First 1000 Days on Medicaid Initiative


On July 20, 2017, former Medicaid Director Jason Helgerson announced a new focus for Medicaid Redesign in New York: The First 1,000 Days on Medicaid initiative. This initiative recognized that a child´s first three years are the most crucial years of their development. We also know that there is evidence that children on Medicaid have better health and life outcomes. We must take steps to ensure that New York´s Medicaid program is working with health, education and other system stakeholders to maximize outcomes and deliver results for the children we serve.

Work Group Charge:

The First 1,000 Days on Medicaid initiative is a collaborative effort, and brought together stakeholders in a series of four work group meetings between August and November 2017. The work group was charged with developing a ten-point agenda to focus on enhancing access to services and improving outcomes for children on Medicaid in their first 1,000 days of life.

Work Group Membership:

The First 1,000 Days on Medicaid work group is chaired by the Chancellor of the State University of New York, Nancy Zimpher, a national leader in educational issues and cross–system collaboration. Joining her as a work group chair is Mary Ellen Elia, Commissioner of the New York State Education Department. Vice chairs are Kate Breslin, President and CEO of the Schuyler Center for Analysis and Advocacy, and Jeffrey Kaczorowski, MD, Senior Advisor, The Children´s Agenda, and Professor of Pediatrics, University of Rochester. The group was built off the successful work and membership of the VBP Advisory Group on Children´s Health. Other partner organizations include the United Hospital Fund, Center for Health Care Strategies, and The Albany Promise.

The original announcement was made at the United Hospital Fund´s annual Medicaid conference, and can be found at: Follow (@NewYorkMRT) and join in the conversation on Twitter by using the hashtag #First1KDaysNY.

First 1,000 Days Stakeholder Work Group Meeting Materials:

Preventive Pediatric Clinical Advisory Group Meeting Materials: