This report presents findings from interviews with national experts and state officials on the current state of development of standards to be incorporated into electronic health records (EHRs) to support care for children with special health care needs who are covered by the Medicaid program. Findings address national efforts to develop standards, the role of concurrent initiatives, the role of vendors, pediatric provider adoption of EHRs, practice-level issues, and the use of EHRs in the treatment of children with special needs.