Maryland  Center for Maternal and Child Health
MassachusettsYES  
Michigan  Department of Community Health in partnership with Department of Human Services through interagency agreement
Minnesota  Partnership between the MN Department of Health and MN Department of Human Services--no formal lead agency for CCHCs
MissouriYES  
Montana  No statewide lead agency
NebraskaYES Office of Family Health
Nevada  Nevada State Health Division, Bureau of Family Health Services
New HampshireYES  
New Jersey  Department of Health and Senior Services
New Mexico  There are no active CCHCs in the state
New York  Division of Family Health, New York State Department of Health is lead agency for Child Health Specialists
North Carolina  Under the Department of Health and Human Services, the division of Public Health/Children and Youth Branch is the lead agency
North Dakota YES 
Ohio YESThe Bureau of Early Intervention Services, a division of the Department of Health has a contract with the Ohio Child Care Resource and Referral Agency to coordinate a statewide a network of CCHC’s.
OklahomaYES  
OregonYES  
Palau  No CCHC lead agency, Ministry of Health Lead Agency for ECCS
Pennsylvania  Pennsylvania Chapter of the American Academy of Pediatrics
Puerto Rico  The Department of Families
Rhode Island  The Division of Family Health, under the Department of Health
South Carolina  The Division of Women and Children’s Services, a division under the Department of Health and Environmental Control
Tennessee  DHS — Department of Human Services
Texas  Texas Health and Human Services Commission
Utah  Utah Department of Health
Vermont  Child Development Division, Department of Children and Families
Virginia YES  
WashingtonYES  
West VirginiaYES  
WisconsinYES  
Wyoming  Wyoming does not have a lead agency for child care health consultation

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Funding Sources

StateTitle VChild Care and Development FundTemporary Assistance for Needy FamiliesState Children's Health Insurance ProgramEarly Childhood Comprehensive SystemsFoundationsMedicaid AdministrationOther
Alabama       Alabama Department of Human Resources
Alaska       ECCS grant supports systems development for child care health consultation.
ArizonaYESYES   YES A private foundation provides limited support for a CCHC in the Tucson (Pima County) area.
Arkansas       General state revenue funds
California YES     First 5 until 6/06, HRSA funding CTI training through 6/07
Colorado YESYES     The Children’s Hospital and Qualistar Early Learning (CCR&R)
Connecticut       ECCS grant; Healthy Child Care New England Regional Collaboration
Delaware YES     Robert Wood Johnson funding Covering Kids & Families, ECCS grant
District of Columbia        
Florida    YES   
Georgia       Under development between Division of Public Health and Bright from the Start/Department of Early Care and Learning
Guam        No dedicated CCHC funding, CCDF funds support health and safety professional development for ECE providers
Hawaii YES      
Idaho YES      
IllinoisYES      Quality Child Care
Indiana YES      
IowaYESYESYES    State funds through Community Empowerment, Head Start/Early Head Start
Kansas YES     Title IV-E (Social Security Act, Foster Care and Adoption Assistance Program) and State General Funds
Kentucky    YES  The state supports CCHCs with tobacco funds, which it receives through a 20-year plan dispensing money from a settlement with tobacco companies. The state pays for 88 CCHC’s across the state
LouisianaYES      ECCS and Louisiana Department of Social Services provided some funds for training.
Maine YES     Maine's Early Childhood Comprehensive Systems grant
Maryland    YES   
MassachusettsYESYES     State contributions for New England regional collaborative, Regional Child Care Initiative from the Child Care Bureau, some local communities through Community Partnerships for Children, some Child Care Resource & Referral agencies
Michigan YES     Medicaid funding available for children with serious emotional disturbance and who meet medical necessity criteria under Michigan's 1915 b managed care mental health speciality services and supports waiver.
MinnesotaYESYES      
MissouriYESYES     Centers for Disease Control and Prevention (CDC)
Montana       County block grant funds in county where CCHC is offered
Nebraska       No dedicated CCHC funding
Nevada       Varies by location
New HampshireYES       
New JerseyYESYES  YESYES Municipal funds; CCDF funds 21 CCHC Coordinators housed in CCR&Rs
New MexicoYES       
New YorkYES      State funding to County Health Departments that hire and deploy Child Health Specialists. Counties use their own funds to support Child Health Specialists' efforts.
North CarolinaYES      North Carolina Local Partnerships for Children (Smart Start) funds on the ground CCHCs. Some local health departments also contribute funding
North Dakota  YES    CCDF indirectly supports child care health consultation system. CCR&Rs receive some ECCS funding and foundation support (e.g., Bremer Foundation) for CCHCs. Healthy North Dakota Early Childhood Alliance also provided support funds.
OhioYESYES  YES  Funding from the Department of Education, Part C funds from IDEA, General Revenue Funds and a federal Mental Health Transformation State Incentive Grant.
OklahomaYES   YES  Oklahoma Department of Human Services funds one CCHC.
OregonYESYES     Local funds
Palau       None
PennsylvaniaYESYES     PA AAP and other private foundations and industries also support their work financially
Puerto Rico        
Rhode IslandYES      Successful Start, a federally funded program, is prioritizing the development of consultation services
South Carolina       There is currently no funding for CCHCs
TennesseeYESYES      
TexasYES       
UtahYES      (Title V funds support a local CCHC in one jurisdiction)
VermontYESYES     Medicaid
Virginia YES       
WashingtonYESYES     Local health jurisdictions
West VirginiaYES       
WisconsinYES      Various local community funding sources
Wyoming YES      

