Title V programs complement Medicaid in many ways, including (1) providing gap-filling services to enrollees, (2) assisting in the identification of potentially eligible beneficiaries, and (3) creating an infrastructure in communities to ensure that the capacity exists to support the delivery of quality health care services for women and children.

A key factor in assuring coordination and mutual support can be the Interagency Agreement (IAA), required in both Title V and Title XIX legislation, between the State agencies (or divisions within a State agency) that administer the two programs.

Call for State IAAs: Please submit additional or updated State IAAs to the MCH Library for inclusion in this toolkit.

Contact John Richards at richarjt@georgetown.edu for additional information on this project and to submit IAAs to the library.

Web Version

MCHB has developed a Web version of the publication State MCH-Medicaid Coordination: A Review of Title V and Title XIX Interagency Agreements (2nd edition). This version contains easy-to-navigate chapters; links to Federal legislation, regulations, and policy; and direct access to other resources. It includes an overview of Title V and Title XIX; an analysis of State IAAs; and promising practices.

Table of Contents for Web Version (links to the HHS, HRSA, MCHB Web site)

Introduction A. Background B. Purpose C. Organization D. Interagency Agreements (IAA) Web Page and Resources Chapter One: Overview of Title V and Title XIX A. The Title V MCH Block Grant Program B. The Medicaid Program C. Comparing the Title V Program and Medicaid: At a Glance D. Coordination Between Title V and Title XIX E. The Importance of Interagency Agreements Chapter Two: Federal Legislation, Regulations, and Policy A. Federal Legislation and Regulations B. Federal Policy Chapter Three: Analysis of State title V / Title XIX Interagency Agreements A. Documents Reviewed B. Methodology: Format of the State IAA Tables C. Analysis and Findings Chapter Four: Development of Successful IAAs and Promising Practices A. Summary of Key Goals and Components B. A "Model" Interagency Agreement C. Promising Practices and Lessons Learned Chapter Five: State Title V / Title XIX Interagency Agreements A. Overview of Data and Tables B. State-by-State Summary Tables Appendices Appendix A: Title V and Title XIX Resources Appendix B: List of Abbreviations Appendix C: Glossary Appendix D: Supplemental Figures Appendix E: Document Development

Printer-Friendly Version

U.S. Department of Health and Human Services. 2008. State MCH-Medicaid Coordination: A Review of Title V and Title XIX Interagency Agreements (2nd edition). (downloaded from the HHS, HRSA, MCHB Web site)

Download entire printer-friendly PDF (7.12 MB)
Introduction (2.00 MB)
Chapter One (2.13 MB)
Chapter Two (821 KB)
Chapter Three (888 KB)
Chapter Four (880 KB)
Chapter Five (1.35 MB)
Appendices (1.35 MB)

State IAAs (full-text)

IAAs have been collected from the following 36 States and are available in PDF format:

Database of State IAAs

Additional Resources

Glossary of Title V/Title XIX Terms.This list of terms related to Title V and Title XIX is not meant to be comprehensive, but to serve as an introductory quick-reference. For more information, see the (1) the Glossary of the Title V Guidance; (2) the Medicaid Glossary (in English and Spanish); and/or (3) the MCH Leadership Skills Training Institute Glossary.

Title V and Medicaid: Compared (at a glance). Highlights of the Title V and Medicaid programs are presented to aid in obtaining a clearer view of each program's mandates, requirements, foci, and strengths.

Title V and Medicaid: Methods of Coordination. There are many common strategies in which Title V works with Medicaid to increase access to care. These strategies can be organized in terms of the four-tiered MCH Pyramid of Health Services.

Title V and Medicaid: Legislation. Summary of Requirements for Title V and Title XIX Coordination | Overarching Federal Legislation, Regulations, and Policy.

Title V and Medicaid Resources. Links to additional Web sites and electronic documents to aid in understanding Title V, Medicaid, and how the two programs can coordinate successfully.