Early childhood is a critical time for cognitive, social, and behavioral development. Many states have invested in comprehensive early childhood care and education systems that offer a wide range of supports and services to families from the prenatal period through school entry. Home visiting programs are an important component of state early childhood systems. In a typical home visiting program, trained professionals provide regular, voluntary home visits to at-risk expectant and new parents and offer guidance, risk assessment, and referrals to other services offered in the community. As states continue to redesign and streamline state programs to make them more effective, the National Governors Association Center for Best Practices (NGA Center) released this paper to offer states suggestions on how to better coordinate and integrate home visitation programs to improve early childhood initiatives. (Contains 33 endnotes.)