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Strengthening the evidence for maternal and child health programs

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Items in this list may be obtained from the sources cited. Contact information reflects the most current data about the source that has been provided to the MCH Digital Library.


Displaying records 1 through 20 (174 total).

van Dyck P. n.d.. Methods of Funding Nutrition Services for Children with Developmental Disabilities [Final report]. Salt Lake City, UT: Utah Department of Health, 16 pp.

Annotation: The purpose of this project was to develop and apply a model for providing comprehensive nutrition services for children in Utah who have certain developmental disabilities or disease conditions. The objectives of the project were to (1) provide comprehensive nutrition care and expand resources; (2) demonstrate the costs and benefits of providing nutrition services to those children with selected developmental disabilities using an economic model; and (3) obtain third-party reimbursement for nutrition services provided to children with selected special health needs. [Funded by the Maternal and Child Health Bureau]

Contact: National Technical Information Service, U.S. Department of Commerce, 5301 Shawnee Road, Alexandria, VA 22312, Telephone: (703) 605-6050 Secondary Telephone: (888) 584-8332 E-mail: customerservice@ntis.gov Web Site: http://www.ntis.gov Document Number: NTIS PB93-199172.

Keywords: Cystic Fibrosis, Developmentally Delayed/Disabled, Financing Health Care, Inborn Errors of Metabolism, Neonatal Intensive Care Unit(NICU), Nutrition, Reimbursement

Camic N. n.d.. Families in the Changing Health Care Marketplace [Final report]. Madison, WI: Center for Public Representation, 21 pp.

Annotation: The goal of this project was to assist in the formation of a collaborative effort involving the government, providers, private payers, and families in order to reconcile the operational difficulties of achieving health care cost containment while retaining quality, access, and family-centeredness. The project sought to: develop approaches to health care financing that are sensitive to the needs of families with children who have special health care needs; assist families with special health care needs in dealing with financial problems which pose barriers to obtaining appropriate health services; and disseminate information regarding financing of care for children with special health care needs. Family health benefits counselors assisted approximately 1600 over the course of the project by conducting intake interviews, informing families about health care financing options, assisting in completing applications and/or filing appeals or denials of public or private benefits and facilitating negotiations with medical creditors. Consultation with legal backup and referral for legal intervention were distinguishing aspects of the project. Benefits counselors and project attorney worked with state and county administrative and regulatory agencies, private insurers and health care providers and associations to resolve systemic problems. [Funded by the Maternal and Child Health Bureau]

Contact: National Technical Information Service, U.S. Department of Commerce, 5301 Shawnee Road, Alexandria, VA 22312, Telephone: (703) 605-6050 Secondary Telephone: (888) 584-8332 E-mail: customerservice@ntis.gov Web Site: http://www.ntis.gov Document Number: NTIS PB93-199156.

Keywords: Advocacy, Case Management, Chronic illnesses and disabilities, Families, Family health, Financial Counseling, Financing Health Care, Health Insurance, Health Maintenance Organizations (HMOs), Medicaid, Reimbursement

From the First Tooth. 2019. Periodicity schedule & alternatives for pediatric preventive oral health in primary care. Portland, ME: From the First Tooth, 1 p. (From the First Tooth and Fluoride: 4 by 4)

Annotation: This document includes a periodicity schedule and alternatives for pediatric oral health care provided in primary care settings in Maine, based on MaineCare reimbursement limitations. Services are organized by age of the child (ages 6 months to 5 years) and include parent education, oral evaluation, fluoride application, and referral to a dentist. [Funded by the Maternal and Child Health Bureau]

Contact: From the First Tooth / Before the First Tooth, c/o MaineHealth, 110 Free Street, Portland, ME 04101, Telephone: (207) 662-6296 E-mail: info@fromthefirsttooth.org Contact E-mail: COTES4@mainehealth.org Web Site: http://www.fromthefirsttooth.org Available from the website.

Keywords: Fluorides, Infants, Maine, Oral health, Parent education, Pediatric care, Preventive health services, Primary care, Referrals, Reimbursement, Screening, Service integration, State programs, Young children

American Academy of Pediatrics, Oral Health Initiative, Medicaid I Medicare I CHIP Services Dental Association; and National Academy for State Health Policy. 2018. Caries prevention services reimbursement table. Elk Grove Village, IL: American Academy of Pediatrics, Oral Health Initiative, 1 v.

Annotation: This document presents survey findings for the 50 states and the District of Columbia on reimbursement for risk assessment, oral examination, fluoride varnish, anticipatory guidance, and family oral health education. It presents information on the following topics: type of health professional, services, fees, procedure codes, delegation, age limit for services, number of varnish applications reimbursed annually, training requirement, payor, payment by Medicaid or the Children’s Health Insurance Program, and legislative approval to reimburse health professionals. Information about commercial payment and procedure codes is also included.

Contact: American Academy of Pediatrics, Children's Oral Health Initiative, 345 Park Boulevard, Itasca, IL 60143, Telephone: (866) 843-2271 Secondary Telephone: (847) 434-4779 E-mail: oralhealth@aap.org Web Site: https://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/Oral-Health/Pages/Oral-Health.aspx Available from the website.

Keywords: Anticipatory guidance, Children, Dental care, Families, Fluorides, Health education, Infants, Oral health, Preventive health services, Referrals, Reimbursement, Risk assessment

Children's Health Alliance of Wisconsin. 2018. Wisconsin Seal-A-Smile Administration Manual. Milwaukee, WI: Children's Health Alliance of Wisconsin, 35 pp.

Annotation: This manual provides policies and procedures for all Wisconsin Seal-A-Smile (SAS) grantees, with the goal of helping them administer programs and ensure consistency across programs. The purpose of SAS is to improve the oral health of Wisconsin children through school-based dental sealant programs. Topics include administrative and regulatory guidelines; program requirements; forms, reporting, and recording; and budget and funding information. Information about infection control and safe delivery of oral health care outside the dental office is included in appendices.

Contact: Children's Health Alliance of Wisconsin, 620 South 76th Street, Suite 120, Milwaukee, WI 53214, Telephone: (414) 292-4000 Secondary Telephone: (414) 337-4561 Fax: (414) 231-4972 Web Site: http://www.chawisconsin.org/oral-health.php?pg=13 Available from the website.

Keywords: Administration, Data collection, Dental sealants, Disease prevention, Forms, Grants management, Oral health, Prevention programs, Reimbursement, School age children, School health programs, School health services, Screening, State programs, Wisconsin

McManus M, White P, Harwood C, Molteni R, Kanter D, Salus T. 2017. Coding and reimbursement tip sheet for transition from pediatric to adult health care [upd. ed.]. Washington, DC: Center for Health Care Transition Improvement, 18 pp. (Practice resource; no. 2)

Annotation: This tip sheet for professionals providing transition services in pediatric and adult primary and specialty care settings summarizes innovative transition payment models. Contents include alternative payment methodologies and transition-related CPT codes and corresponding Medicare fees. Topics include enhanced fee-for-service payments, pay-for-performance, capitation, bundled payments, shared savings, and administrative or infrastructure payments. [Funded by the Maternal and Child Health Bureau]

Contact: Got Transition™/Center for Health Care Transition Improvement, National Alliance to Advance Adolescent Health, 1615 M Street, N.W., Suite 290, Washington, DC 20036, Telephone: (202) 223-1500 Fax: (202) 429-3957 E-mail: info@GotTransition.org Web Site: http://gottransition.org Available from the website.

Keywords: Adolescents, Financing, Model programs, Pediatric care, Primary care, Reimbursement, Transition planning, Young adults

Pudelski S. 2017. Cutting Medicaid: A prescription to hurt the neediest kids. Alexandria, VA: AASA, The School Superintendents' Association, 11 pp.

Annotation: This report presents findings from a survey of school leaders about how service delivery and student health would be impacted by a decline in Medicaid reimbursement. The report outlines the survey questions and findings, highlights how students with disabilities and students with low incomes will be impacted by a per-capita cap or Medicaid block grant, describes how communities will be economically affected by a per-capita cap or Medicaid block grant for school districts, details the potential of districts to lose critical mental health supports for students that are reimbursable by Medicaid, and notes how district efforts to expand Medicaid coverage to students and their families will be undermined by a block grant or per-capita cap.

Contact: AASA, The School Superintendents' Association, 1615 Duke Street, Alexandria, VA 22314, Telephone: (703) 578-0700 Fax: (703)-841-1543 E-mail: info@aasa.org Web Site: http://www.aasa.org Available from the website.

Keywords: Adolescent health, Adolescents, Block grants, Child health, Children, Financing, Low income groups, Medicaid, National surveys, Policy development, Reimbursement, School age children, School districts, Service delivery, Special health care needs, State programs, Students

Schubel J. 2017. Medicaid helps schools help children. Washington, DC: Center on Budget and Policy Priorities, 7 pp.

Annotation: This brief examines the role of Medicaid in funding critical health-related services for students with disabilities. Topics include providing reimbursement for health care services that are necessary for students with disabilities to succeed in school and ensuring schools' compliance with Individuals with Disabilities Education Act requirements, helping students to stay healthy and succeed academically, and connecting students to coverage. The brief also describes the long-term benefits of Medicaid for eligible children and the potential impact of spending reductions on students, local communities, and state budgets. The appendix contains a table on state and federal Medicaid spending in schools.

Contact: Center on Budget and Policy Priorities, 820 First Street N.E., Suite 510, Washington, DC 20002, Telephone: (202) 408-1080 Fax: (202) 408-1056 E-mail: center@cbpp.org Web Site: http://www.cbpp.org Available from the website.

Keywords: Academic achievement, Chronic illnesses and disabilities, Eligibility, Enrollment, Medicaid, Reimbursement, Role, School health services, Schools, Special health care needs, State programs, Students

Gupta N, Yarbrough C, Vujicic M, Blatz A, Harrison B. 2017. Medicaid fee-for-service reimbursement rates for child and adult dental care services for all states, 2016. Chicago, IL: American Dental Association, Health Policy Institute, 15 pp.

Annotation: This brief presents findings from an analysis of Medicaid reimbursement rates for oral health care in all states and the District of Columbia. The brief discusses Medicaid fee-for-service (FFS) reimbursement for child and adult services relative to dentists’ fees and private dental insurance reimbursement, as well as other aspects of Medic- aid FFS reimbursement, including reimbursement for adult services in states with extensive adult benefits within their Medicaid programs.

Contact: American Dental Association, Health Policy Institute, 211 East Chicago Avenue, Chicago, IL 60611-2678, Telephone: (312) 440-2500 Web Site: http://www.ada.org/en/science-research/health-policy-institute Available from the website.

Keywords: Dental care, Dentists, Health care costs, Health insurance, Low income groups, Medicaid, Oral health, Physicians, Provider participation, Reimbursement, State programs

Vermont Department of Health, Office of Oral Health. 2017. Dear colleague [letter]. Burlington, VT: Vermont Department of Health, Office of Oral Health, 2 pp.

Annotation: This letter for health professionals provides information on best practices for oral health care for pregnant women and their young children. Topics include the importance of oral health care during pregnancy, the impact of tooth decay during pregnancy and early childhood, and helping women with low incomes access oral health care during pregnancy and the postpartum period. Additional topics include delivering oral health messages during pregnancy, implementing oral health interventions as part of well-child care, and providing comprehensive oral health care during pregnancy and beginning at age 1.

Contact: Vermont Department of Health, Office of Oral Health, 108 Cherry Street, Burlington, VT 05402, Telephone: (802) 863-7497 Secondary Telephone: (800) 464-4343 Fax: (802) 865-7554 Web Site: http://healthvermont.gov/family/dental/services.aspx Available from the website.

Keywords: Comprehensive health care, Dental care, Dental caries, Early childhood, Health behavior, Health care delivery, Health promotion, Infants, Low income groups, Models, Oral health, Pregnancy, Pregnant women, Prenatal care, Primary care, Reimbursement, Young children

Meeske JA, Brickhouse TH, Casamassimo P, Wright R, Litch CS, Essling M. 2017. Pediatric dentist toolkit for seeing patients with Medicaid: Changing children's lives one smile at a time. Chicago, IL: American Academy of Pediatric Dentistry, Pediatric Oral Health Research and Policy Center, 19 pp.

Annotation: This toolkit for pediatric dentists offers guidance on providing care to children enrolled in Medicaid within a practice setting. Topics include understanding Medicaid, Medicaid coverage for dental services, why dentists should consider participating in Medicaid, and how to become a Medicaid provider. Additional topics include how to prepare a pediatric dental team to work with the Medicaid system, how to schedule clients, how to find training opportunities for team members, how to administer Medicaid, and how to locate resources.

Contact: American Academy of Pediatric Dentistry, Pediatric Oral Health Research and Policy Center, 211 East Chicago Avenue, Suite 1600, Chicago, IL 60611-2637, Telephone: (312) 337-2169 Secondary Telephone: (800) 544-2174 Fax: (312) 337-6329 E-mail: pohrpc@aapd.org Web Site: https://www.aapd.org/research/policy-center/ Available from the website.

Keywords: Children, Dental care, EPSDT, Medicaid, Oral health, Pediatric care, Pediatric dentistry, Pediatric dentists, Provider participation, Reimbursement, Resources for professionals, Screening

Association of Maternal and Child Health Programs. 2017. National Title V children and youth with special health care needs program profile. Washington, DC: Association of Maternal and Child Health Programs, 15 pp.

Annotation: This report provides a snapshot of Title V Children and Youth with Special Health Care Needs (CYSHCN) programs across the United States. Contents include background and history of CYSHCN programs, recent changes affecting CYSHCN programs, and methods and results from an electronic survey of Title V CYSHCN directors to assess key characteristics of each state's CYSHCN program. Topics include program structure and strengths, roles in systems of care, CYSHCN program partnerships, financing of care for CYSHCN populations and emerging issues for CYSHCN programs.

Contact: Association of Maternal and Child Health Programs, 1825 K Street, N.W., Suite 250, Washington, DC 20006-1202, Telephone: (202) 775-0436 Fax: (202) 478-5120 E-mail: info@amchp.org Web Site: http://www.amchp.org Available from the website.

Keywords: Advocacy, Children with special health care needs, Community based services, Consultation, Cultural competency, Data, Family centered care, Financing, Health care delivery, Health care reform, Health care systems, Health insurance, Leadership, Medicaid managed care, Models, Networking, Pediatric care, Policy development, Program coordination, Program development, Public health infrastructure, Public private partnerships, Quality assurance, Reimbursement, Role, Standards, State MCH programs, Title V programs

Bachman SS, Comeau M, Long TF, eds. 2017. Innovative health care financing strategies for children and youth with special health care needs. Pediatrics 139(Suppl. 2):S139–S146,

Annotation: This supplement includes a set of articles that emerged from learning communities convened to explore health care purchasing strategies for children and youth special health care needs (CYSHCN) from multiple perspectives. Topics include dimensions of values-based purchasing (VBP), values-based insurance design (VBID), and other innovative financing strategies, and their impact on CYSHCN.

Contact: American Academy of Pediatrics, 345 Park Boulevard, Itasca, IL 60143, Telephone: (630) 626-6000 Secondary Telephone: (847) 434-4000 Fax: (847) 434-8000 Web Site: https://www.aap.org Available from the website.

