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2015 Report Card

Please select a section of the 2014 Report Card:

Early Childhood Development

2014 Accomplishments

  1. In Fiscal Year 2014, Governor Martinez worked with the legislature to increase funding for CYFD pre-k services by $3.25 million. The increased funding was used to add 32 new CYFD pre-k sites throughout New Mexico, making it possible to serve an additional 580 New Mexico children within the CYFD pre-k program.

  2. The K-3 Plus Program, which extends kindergarten through third grade instruction by 25 days for disadvantaged students, has continued to be a success. Student participation in high-poverty schools has risen, bringing about an increase in academic achievement. 35% of the schools that participated in K–3 Plus beginning in 2012-2013 improved by one or two letter grades in the state’s A-F school grading system that year. Of the schools that began participating in 2013-2014, 37.7% increased a letter grade. In the summer of 2014, there were 17,696 students participating statewide in the K–3 Plus program, an increase of 7,443 from the previous year.

  3. CYFD’s Home Visiting Program was expanded to serve hundreds more families. In Fiscal Year 2014, Governor Martinez worked with the legislature to increase the Home Visiting budget by $1.3 million, resulting in the addition of four home visiting agencies and a total of 2,224 families served. This was a substantial increase from the 1,911 families served in Fiscal Year 2013.

  4. During Fiscal Year 2014, the Race to the Top-Early Learning Challenge Grant Team made significant progress in completing the grant’s objectives. CYFD continued to expand its pilot of the FOCUS Tiered Quality Rating and Information System. FOCUS will incentivize higher quality early education services at early childhood providers across the state. The Public Education Department began a pilot of the Kindergarten Entry Assessment, an observation-based assessment designed to help diagnose learning strengths and deficits at the earliest point in a child's academic career.

Programs & Services

Family Infant Toddler (FIT) Program (DOH)

The FIT program provides early intervention services in accordance with the Individuals with Disabilities Education Act (IDEA) Part C to over 13,000 infants and toddlers birth to age 3 and their families. The FIT Program:
  • Promotes the development of infants and toddlers (birth to three) who have or who at risk for developmental delays and disabilities.
  • Helps parents support their child's learning throughout everyday routines and activities in the home and community.
  • Supports other early childhood providers (e.g. Early Head Start, Child Care providers) to promote the child's learning in their classroom setting with other typically developing peers.
  • Promotes a smooth and effective transition of the child to inclusive preschool services when the child turns 3.

Web Address: www.fitprogram.org

Total children served in FY13: 13,445

FY13 Budget:

  • $2.9 million - Individuals with Disabilities Education Act (IDEA) Grant
  • $1.2 million - Private Insurance
  • $14 million - State General Funds (including match for Medicaid funded services)
  • $15.1 million - Federal Medicaid
  • $33.2 million - TOTAL

Note: In FY13 the FIT program BAR'd approximately $4 million additional funds from a previous IDEA grant and other SGF funds from the Division and Department in order to fund services to eligible children and their families.

Families FIRST (DOH)

Families FIRST is a case management program dedicated to improving maternal health and birth outcomes through strengthening family's social support network, empowering families, improving immunization rates, reducing the incidence of acute and chronic illness, accidents and injuries, strengthening interactions between parents and children, and increasing the number of women receiving prenatal care.

Budget Implications: Families FIRST is a revenue driven program reliant on Medicaid reimbursement for services provided.

Web Address: http://nmhealth.org/PHD/FamiliesFIRST.shtml

Children and Youth with Special Health Care Needs (DOH)

Children's Medical Services (CMS) program provides services for the prevention, diagnosis and treatment of disabling conditions in children. It is a statewide program within the Department of Health, Public Health Division. CMS serves children from birth to 21 with chronic illnesses or medical conditions that require surgical or medical treatment. CMS offers medical coverage, information and referral, and care coordination. CMS social workers assist clients to coordinate health, medical and other community resources as they develop and meet child and family goals. Families participate as partners in decision-making regarding their children's medical care and other services. Services are coordinated in partnership with the local primary care provider / medical home. Talking with a CMS social worker can help families communicate well with the child's primary care physician and obtain the medical and educational services that their child needs. CMS sponsors community-based asthma, cleft palate, neurology, metabolic, nephrology, genetic and endocrinology clinics throughout the state in collaboration with the University of New Mexico Health Sciences Center and Presbyterian Hospital to improve access to pediatric specialty care. CMS collaborates with community partners throughout the State to improve the health care infrastructure for children and youth with special health care needs including access to a medical home, community based culturally competent health care and adequate health care financing.

Budget Implications: The CMS budget ($6,967,641,000) is 57% Federal funds and 43% state general funds. Note on budget section: while CMS provides direct and enabling care to 4800 childen with chronic health conditions the funds are also used to improve the overall health care infrastructure for children and youth special health care needs which is approximately 71,000 children (annually). This includes activites such as enhancing the Medical Home, Youth transition and quality improvement activites around childhood obesity and asthma care.

Web Address: http://nmhealth.org/PHD/CMS.shtml

New Mexico Women, Infant, and Children Program (WIC) (DOH)

The major focus of the New Mexico WIC Program is to safeguard the health of nutritionally at-risk low-income pregnant, postpartum and breastfeeding women, infant, children and seniors by providing nutritious foods to supplement diets, nutrition information for healthy eating, health counseling, breastfeeding support, nutrition classes, cooking classes, and referrals to health care providers and social services. WIC offers new foods like fresh, frozen and canned fruits and vegetables, whole grain cereal, bread, corn and whole wheat tortillas, brown rice, oatmeal, soy milk, tofu, canned beans, and baby food. WIC also provides, milk, eggs, cheese, beans, peanut butter, carrots, tuna, juices, cereal, infant formula and baby cereal. WIC is a Federal grant program for which Congress authorizes a specific amount of funding each year for program operations.

Budget Implications: $57,706,000.00 FFY 13 Budget , 43,815,000.00 Federal and $891,000.00 State, $13,000,000.00 Rebate-Food Funds

Web Address: http://www.nmwic.org

Medically Fragile Waiver (DOH)

The Medically Fragile Waiver program (MFW) serves individuals from birth through their lifespan, who have an extremely complex medical condition and a known developmental disability, or who are at risk for developmental delay. These conditions must have been present before age twenty one. The MFW program provides in-home services that support the family's decision to care for their child at home instead of in a hospital or institution.

Budget Implications: The MFW has a history of allocating every other month to accommodate those individuals who have met the pre-assessment criteria. The number of children receiving MFW services typically remains constant. Children transition from this waiver for a variety of reasons, including transition to the DD Waiver; discharge due to improved medical conditions or pass away due to their extremely fragile health.

Families may select one of two models of service under the Medically Fragile Waiver. The Traditional MFW offers Certified Nurse Case Managers and an array of services that includes home health nursing supports, counseling and a specialized medical equipment benefit. The option to select the Mi Via MFW offers families the opportunity to create a service package that meets their child's unique needs.

Web Address: http://nmhealth.org/ddsd/ClinicalSvcsBur/CSBIndex.htm, http://www.cdd.unm.edu/mfcmp

Child Care Assistance -CYFD

The Child Care Services Bureau (CCSB) administers the Child Care Assistance, Child Care Licensing and Registered Child Care Home programs. In collaboration with CYFD's Office of Child Development and Family Nutrition Bureau, the Child Care Services Bureau plans and coordinates quality child care services (including training, technical assistance, health and safety and monitoring) and works to build child care capacity statewide.

Budget Implications: Child Care Services serves over 19,000 children and is funded by both federal and state General funds.

Web Address: http://cyfd.org/content/family-nutrition

Early Childhood Development-CFYD

The Office of Child Development was created by statute in 1989. A seven member Governor-appointed Child Development Board has oversight of the Office of Child Development. The mission is that all New Mexico children, from birth through age eight, and their families have access to a quality, age, and individually appropriate child development system. The state of New Mexico is committed to assuring that children from low income families have equitable access to high quality programs. Access to quality early care enables children to enter kindergarten with the good health and skills necessary to be successful.

Budget Implications: The funding for Early Childhood Development includes both General Fund and Federal dollars for Quality childcare support/Professional development of providers.

Pre-K- CYFD

The New Mexico Pre-Kindergarten (PreK) Initiative prepares four-year-old children for success in school. PreK begins to close the achievement gap between students and helps meet the vision of a seamless education system that begins in pre-kindergarten and continues through higher education.

Budget Implications: CYFD Pre-K is funded with state General Fund dollars for 70 provider sites serving approximately 2500 children statewide.

Community Based Family Resources- CYFD

Community Based Child Abuse Prevention Grant previously name Community Based Family Resource Grant. This is a federal grant to provide primary prevention services for families. Specifically, the grant requires that states utilize this funding to meet the following outcomes:

  1. Improvement in parent-child interaction
  2. Improvement in parenting knowledge and behavior
  3. Healthy child development
  4. Parent's knowledge of and ability to meet child development needs
  5. Children's safety
  6. Increasing knowledge within the community of abuse and neglect indicators, community resources, best practices and current issues.

