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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 who receive care in a medical home — MICH‑19 Data

National Status: Getting worse

  
Learn more about our data release schedule

Most Recent Data:
45.3 percent (2022-23)

National Target:
53.5 percent  1

Desired Direction:
Increase desired

National Baseline:
48.5 percent of children and adolescents under 18 years received care in a medical home 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 receiving care in a medical home, 2016-17 to 2022-23 ◊
(percent)
Increase desired

Population 2016-17 2018-19 2020-21 2022-23
Total
48.5
CI 47.6 / 49.4
SE 0.446
47.8
CI 46.9 / 48.6
SE 0.430
46.7
CI 46.0 / 47.4
SE 0.355
45.3
CI 44.7 / 45.9
SE 0.299

Children and adolescents receiving care in a medical home by Sex, 2016-17 to 2022-23 ◊
(percent)
Increase desired

Population 2016-17 2018-19 2020-21 2022-23
Male
48.4
CI 47.2 / 49.6
SE 0.622
47.3
CI 46.1 / 48.4
SE 0.596
46.8
CI 45.9 / 47.8
SE 0.491
45.7
CI 44.9 / 46.5
SE 0.421
Female
48.6
CI 47.4 / 49.9
SE 0.641
48.3
CI 47.1 / 49.5
SE 0.622
46.5
CI 45.5 / 47.5
SE 0.516
44.9
CI 44.0 / 45.7
SE 0.426

Children and adolescents receiving care in a medical home 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
38.9
CI 31.6 / 46.8
SE 3.908
36.5
CI 28.5 / 45.3
SE 4.329
38.2
CI 31.8 / 45.1
SE 3.420
30.3
CI 25.9 / 35.1
SE 2.355
Asian only
39.7
CI 36.2 / 43.3
SE 1.837
40.0
CI 36.5 / 43.7
SE 1.836
37.0
CI 34.3 / 39.8
SE 1.391
37.6
CI 35.6 / 39.7
SE 1.036
Native Hawaiian or Other Pacific Islander only
32.6
CI 22.2 / 45.1
SE 5.924
26.9
CI 18.5 / 37.5
SE 4.896
17.3
CI 12.2 / 24.1
SE 3.025
19.3
CI 14.8 / 24.7
SE 2.509
Black or African American only
39.6
CI 37.1 / 42.1
SE 1.287
37.5
CI 35.1 / 39.9
SE 1.218
37.3
CI 35.3 / 39.2
SE 1.000
36.6
CI 34.8 / 38.4
SE 0.930
White only
51.1
CI 50.1 / 52.1
SE 0.515
50.6
CI 49.6 / 51.6
SE 0.498
49.7
CI 48.8 / 50.5
SE 0.420
47.8
CI 47.2 / 48.5
SE 0.355
2 or more races
50.1
CI 46.8 / 53.4
SE 1.676
50.7
CI 47.5 / 53.9
SE 1.627
48.6
CI 46.3 / 50.9
SE 1.187
48.4
CI 46.5 / 50.2
SE 0.938
Hispanic or Latino
37.1
CI 34.8 / 39.4
SE 1.198
37.8
CI 35.7 / 40.1
SE 1.134
35.4
CI 33.6 / 37.1
SE 0.893
33.2
CI 31.9 / 34.6
SE 0.680
Not Hispanic or Latino
52.4
CI 51.5 / 53.2
SE 0.424
51.3
CI 50.5 / 52.1
SE 0.413
50.7
CI 50.0 / 51.4
SE 0.353
49.8
CI 49.2 / 50.4
SE 0.314
American Indian or Alaska Native only, not Hispanic or Latino
38.1
CI 30.3 / 46.4
SE 4.148
39.1
CI 31.7 / 47.1
SE 3.940
38.1
CI 32.3 / 44.3
SE 3.058
37.3
CI 31.8 / 43.2
SE 2.907
Asian only, not Hispanic or Latino
41.3
CI 37.7 / 45.0
SE 1.857
41.0
CI 37.6 / 44.4
SE 1.729
36.8
CI 34.2 / 39.5
SE 1.367
38.0
CI 36.0 / 40.1
SE 1.064
Native Hawaiian or Other Pacific Islander only, not Hispanic or Latino
25.5
CI 16.6 / 37.1
SE 5.251
43.3
CI 28.3 / 59.6
SE 8.259
29.0
CI 19.9 / 40.2
SE 5.207
26.4
CI 19.6 / 34.7
SE 3.885
Black or African American only, not Hispanic or Latino
39.7
CI 37.2 / 42.3
SE 1.312
38.0
CI 35.5 / 40.5
SE 1.269
37.2
CI 35.2 / 39.3
SE 1.041
36.7
CI 34.8 / 38.6
SE 0.981
White only, not Hispanic or Latino
56.9
CI 56.1 / 57.8
SE 0.442
55.7
CI 54.8 / 56.5
SE 0.439
55.7
CI 54.9 / 56.4
SE 0.392
54.6
CI 54.0 / 55.3
SE 0.348
2 or more races, not Hispanic or Latino
53.1
CI 50.1 / 56.1
SE 1.539
54.1
CI 50.9 / 57.2
SE 1.602
51.9
CI 49.5 / 54.3
SE 1.237
50.2
CI 48.2 / 52.2
SE 1.007