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Support Other than Funding:

StateOther
AlabamaADHR and ADPH will collaborate to increase the number of Nurse Consultants
Alaska 
ArizonaADHS has funded an annual CCHC training since 2003. Since 1988 AZDHS has funded a CCHC coordinator in Pima County who is available as a resource throughout the state.
ArkansasCoordination of multiple early childhood health and education initiatives
CaliforniaCTI, 800 number for child care providers and CCHCs, newsletter
Colorado Training workshops; requiring CCHCs for licensing; website--marketing, online training, health and safety resources
Connecticut 
DelawareDPH supported the development of a state CCHC Organization. The HCCD website provides includes a list of CCHCs and information on how to contact them.
District of Columbia 
FloridaLocal Early Learning Coalitions and Child Care Resource and Referral Agencies
GeorgiaCCHC training for public health nurses and other individuals
Guam None at this time
HawaiiTraining for PHNs and Pediatriticans, Resource Materials to PH jurisdictions
Idaho60-hour online course for CCHCs
Illinois 
IndianaWebsite, toll-free number, office space, supplies
IowaCCNC network coordination, training, data system (encounter data), and materials support
KansasTraining, regulatory
Kentucky 
LouisianaTwo and a half day training every year
MaineAnnual CCHC training is partly supported by a $2,000 contribution from Maine's ECCS to the Healthy Child Care New England Regional Collaborative through a cooperative agreement.
Maryland 
MassachusettsAs part of a Collaborative Agreement among the 6 Region I (New England) states, Massachusetts has agreed to support the regional coordination of the project by contributing minimum of $2,000/year for each year of SECCS grant funding, totaling three years
MichiganMichigan is unique from other states in that it has focused on building an infrastructure to support CCMHC’s rather than CCHC’s. DHS has funded 16 local projects to date.
Minnesota 
MissouriAnnual statewide training and resources
Montana 
NebraskaCCHC training, child care provider training, connect CCHCs and providers, evaluate capacity in urban areas, provide TA to local health departments
Nevada 
New Hampshire 
New JerseyEarly Childhood Health Link Newsletter; Support from CCHC Coordinators
New Mexico 
New YorkState child care regulator agency supports a separate system of health consultats that providers are mandated to use by regulation. This system predated Healthy Child Care America and exists in addition to the Child Health Specialist network.
North CarolinaNorth Carolina Child Care Health & Safety Resource Center; Providing a state level health consultant
North DakotaProvides a state-level nurse consultant (North Dakota Department of Health)
OhioCoordination with community based programs
OklahomaTraining twice a year
Oregon 
PalauNo support provided
Pennsylvania 
Puerto RicoThe Department of Health sent employees to attend the National Training Insitute training along with Department of Families staff.
Rhode IslandHealth Consultation Training Collaborative Cooperative Agreement--Rhode Island is part of this agreement among Region I states, and has agreed to contribute a minimum of $1,500 to cover costs of one annual training in the state
South Carolina 
Tennessee 
TexasState provides training, listserv, website, brochures, resources
UtahState Health and Safety Course for ECE providers
VermontChild Development Division, Department of Children and Families
Virginia Training and training materials, quarterly newsletter, change in licensing standards to include CCHCs
WashingtonContracts with a number of individuals/organizations to provide support to HCCW and ECCS
West Virginia 
WisconsinECCS held retreat for leaders in health care, child care, regulatory, academic and learning standards. Goal was to establish sustainable working relationship between child care & health care providers.
WyomingIncentives for using CCHCs are included in licensing procedures

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CCHCs are marketed to:

StateCCHCsOut-of-home care providersPhysiciansFamiliesLegislators
Alabama YES   
Alaska     
Arizona     
Arkansas     
California     
Colorado YESYES   
ConnecticutYESYES   
Delaware YES   
District of Columbia     
Florida     
Georgia YES   
Guam      
Hawaii  YES  
Idaho YES   
IllinoisYESYESYESYESYES
Indiana YESYESYESYES
IowaYESYESYESYESYES
Kansas YES   
Kentucky YES   
Louisiana YES YES 
Maine YES   
Maryland YES   
Massachusetts     
Michigan YES YES 
Minnesota YES   
Missouri YES YES 
Montana YES   
Nebraska     
Nevada     
New Hampshire YES  YES
New JerseyYESYESYESYES 
New Mexico     
New York YES YES 
North Carolina YES   
North Dakota YES   
Ohio YESYESYES 
Oklahoma YES   
Oregon YES   
Palau     
PennsylvaniaYESYESYES  
Puerto Rico     
Rhode IslandYESYES   
South Carolina     
Tennessee YES   
TexasYESYESYESYES 
Utah     
Vermont YESYESYES 
Virginia  YES YESYES
WashingtonYESYESYESYESYES
West Virginia     
WisconsinYESYES YES 
Wyoming YES   

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Child Care Licensing/Regulations

StateRequire/mandate health consultation for these categories of licensed facilitiesChild Care Licensing/ Regulations
Define Scope of Work
Licensing/ Regulations
Define Who May Provide Health Consultation
Quality Rating System
All CategoriesSome CategoriesIncludes CCHCsCCHCs not specifiedIncludes CCHC servicesCCHC services not specified
Alabama       
Alaska       
Arizona       
Arkansas       
California YES  YES  
Colorado  YESYES YES YES
Connecticut YESYES YES  
Delaware YESYES YES  
District of Columbia       
Florida YESYES YES  
Georgia       
Guam        
HawaiiYES   YES  
Idaho       
Illinois YES     
Indiana YESYES   YES
Iowa YESYES YESYES 
Kansas YESYES    
Kentucky    YES YES
Louisiana YES    YES
Maine YES  YES  
Maryland YES  YES  
Massachusetts YESYES YES  
Michigan       
Minnesota YESYES YES  
Missouri       
Montana      YES
Nebraska   YES   
Nevada YESYES    
New Hampshire       
New Jersey YES  YESYES 
New Mexico       
New York       
North Carolina YES    YES
North Dakota       
Ohio      YES
Oklahoma YESYES YES YES
Oregon       
Palau       
Pennsylvania       
Puerto Rico       
Rhode Island YES  YES  
South Carolina       
Tennessee      YES
Texas       
Utah       
Vermont       
Virginia  YES     
Washington YESYES YES  
West Virginia YESYES    
WisconsinYES YES YES  
Wyoming       

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Payment to CCHCs Is From

StateState Department of HealthOther State departmentLocal/county health departmentChild Care Resource and Referral AgencyOther community organizationRelease time from employers/pro bono workFees paid by child care providersOther
AlabamaYES      Department of Human Resources through a Healthy Childcare Alabama grant given to DPH
Alaska        
Arizona       Varies by county. Some CCHCs working under auspices of local health departments, school districts, Head Start, etc. With the exception of Pima County CCHCs not a dedicated position.
Arkansas       General state revenue funds
California       Varies by county, local health jurisdictions, local First 5 jurisdictions
Colorado       YES 
Connecticut     YESYES 
DelawareYES     YES 
District of Columbia     YESYES 
Florida   YES   Early Learning Coalitions
Georgia        
Guam        No payment mechanism in place
Hawaii     YES  
Idaho   YES    
Illinois       State Department of Human Services through local health departments
Indiana YES     (Family and Social Services Administration, Bureau of Child Care)
IowaYES  YES   Head Start/Early Head Start
KansasYES       
KentuckyYES      Funds for CCHCs come from the Office of Early Childhood Development
LouisianaYES    YESYES 
Maine      YESMost CCHCs in Maine provide their services on a pro bono basis.
Maryland       Currently piloting CCHCs in three jurisdictions using local health department nurses who are giving time in-kind for the year-long pilot.
Massachusetts YES YES  YESA few CCHCs are hired by local Community Partnership for Children collaboratives and CCR&Rs using funds from the Department of Early Education and Care
Michigan       Child Care Expulsion Prevention projects
Minnesota      YESContracts between LHJs and child care providers
MissouriYES      CDC, CCDF, local public health agencies (in collaboration with State DPH)
Montana       One local health jurisdiction uses county block grant funds
Nebraska     YES Varies
Nevada        
New HampshireYES       
New Jersey   YES  YESLocal public health departments
New Mexico        
New York       County Health Departments employ and pay Child Health Specialists
North CarolinaYES     YESNorth Carolina Local Partnerships for Children
North Dakota   YES    
Ohio   YES   Ohio Department of Health has a contract with OCCRRA; OCCRRA has a contract with partner agencies; CCHCs are employed by a partner agency.
OklahomaYES    YES  
Oregon       Local lead agencies as pass-through funds (i.e., local health jurisdictions or CCR&Rs)
Palau        
Pennsylvania     YESYES 
Puerto Rico        
Rhode IslandYES     YES 
South Carolina        
Tennessee   YES    
Texas     YESYESCCHCs carry out duties as part of an existing job
Utah        
VermontYESYES     Office of Vermont Health Access (Medicaid)
Virginia YES     YESProvider fees braided with Title V funds
Washington       Local health jurisdictions
West Virginia     YES CCHCs are volunteers
WisconsinYES      Local funding such as United Way
Wyoming       Some local health jurisdictions allow PHNs to provide CCHC services

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Method by which Providers Access CCHCs

