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U.S. Department of Health and Human Services Office of Disease Prevention and Health Promotion

Increase the proportion of children and adolescents with special health care needs who have a system of care — MICH‑20 Data

National Status: Getting worse

  
Learn more about our data release schedule

Most Recent Data:
13.0 percent (2022-23)

National Target:
19.3 percent  1

Desired Direction:
Increase desired

National Baseline:
15.5 percent of children and adolescents under 18 years with special health care needs received care in a family-centered, comprehensive, and coordinated system in 2016-17 2

Disparities data are only available for some selections.

View CI in the chart by hovering over a data point.

View SE in the chart by hovering over a data point.

Confidence Interval (CI) not available Standard Error (SE) not available Confidence Interval (CI) and Standard Error (SE) are not available

Display data for:

Children and adolescents with special health care needs receiving care in family-centered, coordinated systems, 2016-17 to 2022-23 ◊
(percent)
Increase desired

Population 2016-17 2018-19 2020-21 2022-23
Total
15.5
CI 14.4 / 16.7
SE 0.575
14.1
CI 13.2 / 15.2
SE 0.498
13.8
CI 13.0 / 14.6
SE 0.420
13.0
CI 12.4 / 13.6
SE 0.326

Children and adolescents with special health care needs receiving care in family-centered, coordinated systems by Sex, 2016-17 to 2022-23 ◊
(percent)
Increase desired

Population 2016-17 2018-19 2020-21 2022-23
Male
16.5
CI 14.9 / 18.2
SE 0.842
14.5
CI 13.2 / 15.9
SE 0.706
14.5
CI 13.4 / 15.6
SE 0.572
13.8
CI 12.9 / 14.7
SE 0.450
Female
14.2
CI 12.8 / 15.7
SE 0.733
13.7
CI 12.4 / 15.1
SE 0.687
12.9
CI 11.7 / 14.1
SE 0.618
12.0
CI 11.1 / 13.0
SE 0.471

Children and adolescents with special health care needs receiving care in family-centered, coordinated systems by Race/Ethnicity, 2016-17 to 2022-23 ◊
(percent)
Increase desired

Population 2016-17 2018-19 2020-21 2022-23
American Indian or Alaska Native only
13.4
CI 7.5 / 22.7
SE 3.788
14.4
CI 8.1 / 24.2
SE 4.031
13.0
CI 8.0 / 20.5
SE 3.132
11.4
CI 7.7 / 16.5
SE 2.213
Asian only
13.5
CI 8.1 / 21.7
SE 3.438
10.4
CI 6.8 / 15.4
SE 2.162
10.9
CI 7.4 / 15.8
SE 2.123
8.2
CI 6.3 / 10.6
SE 1.084
Native Hawaiian or Other Pacific Islander only
2.1
CI 0.5 / 8.2
SE 1.493
6.1
CI 2.2 / 15.4
SE 3.024
7.2
CI 1.7 / 26.2
SE 5.192
3.9
CI 1.6 / 9.4
SE 1.801
Black or African American only
12.7
CI 10.5 / 15.4
SE 1.253
13.9
CI 11.4 / 16.9
SE 1.395
10.9
CI 9.0 / 13.2
SE 1.073
11.4
CI 9.6 / 13.4
SE 0.965
White only
16.6
CI 15.3 / 18.1
SE 0.712
14.5
CI 13.4 / 15.7
SE 0.587
14.5
CI 13.5 / 15.5
SE 0.501
13.4
CI 12.7 / 14.1
SE 0.375
2 or more races
14.6
CI 11.5 / 18.3
SE 1.716
13.4
CI 10.9 / 16.3
SE 1.366
15.1
CI 12.5 / 18.2
SE 1.442
15.2
CI 13.1 / 17.6
SE 1.133
Hispanic or Latino
14.8
CI 11.7 / 18.5
SE 1.729
9.9
CI 7.9 / 12.3
SE 1.108
11.6
CI 9.6 / 13.9
SE 1.083
9.4
CI 8.2 / 10.9
SE 0.678
Not Hispanic or Latino
15.7
CI 14.7 / 16.8
SE 0.531
15.4
CI 14.4 / 16.5
SE 0.547
14.5
CI 13.7 / 15.3
SE 0.433
14.1
CI 13.4 / 14.9
SE 0.369
American Indian or Alaska Native only, not Hispanic or Latino
17.4
CI 9.2 / 30.3
SE 5.329
15.9
CI 8.6 / 27.5
SE 4.764
12.3
CI 6.9 / 21.1
SE 3.530
16.8
CI 11.1 / 24.7
SE 3.439
Asian only, not Hispanic or Latino
15.8
CI 9.3 / 25.5
SE 4.092
11.3
CI 7.4 / 16.8
SE 2.367
12.8
CI 8.7 / 18.4
SE 2.453
8.7
CI 6.6 / 11.2
SE 1.157
Native Hawaiian or Other Pacific Islander only, not Hispanic or Latino
5.3
CI 1.3 / 18.8
SE 3.631
DSU
9.7
CI 3.2 / 25.9
SE 5.276
9.9
CI 3.6 / 24.2
SE 4.856
Black or African American only, not Hispanic or Latino
12.6
CI 10.4 / 15.3
SE 1.252
13.8
CI 11.2 / 16.9
SE 1.449
11.2
CI 9.2 / 13.6
SE 1.132
11.0
CI 9.3 / 13.0
SE 0.959
White only, not Hispanic or Latino
16.8
CI 15.7 / 18.0
SE 0.591
16.1
CI 14.9 / 17.4
SE 0.640
15.5
CI 14.5 / 16.4
SE 0.493
15.1
CI 14.3 / 16.0
SE 0.432
2 or more races, not Hispanic or Latino
15.8
CI 12.3 / 20.1
SE 1.991
15.9
CI 12.9 / 19.4
SE 1.642
15.9
CI 13.2 / 19.2
SE 1.529
15.4
CI 13.1 / 17.9
SE 1.214

