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September 2014
 
IMPLEMENTATION RESOURCES (TOOLS & MORE)

FOR FAMILIES:

Coming Soon: Affordable Care Act Fact Sheets for Families
The National Center for Medical Home Implementation, in partnership with the Catalyst Center, has created four fact sheets focusing on provisions of the Affordable Care Act. These family friendly, easy to read fact sheets will provide specific information for families on topics such as: Concurrent Care for Children; Habilitative Services; Health Homes; and Health Insurance Marketplace and Medicaid Coverage for Children with Disabilities. Additional information about these resources will be available through the National Center for Medical Home Implementation Web site and email distribution list.

Tools for Families: State Specific Pediatric ACA Information
A new interactive state map, developed by the American Academy of Pediatrics, provides state-specific fact sheets for families and the Affordable Care Act (ACA). These fact sheets can be used by pediatric medical homes to educate families, as well as patient and family advocates to ensure full understanding of benefits under the law.

The Affordable Care Act: What Your Family Needs to Know
The Academy’s website for consumers, HealthyChildren.org, offers this family-friendly list of benefits, protections, and key implications for families as a result of the Affordable Care Act. Additional resources, particularly those which help families locate a pediatrician who are covered by their health insurance plan, are included.

Resource for Families: Prevention and Health Promotion through the ACA
Created by Family Voices, this tip sheet provides information in how the Affordable Care Act (ACA) promotes preventive health services, including those recommended through Bright Futures. Pediatric medical homes and clinicians can use this information to find out about increased preventive coverage of these services in the ACA can benefit their practice.

Multilingual Affordable Care Act Resources  
The United States Department of Health and Human Services provides multiple fact sheets, educational videos, and state-specific resources for parents, families, small business, and clinicians. Of particular relevance to pediatric clinicians and medical homes are resources for people with disabilities and young adults. Additional resources in other languages are available through the Centers for Medicare and Medicaid Services and the Asian and Pacific Islander American Health Forum.

Health Insurance Resource Center for Families
The proposed Open Enrollment period for health insurance coverage starting in 2015 is November 15, 2014 – February 15, 2015. Families and others can prepare for this period by viewing this resource center, which includes a health insurance glossary and three new fact sheets designed to help families complete applications for health insurance. Pediatric medical homes can refer families and others to these resources to help prepare for the upcoming enrollment period.

Resource for Families and Pediatricians: Health Reform and the AAP
Developed by the American Academy of Pediatrics (AAP), this fact sheet provides information about the Affordable Care Act for families, including age appropriate benefits, information about receiving care within medical homes, and implications for the pediatric workforce.

Healthcare.gov: Information and Resources for Families and Clinicians
Healthcare.gov, available in English and Spanish, is the federal government’s official Web site for obtaining information about health care coverage. Resources are also available in Chinese, Korean, Portuguese, French Creole, Polish, and Vietnamese. This Web site is an important resource for pediatric clinicians and practices to distribute to families for information and resources.

Help ensure that every child and youth has a medical home!
The National Center for Medical Home Implementation Web site includes a large number of resources and linkages to educate pediatric clinicians and families on the Affordable Care Act. Visit the Health Care Reform & Medical Home page for specific information.

FOR PEDIATRIC HEALTH PROFESSIONALS:

Health Reform Resource Centers
For general information about the Affordable Care Act and its impact on various populations, visit the Commonwealth Fund Health Reform Resource Center and the Kaiser Family Foundation Health Reform Web site. Both organizations provide the most up to date information about health reform across the country.

Health Insurance Resources from the Centers for Medicare and Medicaid Services
This comprehensive Web site from the Centers for Medicare and Medicaid Services provides print resources, discussion guides, and individual instructions for obtaining benefits through the new health care exchanges and using them. This site can be used by pediatric care coordinators, family advocates, and medical home practices to assist with enrollment questions.

Information for Local Health Departments: Role of Local Health Departments as Navigators
This research brief describes the extent to which local health department staff serve as navigators to assist people enroll in health insurance plans through the Affordable Care Act. This information is especially important for medical home teams working to connect families with community services to improve systems integration.

Health Homes: Resources for Policy Professionals, Clinicians, and States
Health Homes were introduced through section2703 of the Affordable Care Act (ACA). This comprehensive Web site of the Substance Abuse and Mental Health Service Administration, provides a definition of this ACA provision as well as toolkits, information about individual health home state plan amendments, and other resources.

Compare and Contrast: Medicaid Health Homes and Patient-Centered Medical Homes
Created by the National Council for Community Behavioral Healthcare, this fact sheet provides a high level overview of the major differences and similarities between the Affordable Care Act’s Medicaid Health Homes, and patient-centered medical homes. Important implications can be drawn for pediatric clinicians, families, and states.

Considerations and Opportunities on Developing Health Homes for Children with Emotional Disturbance
This issue brief, published by the Center for Health Care Strategies, provides insights on how the Affordable Care Act’s Medicaid health home state plan can provide needed services to children with special needs, particularly those with emotional disturbance. Examples of specific state plans, such as Rhode Island, are provided.

Infographic: Medicaid Health Homes
Developed by the Center for Health Care Strategies, this infographic and accompanying issue brief summarize major developments in the Affordable Care Act’s Medicaid health home state plan amendments. Details are provided on six state health home programs.

ACA Training Spotlight: Educational Opportunities for Maternal and Child Health Professionals
Presented by Georgetown University's Maternal and Child Health Navigator, this spotlight provides webinars, archived presentations, videos, fact sheets, and links to other tools and resources relevant to the Affordable Care Act and its impact on medical homes.

For a more detailed information on Implementation Resources, click here.