Keywords: Children with special health care needs, Consumer protection, Health care delivery, Health care financing, Health care reform, Health insurance, Pediatric care, Reimbursement

Centers for Disease Control and Prevention. 2016–. The 6 | 18 Initiative: Accelerating evidence into action. Atlanta, GA: Centers for Disease Control and Prevention, multiple items.

Annotation: This website provides resources from a national initiative to engage health care purchasers, payers, and providers in collaborating with the public health community to improve health and control health care costs. Topics include high-burden health conditions and associated interventions that prevent chronic and infectious diseases by increasing coverage, access, use, and quality; and how to align evidence-based preventive practices with emerging value-based payment and delivery models. Contents include a fact sheet and evidence summaries on reducing tobacco use, controlling high blood pressure, preventing health care-associated infections, controlling asthma, preventing unintended pregnancy, and controlling and preventing diabetes.

Contact: Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30329-4027, Telephone: (800) 232-4636 Secondary Telephone: (888) 232-6348 E-mail: cdcinfo@cdc.gov Web Site: http://www.cdc.gov Available from the website.

Keywords: Access to health care, Chronic illnesses and disabilities, Coalitions, Collaboration, Consumers, Disease prevention, Health care delivery, Health care reform, Health care utilization, Health insurance, Infectious diseases, Intervention, Models, National initiatives, Preventive health services, Public private partnerships, Quality assurance, Reimbursement, Relationships, Third party payers

Texas Department of State Health Services, Oral Health Program. 2016. Oral evaluation and fluoride varnish in the medical home. Austin, TX: Texas Department of State Health Services, Oral Health Program, 1 v.

Annotation: This resource describes Oral Evaluation and Fluoride Varnish, a program aimed at improving the oral health of infants and young children ages 6–35 months in Texas. Topics include certification and reimbursement for physicians, physician assistants, and advanced practice registered nurses for performing limited services in conjunction with a Texas Health Steps medical checkup. Program services include oral evaluation, fluoride-varnish application, anticipatory guidance, and referral to a dental home. Links to training programs, forms, materials, product resources, online provider lookup, and the Medicaid provider website are also available.

Contact: Texas Department of State Health Services, Oral Health Improvement Program, P.O. Box 149347, Mail Code 1818, Austin, TX 78714-9347, Telephone: (512) 776-2008 Fax: (512) 776-7256 E-mail: dental@dshs.state.tx.us Web Site: http://www.dshs.state.tx.us/dental/default.shtm Available from the website.

Keywords: Dental caries, Disease prevention, Infants, Medicaid, Oral health, Preventive health services, Primary care, Reimbursement, State programs, Texas, Training, Young children

U.S. Department of Education. 2016. Healthy students, promising futures: State and local action steps and practices to improve school-based health. Washington, DC: U.S. Department of Education, 16 pp.

Annotation: This toolkit contains information that details five high impact opportunities for states and local school districts to support communities through collaboration between the education and health sectors, highlighting best practices and key research in both areas. Contents include resources, programs, and services offered by non-governmental organizations.

Contact: U.S. Department of Education, 400 Maryland Avenue, S.W., Washington, DC 20202, Telephone: (800) 872-5327 Secondary Telephone: (800) 437-0833 Web Site: http://www.ed.gov Available from the website.

Keywords: Case management, Collaboration, Communities, Community action, Educational reform, Eligibility, Health care reform, Health education, Health insurance, Health services delivery, Hospitals, Medicaid managed care, Needs assessment, Nutrition, Physical activity, Public private partnerships, Reimbursement, Role, School districts, State government, Students

Snyder JE. 2016. Community health workers: Roles and responsibilities in health care delivery system reform. Washington, DC: U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation, 23 pp.

Annotation: This report reviews health services research findings on community health workers (CHWs) and considers key challenges for CHWs to improve health care delivery, including oral health care delivery. Topics include major roles for CHWs in the health care system, a national profile of CHWs, evidence on the clinical impact of CHWs, the policy impact potential for CHW interventions, opportunities for reimbursement through Medicaid, and state and health care innovation models.

