This report is a summary of early findings from a four-state consortium dedicated to strengthening the early child health and development services offered through Medicaid. The consortium was the first effort in the Assuring Better Child Health and Development (ABCD) initiative. The report outlines how the Consortium states – North Carolina, Utah, Vermont, and Washington – have worked to expand or develop early child health and development services. It examines the various strategies of each state, including how each of them has sought to improve developmental screening for infants and toddlers. It also explores how the four states have begun to address such common issues as services and supports for uninsured parents and the financing mechanisms necessary to support their programs.