States have undertaken a variety of strategies to implement the new Fostering Connections to Success and Increasing Adoptions Act of 2008 (PL 110-351). Here you will find selected examples of state and tribal approaches related to implementing the new law, or you can search by state.

Health Care Coordination

• Arkansas' health screening process
  In Arkansas, eighty-nine percent of children entering foster care receive a health screening within 24 hours. The state hopes to increase that outcome to 95 percent. Eighty-seven percent of children who entered foster care between May 2007 and Apr...
• Colorado's health passport
  Colorado has a mandatory requirement that every child in placement have a health passport.  Read more. The Fostering Connections Resource Center gratefully ackn...
• DC's health care coordination efforts
  The Children and Family Services Agency in Washington, D.C. has a unique collaborative within the Agency to coordinate and ensure youth in care receive adequate health care, dental care and mental health services. Health services are tracked, moni...
• Florida's health care coordination efforts
  In Florida, in September 2008, an interagency agreement was signed by the Department and agencies responsible for Health, Health Care Administration, Persons with Disabilities, and Juvenile Justice. This group was convened on February 5, 2009 spec...
• Illinois' health and well-being monitoring model
  Illinois operates a Child and Youth Invest Team (CAYIT) which is a team decision making model. These multidisciplinary teams are full-time and regionally-based and are responsible for assessing a child or youth service needs, identifying the reso...
• Maine's health coordination efforts
  Maine's state policies mirror the health oversight and coordination plan under P.L. 110-351.  For instance, the state requires that all children in foster care receive a health assessment within 72 hours of placement. Maine has just initiated...
• Massachusetts health care coordination strategies
  Massachusetts state law stipulates that every child have a medical exam, including Early and Periodic Screening, Diagnosis and Treatment (EPSDT) screening within 30 days of placement. Massachusetts provides a medical passport for each child in pla...
• New Mexico's health care coordination for youth in foster care
  New Mexico has a pediatrician on staff that helps coordinate health services and is available to consult with staff. The agency also works closely with the Family, Infant ,Toddler Program to coordinate services for the 0 to 3 populations. . The Be...
• Pennsylvania's health care coordination strategy
  The state is monitoring counties closely to see if counties are implementing appropriate health oversight and drafting coordination plans. Many counties utilize a managed care system for children in placement. There is an emphasis on special-needs...
• Utah's health care coordination strategies
  A contract with the Department of Health enables immediate access to medical care to any child entering the placement system in Utah. Any urgent medical needs are provided immediately.  The protocol is for every child to have a physical exam ...