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TRAINING, EVENTS & CONFERENCES

October 2014

NASHP Annual Conference: Innovations Ripe for the Picking
October 6-8, 2014, Atlanta, GA
The National Association for State Health Policy (NASHP) will host its 27th annual conference, focusing on promoting, discussing, and achieving excellence in health policy and practice. The conference will include multiple medical home specific educational opportunities including sessions on integration of care standards for children and youth with special health care needs, ensuring coverage for youth through the Affordable Care Act, and achieving health equity through public health policy.
Additional Information

AAP National Conference & Exhibition
October 11 – 14, 2014, San Diego, CA
This annual conference organized by the American Academy of Pediatrics (AAP) will present the most up-to- date practices in pediatrics. This conference will include sessions on transitioning from pediatric to adult health care, caring for underserved children, and future payment strategies for pediatricians.
Additional Information

November 2014

PCPCC Annual Fall Conference
November 12 – 14, 2014, Washington, DC
The Patient-Centered Primary Care Collaborative annual fall conference will feature numerous educational sessions on innovations in patient-centered care. Included will be a panel presentation about the National Center for Medical Home Implementation Family-Centered Care Assessment pilot project.
Additional Information

For a more detailed listing of upcoming conferences, webcasts, and other educational offerings, click here.

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NATIONAL INITIATIVES

Innovations in Healthcare Delivery: State Innovative Models Initiative
The State Innovative Models (SIM) Initiative is a provision of the Affordable Care Act (ACA) which encourages changes in the way state public health systems deliver care. Close to $300 million has been awarded to 25 states to design or test improvements in health payment and delivery systems. The National Center for Medical Home Implementation, in collaboration with the National Academy for State Health Policy, has been working to collect pediatric specific data for states currently testing their models. If you are a pediatric clinician or advocate and are interested in finding out more information about your state’s testing model, contact us!

Health Care Coverage Under the Affordable Care Act: A Progress Report
Presented by the Commonwealth Fund, this report highlights major results from the first round of the Affordable Care Act’s open enrollment. The report estimates that 20 million people have gained health care coverage through this enrollment, which has implications for health care providers, including pediatric clinicians and medical home practices.

Connecting Kids to Coverage
This national campaign, a collaboration between the Health Resources and Services Administration and the Centers for Medicare and Medicaid Services, is an effort to enroll eligible children and teens in Medicaid and the Children’s Health Insurance Program. Visit InsureKidsNow.gov for downloadable resources, videos, posters, and much more to assist families with understanding this benefit and receiving coverage.

Fact Sheet: Cost Sharing Benefits Comparison between CHIP and ACA Qualified Health Plans
This fact sheet, published by the National Alliance to Advance Adolescent Health, compares the benefits of cost sharing requirements in separate Children’s Health Insurance Program (CHIP) plans and child-only qualified health plans available through the Affordable Care Act (ACA). Results show the benefit of continuing CHIP coverage due to increased affordability and provision of broader benefits for children and adolescents.

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PARTNERS

Advancing the Medical Home Model for Pediatrics through State Health Policy
Roundtable Discussion, NASHP Annual Conference, October 8, 2014
Are you attending the National Academy for State Health Policy (NASHP) annual conference? The National Center for Medical Home Implementation (NCMHI) will be hosting a roundtable discussion focusing on state innovations in pediatric medical home implementation during the 2014 NASHP annual conference. For more information, visit the NASHP annual conference Web site or contact us to register for the roundtable.


Catalyst Center State At-A-Glance Chart Book
Developed by the Catalyst Center, with support from the federal Maternal and Child Health Bureau, this interactive database allows pediatric clinicians, public health and policy professionals, patients and family advocates, and others, to access state specific information related to financing of services for children and youth with special health care needs. Specific information about private and public insurance, as well as information about provisions of the Affordable Care Act, are included.

Family Voices Affordable Care Act Resource Center
Family Voices and the National Center for Family Professional Partnership, with support from the federal Maternal and Child Health Bureau, hosts an Affordable Care Act Center. This online center provides detailed information on the Affordable Care Act including webinars, implementation resources, and state specific information.

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FROM OUR WEBSITE

Special Feature: An Interview with HTPCP Grantees
The Minnesota Child Health Improvement Project (MnCHIP): Investing in Health and Early Learning for New Americans program at the Minnesota Academy of Pediatrics Foundation is a Healthy Tomorrows Partnership for Children Program (HTPCP) which provides supportive health/developmental screening to low-income, new Americans (primarily Somali, West African, and Hispanic) 0-3 years of age. MnCHIP achieves its objectives through a number of initiatives, including the efforts of community health workers to connect new American families to the services they require in the context of the medical home.


In a recent interview with the National Center for Medical Home Implementation (NCMHI), MnCHIP pediatric lead, Anne Edwards, MD, FAAP, and Minnesota Academy of Pediatrics Foundation Executive Director Katherine Cairns, MBA, MPH, RD, stated that health reform at the state and federal level has helped significantly with MnCHIP sustainability. Funding from the Affordable Care Act (ACA) has covered services which were originally covered through the grant, allowing for financial resources to cover services for both rural and urban communities as well as pregnant mothers of new Americans. Health reform has helped MnCHIP “move from delivering care within medical homes to delivering care within medical communities.”


Preliminary evaluation data from this project show a large increase in the number of Somali children receiving necessary immunizations and referrals to early childhood special education assessments and programs. Expanded financial resources allowed MnCHIP to create and distribute educational videos about preventive health initiatives to Somali refugees, for a total of 63,000 downloads to date. For more information, including links to educational videos, visit the NCMHI Minnesota state page and the HTPCP Web site.

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