Children and adolescents with special health care needs receiving care in family-centered, coordinated systems by Age group, 2016-17 to 2022-23 ◊
(percent)
Increase desired

Population 2016-17 2018-19 2020-21 2022-23
0-5 years
20.5
CI 17.3 / 24.2
SE 1.778
18.8
CI 16.1 / 21.9
SE 1.482
18.0
CI 15.8 / 20.4
SE 1.195
15.7
CI 14.3 / 17.3
SE 0.759
6-11 years
23.8
CI 21.8 / 25.8
SE 1.038
21.9
CI 20.0 / 23.9
SE 0.990
23.3
CI 21.6 / 25.1
SE 0.871
20.5
CI 19.2 / 22.0
SE 0.703
12-17 years
6.0
CI 5.1 / 7.1
SE 0.493
5.7
CI 5.0 / 6.4
SE 0.367
4.8
CI 4.2 / 5.4
SE 0.328
6.0
CI 5.4 / 6.6
SE 0.318

Children and adolescents with special health care needs receiving care in family-centered, coordinated systems by Educational attainment (of most highly educated adult, 25 years and over), 2016-17 to 2022-23 ◊
(percent)
Increase desired

Population 2016-17 2018-19 2020-21 2022-23
Less than High school
12.1
CI 8.2 / 17.5
SE 2.352
6.7
CI 4.4 / 10.2
SE 1.447
6.1
CI 3.6 / 10.3
SE 1.672
7.2
CI 5.0 / 10.2
SE 1.301
High school
11.7
CI 9.7 / 13.9
SE 1.055
12.8
CI 10.5 / 15.6
SE 1.299
11.8
CI 10.0 / 13.9
SE 1.006
12.0
CI 10.3 / 13.9
SE 0.914
Some college or Associate degree
14.3
CI 12.3 / 16.5
SE 1.085
12.7
CI 11.0 / 14.5
SE 0.899
14.4
CI 12.7 / 16.3
SE 0.918
12.1
CI 10.9 / 13.3
SE 0.629
4-year college degree or more
18.5
CI 17.1 / 19.9
SE 0.725
17.1
CI 15.8 / 18.5
SE 0.686
15.8
CI 14.7 / 17.0
SE 0.575
14.9
CI 14.0 / 15.8
SE 0.437

Children and adolescents with special health care needs receiving care in family-centered, coordinated systems by Family income (percent poverty threshold), 2016-17 to 2022-23 ◊
(percent)
Increase desired

Population 2016-17 2018-19 2020-21 2022-23
<100
12.1
CI 10.0 / 14.5
SE 1.160
11.0
CI 8.8 / 13.6
SE 1.225
9.6
CI 7.8 / 11.7
SE 0.992
10.4
CI 8.8 / 12.2
SE 0.848
100-199
13.6
CI 11.3 / 16.3
SE 1.261
13.7
CI 11.8 / 15.9
SE 1.041
11.3
CI 9.6 / 13.2
SE 0.924
12.0
CI 10.7 / 13.5
SE 0.706
200-399
15.7
CI 13.3 / 18.5
SE 1.303
13.3
CI 11.7 / 15.2
SE 0.909
15.7
CI 14.0 / 17.6
SE 0.912
11.8
CI 10.7 / 13.0
SE 0.601
400+
20.3
CI 17.8 / 23.0
SE 1.313
17.9
CI 16.0 / 19.8
SE 0.973
16.7
CI 15.3 / 18.3
SE 0.778
16.5
CI 15.3 / 17.7
SE 0.611

Children and adolescents with special health care needs receiving care in family-centered, coordinated systems by Health insurance status, 2016-17 to 2022-23 ◊
(percent)
Increase desired

