Primary and Preventive Care for Children. All FHA programs will assist Medicaid with the distribution of MA/MCHP applications. • Medicaid, through its LHD grantees, will conduct outreach to Medicaid recipients to ensure that families are informed about EPSDT services, WIC, and relevant Title V and Title X programs. • Medicaid and FHA programs will coordinate hotline activities to share information and assure that callers are referred to the appropriate services. • FHA programs will verify Medicaid eligibility prior to providing services and will refer potentially eligible Medicaid/MCHP families for eligibility determination. • FHA/Oral Health will refer children in need of oral health services who are identified through publicly funded clinics to the appropriate provider for treatment. • FHA/Oral Health and Medicaid will work collaboratively to update the resource guide of dental providers that are willing to serve low income and the un/underinsured populations.
Primary and Preventive Care for Children. Medicaid will train LHD staff in the processing of Medicaid and MCHP applications. • Medicaid will provide training and technical support to LHD grantees related to Medicaid administrative functions, such as outreach, care coordination. • FHA programs and Medicaid will collaborate to provide training, consultation, and technical assistance to Medicaid, Title V and Title X providers in the delivery of home visiting and case management services and other health services for children at- risk. • FHA/Oral Health will provide oral health educational materials for providers, clients, LHDs, family planning clinics, the WIC Program, MCOs and organizations, such as Head Start.
Primary and Preventive Care for Children. FHA programs and Medicaid will collaborate to recruit and retain medical and dental providers willing to serve children on Medicaid and MCHP. • FHA programs will refer providers interested in serving the Medicaid population to MCOs to negotiate contracts.
Primary and Preventive Care for Children. FHA and Medicaid will collaborate to establish and maintain relationships with providers who serve low-income and Medicaid/MCHP enrolled children and to help facilitate problem resolution. • Medicaid and FHA will collaborate to assure that there are public forums for exchange of information such as the Medicaid Advisory Committee, Oral Health Advisory Committee and other ad hoc advisory groups.
Primary and Preventive Care for Children. Medicaid will ensure that MCOs complete the required quality assurance activities and share results with FHA programs as appropriate (External Quality Review Organization “EQRO” Audit, analysis of Health Plan Employer Data and Information set “HEDIS” measures, Consumer Assessment of Health Plans “CAHPS” survey, encounter data, and value-based purchasing initiatives). • FHA programs and Medicaid will share quality assurance reports and findings, (i.e. audits, customer satisfaction surveys). • Medicaid will work with FHA programs in the development of the EPSDT periodicity schedule and quality standards for the care of children. • Medicaid will offer EPSDT training to Medicaid providers rendering primary care to children under age 21 and perform periodic medical record audits to ensure that children are getting the appropriate services. • Medicaid will perform periodic audits of LHD home visiting and case management services delivered to high-risk infants and toddlers. • Medicaid will collaborate with FHA/MCH regarding maternal, fetal, infant and child death reviews.
Primary and Preventive Care for Children