Children and adolescents receiving care in a medical home by Age group, 2016-17 to 2022-23 ◊
(percent)
Increase desired

Population 2016-17 2018-19 2020-21 2022-23
0-5 years
50.7
CI 49.0 / 52.3
SE 0.831
50.1
CI 48.5 / 51.6
SE 0.794
48.4
CI 47.2 / 49.6
SE 0.625
47.5
CI 46.5 / 48.5
SE 0.518
6-11 years
47.5
CI 46.0 / 49.0
SE 0.787
47.9
CI 46.4 / 49.4
SE 0.761
46.7
CI 45.4 / 47.9
SE 0.632
45.0
CI 43.9 / 46.0
SE 0.537
12-17 years
47.5
CI 46.1 / 48.9
SE 0.703
45.5
CI 44.2 / 46.8
SE 0.680
45.1
CI 43.9 / 46.2
SE 0.592
43.8
CI 42.8 / 44.7
SE 0.501

Children and adolescents receiving care in a medical home 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
31.1
CI 26.9 / 35.5
SE 2.190
27.5
CI 23.7 / 31.8
SE 2.064
24.0
CI 21.0 / 27.4
SE 1.641
22.3
CI 19.9 / 25.0
SE 1.303
High school
36.0
CI 33.9 / 38.2
SE 1.100
36.6
CI 34.5 / 38.8
SE 1.087
33.6
CI 31.9 / 35.3
SE 0.868
33.7
CI 32.2 / 35.2
SE 0.764
Some college or Associate degree
44.9
CI 43.1 / 46.7
SE 0.912
45.5
CI 43.9 / 47.2
SE 0.857
44.8
CI 43.3 / 46.2
SE 0.736
44.0
CI 42.6 / 45.3
SE 0.667
4-year college degree or more
59.5
CI 58.5 / 60.5
SE 0.505
58.1
CI 57.1 / 59.1
SE 0.503
57.7
CI 56.9 / 58.5
SE 0.419
54.5
CI 53.8 / 55.3
SE 0.365

Children and adolescents receiving care in a medical home by Family income (percent poverty threshold), 2016-17 to 2022-23 ◊
(percent)
Increase desired

Population 2016-17 2018-19 2020-21 2022-23
<100
35.8
CI 33.5 / 38.2
SE 1.191
31.3
CI 29.0 / 33.6
SE 1.180
28.7
CI 26.8 / 30.6
SE 0.955
28.2
CI 26.7 / 29.7
SE 0.753
100-199
39.5
CI 37.4 / 41.7
SE 1.097
40.9
CI 38.8 / 43.1
SE 1.090
38.7
CI 37.0 / 40.3
SE 0.851
38.2
CI 36.5 / 39.9
SE 0.839
200-399
51.1
CI 49.5 / 52.7
SE 0.805
50.4
CI 48.8 / 52.0
SE 0.831
49.7
CI 48.4 / 51.0
SE 0.664
47.2
CI 46.0 / 48.4
SE 0.602
400+
61.8
CI 60.6 / 63.0
SE 0.611
60.4
CI 59.2 / 61.7
SE 0.641
59.9
CI 58.8 / 60.9
SE 0.549
57.2
CI 56.4 / 58.1
SE 0.447

Children and adolescents receiving care in a medical home by Health insurance status, 2016-17 to 2022-23 ◊
(percent)
Increase desired

