State Response to Study Results
MiLEAP and MDHHS utilized the results of the study to bring about program improvements. These focused heavily on improving internal and external communications.
- Eligibility specialists received a case checklist and tip sheet.
- The program’s helpline system was modified to direct callers more quickly to MDHHS for questions about eligibility.
- The billing system got a new feature so providers could see case status and other helpful information, like the approved hours and redetermination date.
- A cross-agency group formed to collaborate on program process improvements.
- A new program FAQ was added to the online benefit system for families.
- Key forms were simplified by removing unnecessary fields.
Study Recommendations
- Support increased slots and provider supply through state investments, being mindful of the impact of universal preschool for the variety of provider types valued by families.
- Maintain eligibility at no less than 200% of the FPL and examine how graduated exit policy is affected with this latest increase and any future increases.
- Help families connect to child care by building awareness of the Great Start to Quality website, the CDC Scholarship, and navigation of provider-to-family connections based on real-time provider openings.
- Study further the reasons families are not making use of the CDC Scholarship, specifically examining differences and similarities by race/ethnicity.
- Continue to explore regional variations in access to child care and CDC Scholarship program enrollment.
- Bolster provider financial stability—and thus child care market stability—through payment rates that reflect the cost to provide quality child care, as well as business technical assistance and workforce supports.
- Increase the number of eligibility specialists dedicated to CDC cases in the state, across both MDHHS offices using the UCL and a traditional case management structure.
Acknowledgments
This work was made possible by Grant Number 90YE0219 from the Office of Planning, Research and Evaluation, Administration for Children and Families, U.S. Department of Health and Human Services. The contents of this webpage are solely the responsibility of the authors and do not necessarily represent the official views of the Office of Planning, Research and Evaluation, the Administration for Children and Families, or the U.S. Department of Health and Human Services.
In addition, PPA greatly appreciates the state partners, study participants, and others who offered their perspectives and time to this study.