Medicaid and Head Start: Opportunities to Collaborate and Pay for Upstream Prevention
This issue brief draws upon initial experiences from Maryland Medicaid’s early efforts to explore connecting one Medicaid managed care organization (MCO) with one or more local Head Start programs in the interest of linking families to needed services — including at least one upstream preventive service — and addressing the social determinants of health. Maryland Medicaid is meeting with a Medicaid MCO, Head Start representatives and a representative from the Maryland Academy of Nutrition and Dietetics to pilot the delivery of Medicaid-funded group nutritional counseling in Head Start settings.
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Leading an Early Childhood Team Through the Quality Improvement Process
Article October 7, 2026
Published in Young Children, this 2024 article provides an operational guide for aligning state QIS requirements with broader national standards, quality grants, and staff incentives.
Much-Needed Changes in Child Care Quality Rating and Improvement Systems Should Promote Equity
Blog October 7, 2026
Blog authors Gina Adams and Danielle Ewen outline systemic flaws in traditional models. This 2024 blog details how traditional QRIS frameworks often inadequately support parents, underinvest in actual center improvement, and inadvertently exacerbate funding inequalities among diverse childcare providers.
Four Trends in Early Care and Education Quality Rating and Improvement Systems
Fact Sheet October 7, 2026
This 2024 brief evaluates Parent Aware (Minnesota's system) and synthesizes interviews across six states (Delaware, Louisiana, Michigan, Pennsylvania, Vermont, and Washington). It identifies critical, modern pathways for administrators looking to overhaul and redesign state frameworks.