Population 2016-17 2018-19 2020-21 2022-23
Insured
50.0
CI 49.1 / 50.9
SE 0.457
49.3
CI 48.4 / 50.2
SE 0.441
48.6
CI 47.9 / 49.3
SE 0.366
47.0
CI 46.4 / 47.6
SE 0.306
Private
57.5
CI 56.5 / 58.4
SE 0.490
56.5
CI 55.5 / 57.4
SE 0.486
56.5
CI 55.7 / 57.4
SE 0.416
54.5
CI 53.8 / 55.2
SE 0.357
Public
39.1
CI 37.4 / 40.8
SE 0.867
38.2
CI 36.6 / 39.9
SE 0.841
36.3
CI 35.0 / 37.6
SE 0.662
35.5
CI 34.5 / 36.6
SE 0.545
Uninsured
25.8
CI 22.2 / 29.7
SE 1.895
27.4
CI 24.3 / 30.6
SE 1.618
22.5
CI 20.1 / 25.2
SE 1.312
22.8
CI 20.5 / 25.2
SE 1.203

Children and adolescents receiving care in a medical home by Geographic location, 2016-17 to 2022-23 ◊
(percent)
Increase desired

Population 2016-17 2018-19 2020-21 2022-23
Metropolitan
48.4
CI 47.4 / 49.3
SE 0.490
47.7
CI 46.8 / 48.7
SE 0.473
46.6
CI 45.8 / 47.4
SE 0.389
45.0
CI 44.3 / 45.6
SE 0.325
Non-metropolitan
49.6
CI 47.9 / 51.3
SE 0.869
48.0
CI 46.2 / 49.7
SE 0.887
47.2
CI 45.7 / 48.8
SE 0.813
47.8
CI 46.4 / 49.2
SE 0.720

Children and adolescents receiving care in a medical home 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
52.1
CI 51.1 / 53.1
SE 0.512
51.2
CI 50.2 / 52.1
SE 0.497
50.1
CI 49.3 / 50.9
SE 0.414
48.4
CI 47.7 / 49.1
SE 0.342
Divorced, separated, widowed
42.0
CI 39.6 / 44.4
SE 1.231
42.4
CI 39.9 / 44.9
SE 1.274
41.9
CI 39.7 / 44.0
SE 1.096
39.2
CI 37.3 / 41.1
SE 0.961
Never married
37.3
CI 33.9 / 40.8
SE 1.745
35.1
CI 32.0 / 38.3
SE 1.621
34.8
CI 32.3 / 37.4
SE 1.312
34.4
CI 32.1 / 36.7
SE 1.176

Children and adolescents receiving care in a medical home by Country of birth (of parents), 2016-17 to 2022-23 ◊
(percent)
Increase desired

Population 2016-17 2018-19 2020-21 2022-23
US
53.9
CI 52.9 / 54.8
SE 0.466
52.0
CI 51.1 / 53.0
SE 0.468
52.1
CI 51.4 / 52.9
SE 0.393
50.6
CI 50.0 / 51.3
SE 0.346
Outside US
39.7
CI 37.7 / 41.8
SE 1.069
40.8
CI 38.8 / 42.8
SE 1.039
37.3
CI 35.7 / 39.0
SE 0.835
35.4
CI 34.2 / 36.6
SE 0.630

Children and adolescents receiving care in a medical home 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
53.2
CI 50.3 / 56.2
SE 1.511
52.8
CI 50.3 / 55.3
SE 1.286
48.6
CI 46.3 / 50.9
SE 1.174
Non-veteran
DNA
48.6
CI 47.7 / 49.5
SE 0.465
47.7
CI 46.9 / 48.4
SE 0.387
46.2
CI 45.5 / 46.8
SE 0.322

Children and adolescents receiving care in a medical home 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 receiving care in a medical home 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 receiving care in a medical home 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

Children and adolescents receiving care in a medical home by Special health care needs, 2016-17 to 2022-23 ◊
(percent)
Increase desired

Population 2016-17 2018-19 2020-21 2022-23
Yes
42.6
CI 41.0 / 44.3
SE 0.828
42.2
CI 40.7 / 43.6
SE 0.748
42.1
CI 40.8 / 43.4
SE 0.664
39.3
CI 38.3 / 40.4
SE 0.533
No
50.4
CI 49.4 / 51.4
SE 0.526
49.6
CI 48.6 / 50.6
SE 0.516
48.1
CI 47.3 / 48.9
SE 0.419
47.4
CI 46.7 / 48.1
SE 0.358

Disparity