StateWebChild Care Resource and Referral AgencyLead agencyOther
Alabama   ADHR gives the licensed facilities information on trainings, licensed facilities contact appropriate CCHC. Access is also through Childcare Management Agency
Alaska    
Arizona   Varies by county
Arkansas YESYES 
California   No state system, varies by county
Colorado YESYES Directly through e-mail addresses on www.qualistar.org
Connecticut  YESword of mouth
DelawareYESYES Direct marketing, Office of Child Care Licensing
District of Columbia    
FloridaYES   
GeorgiaYES   
Guam   YES 
Hawaii  YES 
Idaho YES  
IllinoisYESYES Local health departments
IndianaYESYESYESIndiana AEYC; state licensing regulators; toll-free number; workshops and conferences
IowaYESYESYESHealthy Families Line: (800) 369-2229; local MCH agencies; CCHCs directly
Kansas  YESLocal health departments
KentuckyYES  CCHCs do outreach in their local communities
Louisiana YESYESDirectly contact them
Maine   word of mouth
Maryland YESYES 
MassachusettsYESYESYESInformal channels and networks
Michigan YES Child Care Expulsion Prevention projects
MinnesotaYES  LHJs, nonprofit organizations
MissouriYESYESYESLocal public health agencies
Montana   No state system to link providers with CCHCs
Nebraska  YES 
Nevada    
New Hampshire  YES 
New Jersey YES Local public health departments
New Mexico    
New York YESYESCounty Health Departments
North CarolinaYES YESNewsletter; Resource Center
North Dakota YES  
OhioYESYESYESLead agency's subcontractors and the state's Bureau of Child Care and Development promote CCHC service through different channels.
Oklahoma YESYESWarmline for Oklahoma Child Care Providers, (888) 574-5437
Oregon YES  
Palau   They call the Ministry of Health if they have a need for consultation
Pennsylvania  YES 
Puerto Rico    
Rhode Island    
South Carolina    
Tennessee YES  
TexasYESYESYESContact info: e-mail and phone is on HCCT website
Utah   No state system to link providers with CCHCs
Vermont YES Child Development Division mailings, orientations, and licensors
Virginia    By calling a central phone number, providers can ask for CCHCs in their area.
WashingtonYESYESYESLocal health jurisdictions, licensors
West Virginia    
WisconsinYES  Outreach by CCHCs
Wyoming   Wyoming does not have a state system to link providers to CCHCs

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Training

StateCaring for children who are ill or temporarily disabledCaring for children who are maltreatedChildren with special health care needsConsultation skillsEnvironmental healthInfectious diseasesInjury preventionMental health in the child care setting: supporting social & emotional developmentNutrition and physical activityOral healthQuality in child careStaff healthTraining and facilitation skills
AlabamaYESYESYESYESYESYESYESYESYESYESYESYESYES
Alaska             
ArizonaYESYESYESYESYESYESYESYESYESYESYESYESYES
Arkansas             
CaliforniaYESYESYESYESYESYESYESYESYESYESYESYESYES
Colorado    YES         
ConnecticutYESYESYESYESYESYESYESYESYESYESYESYESYES
DelawareYESYESYESYES YESYESYESYESYESYES YES
District of Columbia             
Florida             
GeorgiaYESYESYESYESYESYESYESYESYESYESYES YES
Guam              
Hawaii             
IdahoYESYESYESYESYESYESYESYESYESYESYESYESYES
IllinoisYESYESYESYESYESYESYESYESYESYESYESYESYES
IndianaYESYESYESYESYESYESYESYESYESYESYESYESYES
IowaYESYESYESYESYESYESYESYESYESYESYESYESYES
Kansas             
KentuckyYESYESYESYESYESYESYESYESYESYESYESYESYES
LouisianaYES YES YESYESYESYESYESYES  YES
MaineYESYESYESYESYESYESYESYESYES YESYESYES
MarylandYESYESYESYESYESYESYESYESYESYESYESYESYES
MassachusettsYES YESYES YESYESYES YESYES  
Michigan       YES     
MinnesotaYESYESYESYESYESYESYESYESYES YESYESYES
MissouriYESYESYESYESYESYESYESYESYES YESYESYES
MontanaYESYESYESYES YESYESYES YES   
Nebraska YESYESYES YESYESYESYESYESYES YES
NevadaYESYES           
New HampshireYES YESYES YESYESYESYESYESYES  
New JerseyYESYESYESYESYESYESYESYESYESYESYESYESYES
New Mexico             
New YorkYESYESYESYESYESYESYESYESYESYESYESYES 
North Carolina