Budget Implications: Community Based Child Abuse Prevention is funded 85% federal funds and 15% General Fund. Currently, CYFD uses this grant primarily to provide family support services and fatherhood services which are provided in 3 counties.

Temporary Assistance for Needy Families (TANF) (HSD)

The Temporary Assistance for Needy Families (TANF) program, known in New Mexico as NMWorks, provides cash assistance to families who qualify. The Human Services Department (HSD) helps families determine whether or not they qualify for cash assistance. This monthly cash assistance benefit should be used to meet family needs such as housing, utilities, and clothing costs.

Budget Implications: The Temporary Assistance for Needy Families program is entirely funded by federal dollars, and received $54,821,106 during Fiscal Year 2013. It is estimated that 21,280 New Mexico children were served by this program during FY13.

Web Address: http://www.hsd.state.nm.us/isd/tanf.html

Legislative Achievements

HB9 REQUIRE NEWBORN INFANT HEART DISEASE TESTING (REP. ESPINOZA)

This legislation added Critical Congenital Heart Defect (CCHD) to the Newborn Screening Panel, mandating the screening of all newborns for CCHD prior to discharge from the hospital or birthing center. CCHD is the most common cause of death in the first year of life. This bill will help ensure CCHD is detected early, and save lives.

SB58 COMMUNITY HEALTH WORKERS ACT (SEN. PAPEN)

This legislation established a voluntary certification program for Community Health Workers (CHWs) in New Mexico. This will allow CHWs to receive Medicaid reimbursement for Medicaid-eligible services. SB 58 brought awareness to the role that CHWs play in optimizing health outcomes, counseling, and support services for New Mexico families.

HB92 SCHOOL CHILD SEXUAL ABUSE DETECTION TRAINING (REP. GALLEGOS; SEN. O'NEILL)

This legislation required all licensed school personnel to complete training to detect and report sexual abuse and assault within the first year of their employment. Current employees must complete the training during the 2014-2015 school year. HB 92 also required PED, HSD, CYFD, and DOH to work together to develop evidence-based training that has proven to be effective, in consultation with the CDC. Additionally, all health education courses now need to include age-appropriate sexual abuse, awareness, and prevention training that meets PED standards.

Proposed Next Steps

Step 1:
To improve health outcomes for New Mexico children and families, agencies will work to strengthen their relationships with each other. Through greater collaboration, agencies will be able to ensure that more children receive the support they need.
Step 2:
To identify new ways to support workplace breastfeeding and ensure compliance with federal lactation accommodation law, the New Mexico Breastfeeding Taskforce (NMBFTF) will hire "Breastfeeding Workplace Liaisons." They will provide breastfeeding technical assistance to employers and advocacy for lactating working mothers.
Step 3:
The Public Education Department will continue to use the state's Race to the Top – Early Learning Challenge Grant, a $37.5 million competitive federal grant, to implement the Kindergarten Entry Assessment, an observation-based assessment designed to help diagnose learning strengths and deficits at the earliest point in a child's academic career.
Step 4:
CYFD is currently coming to the end of the second year of the four-year Race to the Top (RTTT) grant. During its first year, the grant was primarily used for planning and building the infrastructure needed to implement the 3rd generation Tiered Quality Rating and Improvement System (TQRIS) for licensed child care providers. The TQRIS system being implemented by CYFD is called "FOCUS on Young Children's Learning" or "FOCUS" for short. The FOCUS quality criteria are framed around New Mexico pre-k standards and the Early Learning Guidelines. Approximately 200 licensed child care providers are currently enrolled in FOCUS and approximately 60 providers/programs have been validated as FOCUS Level 3 which means they are now meeting the criteria for this level. Coming in the next couple of months, CYFD will bring another 50 providers/programs onto the FOCUS program. Kids from disadvantaged backgrounds will have access to good educational resources, and will be prevented from falling behind their more affluent peers.

Partnerships & Other Information

School-Based Health Center/ Managed Care Organization Project

School-Based Health Center/ Managed Care Organization Project – These are partnerships created by schools and community health organizations to provide onsite primary, preventive and behavioral health services to students while reducing lost school time, removing barriers to care, promoting family involvement and advancing the health and educational success of school-age children and adolescents.

© 2015 New Mexico Children's Cabinet