Population 2016-17 2018-19 2020-21 2022-23
Insured
16.3
CI 15.1 / 17.5
SE 0.604
14.9
CI 13.9 / 16.0
SE 0.524
14.5
CI 13.7 / 15.4
SE 0.442
13.6
CI 13.0 / 14.3
SE 0.341
Private
17.2
CI 15.7 / 18.9
SE 0.814
15.4
CI 14.2 / 16.7
SE 0.657
16.0
CI 14.9 / 17.1
SE 0.572
14.0
CI 13.2 / 14.8
SE 0.430
Public
15.2
CI 13.5 / 17.0
SE 0.898
14.5
CI 13.0 / 16.3
SE 0.847
13.1
CI 11.7 / 14.5
SE 0.698
13.3
CI 12.3 / 14.5
SE 0.551

Children and adolescents with special health care needs receiving care in family-centered, coordinated systems by Geographic location, 2016-17 to 2022-23 ◊
(percent)
Increase desired

Population 2016-17 2018-19 2020-21 2022-23
Metropolitan
15.9
CI 14.6 / 17.3
SE 0.680
14.2
CI 13.2 / 15.3
SE 0.545
13.3
CI 12.4 / 14.2
SE 0.478
12.8
CI 12.1 / 13.6
SE 0.392
Non-metropolitan
15.7
CI 13.5 / 18.1
SE 1.181
14.9
CI 12.7 / 17.4
SE 1.200
16.3
CI 13.9 / 19.0
SE 1.288
15.2
CI 13.3 / 17.2
SE 0.985

Children and adolescents with special health care needs receiving care in family-centered, coordinated systems by Marital status (of parents, 18 years and over), 2016-17 to 2022-23 ◊
(percent)
Increase desired

Population 2016-17 2018-19 2020-21 2022-23
Married/​Cohabiting partner
16.9
CI 15.6 / 18.3
SE 0.683
14.9
CI 13.8 / 16.1
SE 0.607
14.5
CI 13.5 / 15.6
SE 0.518
13.5
CI 12.7 / 14.2
SE 0.375
Divorced, separated, widowed
10.7
CI 9.0 / 12.7
SE 0.953
12.0
CI 9.9 / 14.3
SE 1.121
11.5
CI 9.6 / 13.6
SE 1.031
11.4
CI 9.6 / 13.5
SE 0.981
Never married
13.2
CI 10.3 / 16.8
SE 1.662
11.8
CI 8.7 / 15.7
SE 1.752
13.1
CI 10.3 / 16.5
SE 1.583
13.1
CI 10.7 / 15.8
SE 1.299

Children and adolescents with special health care needs receiving care in family-centered, coordinated systems by Country of birth (of parents), 2016-17 to 2022-23 ◊
(percent)
Increase desired

Population 2016-17 2018-19 2020-21 2022-23
US
16.1
CI 15.0 / 17.2
SE 0.558
14.8
CI 13.8 / 15.8
SE 0.521
14.6
CI 13.7 / 15.5
SE 0.468
14.4
CI 13.6 / 15.2
SE 0.395
Outside US
13.0
CI 10.2 / 16.3
SE 1.537
12.2
CI 9.5 / 15.4
SE 1.496
11.4
CI 9.2 / 14.0
SE 1.206
8.8
CI 7.5 / 10.1
SE 0.666

Children and adolescents with special health care needs receiving care in family-centered, coordinated systems by Veteran status (of parents, 20 years and over), 2016-17 to 2022-23 ◊
(percent)
Increase desired

Population 2016-17 2018-19 2020-21 2022-23
Veteran
DNA
16.8
CI 13.4 / 20.8
SE 1.883
15.8
CI 13.1 / 19.0
SE 1.491
15.1
CI 12.7 / 17.9
SE 1.322
Non-veteran
DNA
14.0
CI 12.9 / 15.0
SE 0.535
13.7
CI 12.8 / 14.7
SE 0.468
13.0
CI 12.3 / 13.7
SE 0.356

Children and adolescents with special health care needs receiving care in family-centered, coordinated systems by Disability status, 2016-17 to 2022-23 ◊
(percent)
Increase desired

Population 2016-17 2018-19 2020-21 2022-23
Disability status
DNA
DNA
DNA
DNA

Children and adolescents with special health care needs receiving care in family-centered, coordinated systems by Sexual orientation (of mother), 2016-17 to 2022-23 ◊
(percent)
Increase desired

Population 2016-17 2018-19 2020-21 2022-23
Sexual orientation (of mother)
DNC
DNC
DNC
DNC

Children and adolescents with special health care needs receiving care in family-centered, coordinated systems by Gender identity (of mother), 2016-17 to 2022-23 ◊
(percent)
Increase desired

Population 2016-17 2018-19 2020-21 2022-23
Gender identity (of mother)
DNC
DNC
DNC
DNC

Disparity