Contact: U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation, Hubert H. Humphrey Building, 200 Independence Avenue, S.W., Room 415 F, Washington, DC 20201, Web Site: http://aspe.hhs.gov Available from the website.

Keywords: Allied health personnel, Barriers, Community health aides, Community role, Culturally competent services, Financing, Health care delivery, Health care reform, Home health aides, Low income groups, Medicaid, Minority groups, Oral health, Patient care teams, Policy development, Preventive health services, Program improvement, Reimbursement, Service delivery systems, Standards, Sustainability, Training, Work force

Somers S. 2016. Medicaid's Early and Periodic, Screening, Diagnosis and Treatment in schools and the Free Care Rule. Health Advocate 46:1–3,

Annotation: This newsletter describes the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program and opportunities for school districts to significantly expand the range of health care services, including oral health services, available to students from families with low incomes. Topics include the importance of having sufficient numbers and types of health professionals participating in Medicaid programs in their area, how providing Medicaid services in schools can help to address children's and adolescents' unmet health care needs, and federal guidance on Medicaid reimbursement for services that are provided at no charge (previously known as the Free Care Rule).

Contact: National Health Law Program, 1441 I Street, N.W., Suite 1105, Washington, DC 20005, Telephone: (202) 289-7724 E-mail: nhelp@healthlaw.org Web Site: http://www.healthlaw.org Available from the website.

Keywords: Dental care, EPSDT, Health care financing, Health care reform, Health services delivery, Low income groups, Medicaid, Oral health, Reimbursement, School age children, School districts, Work force

Menschner C, Maul A. 2016. Key ingredients for successful trauma-informed care implementation. Hamilton, NJ: Center for Health Care Strategies, 12 pp. (Advancing trauma-informed care)

Annotation: This brief provides a framework for implementing organizational and clinical policy changes across the health care sector to address trauma. It highlights program and payment reforms at the payer and health system levels, as well as at the state and federal level to support the adoption of trauma-informed care approaches. Examples of adult- and child-focused treatment models are included.

Contact: Center for Health Care Strategies, 200 American Metro Boulevard, Suite 119, Hamilton, NJ 08619, Telephone: (609) 528-8400 Fax: (609) 586-3679 E-mail: Web Site: http://www.chcs.org Available from the website.

Keywords: Health care systems, Models, Organizational change, Policy development, Reimbursement, Trauma care, Treatment

Children's Health Alliance of Wisconsin. 2016. 2015 Wisconsin perinatal-infant oral health summit: Summary report and statewide plan. Milwaukee, WI: Children's Health Alliance of Wisconsin, 27 pp.

Annotation: This report summarizes information from a summit held on September 9, 2015, to brainstorm strategies for improving oral health for pregnant women and infants in Wisconsin. The report describes five themes supported by both oral health communities and overall health communities: reimbursements and insurance availability, coordination and integration, training, awareness, and practice settings. Contents include a statewide plan (objectives and activities) to reduce the prevalence of oral disease among pregnant women and infants who are underserved by integrating high-quality oral health care into the health-care-delivery system. [Funded by the Maternal and Child Health Bureau]

Contact: Children's Health Alliance of Wisconsin, 620 South 76th Street, Suite 120, Milwaukee, WI 53214, Telephone: (414) 292-4000 Secondary Telephone: (414) 337-4561 Fax: (414) 231-4972 Web Site: http://www.chawisconsin.org/oral-health.php?pg=13 Available from the website.

Keywords: Community action, Conference proceedings, Dental care, Dental insurance, Health care delivery, Health care systems, Infants, Oral health, Pregnant women, Primary care, Quality assurance, Reimbursement, Service coordination, Service integration, Statewide planning, Training, Wisconsin, Work force

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This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U02MC31613, MCH Advanced Education Policy, $3.5 M. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.