Maine and Vermont will be able to expand their information technology systems in order to improve the exchange of child health data and expedite the provision of services to children in foster care. The two States will also test and evaluate a pediatric medical home model that will test the impact of changes in payment reform, implementation of consensus practice guidelines, and provider education on child health outcomes. Improving Health Outcomes for Children (IHOC) is a 5-year demonstration grant from the Centers for Medicare & Medicaid Services, and authorized by 401 (d) of the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA). IHOC works with doctors' offices, practices and other agencies who want to improve health care in Maine and Vermont to: