ALABAMA MEDICAL HOME INFO
Announcements

Advancing the Medical Home Model in States: Alabama Profile
The National Center for Medical home Implementation (NCMHI) is collaborating with the National Academy for State Health Policy (NASHP) to highlight exceptional profiles of state public health programs that are advancing the medical home model in pediatric populations. The March 2014 profile describes the Patient Care Networks of Alabama (PCNA) and Regional Care Organizations (RCOs) with details on how the Alabama AAP Chapter is involved.

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National Academy for State Health Policy —Alabama 2014 CHIP Fact Sheet PDF
This fact sheet provides key information describing each state’s CHIP program at a time when states are both immersed in implementing the Children’s Health Insurance Program Reauthorization Act and Affordable Care Act.

 

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Projects and Grant Initiatives

Medical Home Chapter Champions Program on Asthma, Allergy and Anaphylaxis
Through the support of the Allergy & Asthma Network Mothers of Asthmatics (AANMA), the Medical Home Chapter Champions Program on Asthma, Allergy and Anaphylaxis facilitates the dissemination of best practices, evidence-based guidelines and resources in asthma and allergy care to pediatricians in their states, and supports pediatricians in serving as advocates for change at local, state and national levels. The program seeks to support a successful, national chapter champion network model, initiate a team-based, care coordination and co-management quality improvement learning community; and cultivate an enhanced focus on advocacy and policy. If you are interested in more information about the project, fill out the Contact Us form.

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Building Medical Homes: Lessons from Eight States with Emerging Programs
The Commonwealth Fund—December 2011
This report discusses the progress and experiences of eight states (Alabama, Iowa, Kansas, Maryland, Montana, Nebraska, Texas, and Virginia) that are at various stages of implementing a medical home program.

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LEND Programs Receive Funding to Improve the Health of Children with Special Health Care Needs
The Health Resources and Services Administration (HRSA) has awarded $28.3 million to 43 Leadership Education in Neurodevelopmental and Other Related Disabilities (LEND) programs, including the program at the University of Alabama at Birmingham, to help improve the health of infants, children, adolescents and young adults with neurodevelopmental and other related disabilities, including autism spectrum disorders. LEND programs prepare trainees from a wide variety of professional disciplines to assume leadership roles, ensure high levels of interdisciplinary clinical competence, and enhance the ability of clinicians to diagnose, treat, and manage complex disabilities in youth and adolescents.

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Alabama Health Improvement Initiative Medical Home Pilot
Blue Cross and Blue Shield (BCBS) of Alabama—September 2009-December 2011

The purpose of the BCBS of Alabama sponsored pilot was to analyze the medical home concept and to trend process of care and patient outcome data. At the conclusion of the pilot, BCBS of Alabama gained a better understanding of the time and monetary efforts required by a practice to attain and maintain a medical home environment and determined that the concept is achievable throughout the state of Alabama.

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Consortium to Advance Medical Homes for Medicaid and CHIP Participants
National Academy for State Health Policy (NASHP)—January 2011
Fifteen state teams, including Alabama, were brought together by the NASHP to form a Consortium to Advance Medical Homes for Medicaid and Children's Health Insurance Program (CHIP) Participants. These states worked together to develop and implement policies that increase Medicaid and CHIP program participants' access to high performing medical homes. For more information, see the blog post, Constructive Ideas from Medical Home Builders, and the report, Building Medical Homes: Lessons from Eight States with Emerging Programs.

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Alabama Early Screening Improvement Project
Healthy People 2020—Early Brain and Child Development Grantee
Primary Contact: Ada Myriam Peralta-Carcelen, MD, FAAP | mperalta@peds.uab.edu
Secondary Contact: Linda P. Lee, APR | llee@alaap.org
The Alabama Early Screening Improvement Project will implement a quality improvement (QI) collaborative for developmental screening in medical home settings for children from birth to five years of age. This project will further enhance the existing partnership of the Alabama Chapter of the AAP, the Alabama Department of Public Health (ADPH), the Alabama Department of Mental Health (ADMH), Alabama’s Early Intervention System (AEIS), and the University of Alabama Autism Spectrum Disorders Clinic to increase the proportion of children who are ready for school in all five domains of health development (Healthy People 2020 Objective EMC-1). Within a medical home model, the project will work with pediatric healthcare providers, child care providers, early intervention programs, and community-based resources within a starter hub area to provide peer-to-peer learning, education, and technical assistance.

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Fast Facts on Primary Care Practice Support Systems In Select States PDF
National Academy for State Health Policy (NASHP), 2012
This matrix provides an overview of six state projects, including Alabama, that help providers deliver high-powered primary care and discusses how the teams, pods, and networks support practices, draw on federal health reform resources, and much more.

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The Assuring Better Child Health and Development (ABCD) Program
The ABCD Program is funded by the Commonwealth Fund, administered by National Academy for State Health Policy (NASHP), and designed to assist states in improving the delivery of early child development services for low-income children and their families by strengthening primary health care services and systems that support the healthy development of young children, ages 0-3. The program focuses particularly on preventive care of children whose health care is covered by state health care programs, especially Medicaid. Since 2000, the ABCD program has helped twenty-seven states create models of service delivery and financing through a laboratory for program development and innovation.

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Health Resources and Services Administration (HRSA) in Your State
HRSA in Your State offers overviews of HRSA programs and current information, such as the number and amount of grants awarded down to the County level. It also provides state-specific information about health centers, National Health Service Corps members and the communities they serve, and the number of participating providers through the 340B program.

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Early Childhood Comprehensive Systems (ECCS) State Contacts
The Maternal and Child Health Bureau (MCHB) launched the State Maternal and Child Health Early Childhood Comprehensive Systems (ECCS) Initiative to implement the MCHB Strategic Plan for Early Childhood Health. The purpose of ECCS is to support states and communities in their efforts to build and integrate early childhood service systems that address the critical components of access to comprehensive health services and medical homes; social-emotional development and mental health of young children; early care and education; parenting education, and family support. For additional information, you can look up your state's ECCS Grantee Contact or Grantee Web site.

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AAP: Community Pediatrics Grant Database
The Community Pediatrics Grant Database archives previously funded Community Pediatrics grant projects, including those funded through the CATCH Program, the Healthy Tomorrows Partnership for Children Program, the Community Pediatrics Training Initiative and the Healthy People 2010 Chapter Grants. The database is searchable by seven major categories: target population; health topic; state/territory; project activity; AAP program; AAP district; and project year. Members of the AAP can obtain grantee contact information by searching through the Member Center. If you are not an AAP member, but have questions please contact docbi@aap.org.

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Partners in State
Academy chapters are organized groups of pediatricians and other health care professionals working to achieve AAP goals in their communities. Chapters are the channels of representation for individual members of the Academy. Please contact your local chapter for additional state resources
Alabama AAP Chapter
The American Academy of Family Physicians is one of the largest national medical organizations, representing more than 94,000 family physicians, family medicine residents, and medical students
Alabama AAFP Chapter

This section provides information on state organizations that play a role in implementing various aspects of medical home, and includes links to their Web sites and contact information.

American Academy of Pediatrics (AAP) Chapter—Alabama
AAP chapters are organized groups of pediatrician members and other health care professionals working to achieve AAP goals in their communities. Please contact your local chapter for additional state resources.

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American Academy of Family Physicians (AAFP) Chapter—Alabama
AAFP represents more than 94,000 family physicians, family medicine residents, and medical students.

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Family Voices Chapter—Alabama
Family Voices aims to achieve family-centered care for all children and youth with special health care needs and/or disabilities. Through a national network of chapters, they provide families with tools to advocate for improved public and private policies, and build partnerships among professionals and families.

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Family-to-Family Health Information Centers (F2F HICs)
F2F HICs are non-profit organizations that help families of children and youth with special health care needs (CYSHCN) and the professionals who serve them. F2F HICs are typically staffed by parents of CYSHCN who understand the issues that families face, provide advice, offer resources, and tap into a network of other families and professionals for support and information.

Family Voices of Alabama
Address: 1050 Government Street, Mobile, AL 36604
Phone/Toll-Free: 877/771-3862 | Fax: 877/771-3862
Primary Contact(s): Dr Gerald G. Oveson at oveson@bellsouth.net and Susan M. Colburn at susancolburn@gmail.com

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Title V Maternal and Child Health (MCH) Director & Children with Special Health Care Needs (CSHCN) Director
Title V of the Social Security Act is the nation's oldest federal program to improve the health of all mothers, infants, children, adolescents, and CSHCN. Title V is administered by the Federal Maternal and Child Health Bureau (MCHB) as a block grant to states to support core public health functions, such as care coordination and rehabilitation services.

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Early Hearing Detection & Intervention (EHDI) Contacts
State EHDI programs promote universal newborn hearing screening, develop effective tracking and follow-up as a part of the public health system, promote appropriate and timely diagnosis of hearing loss, prompt enrollment in appropriate early intervention, ensure a medical home for all newborns, and strive to eliminate geographic and financial barriers to service access.

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State Newborn Screening & Genetics Programs

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Early Intervention/Part C Coordinators
The Program for Infants and Toddlers with Disabilities (Part C of IDEA) is a federal grant program that assists states in operating a comprehensive statewide program of early intervention services for infants and toddlers with disabilities, ages birth through 2 years, and their families.

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State Section 619/Special Education for ages 3-5 Coordinators
This program provides free appropriate public education (FAPE) for children, ages 3 through 5 years, with disabilities.

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State Interagency Coordinating Council (ICC) Chairs
This program advises appropriate agencies on the unmet needs in early childhood special education and early intervention programs for children with disabilities, assists in the development and implementation of policies that constitute a statewide system, and assists all appropriate agencies in achieving full participation, coordination, and cooperation for implementation of statewide system.

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Children's Health Insurance Program (CHIP)
CHIP is Title XXI of the Social Security Act and is a state and federal partnership that targets uninsured children and pregnant women in families with incomes too high to qualify for most state Medicaid programs, but often too low to afford private coverage. Within federal guidelines, each state determines the design of its individual CHIP program, including eligibility parameters, benefit packages, and administrative procedures. The Children's Health Insurance Program Reauthorization Act (CHIPRA) of 2009 re-authorized the program through FY 2013, and includes many incentives for states to find and enroll more eligible children in both Medicaid and CHIP. CHIPRA also includes quality provisions that aim to monitor and improve care delivered through the Medicaid and CHIP programs. Each state does have a CHIP program, and the names of these programs differ from state to state. To find information on health coverage programs in your state, visit the InsureKidsNow.gov Web site.

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Medicaid State Directors
Medicaid is Title XIX of the Social Security Act and is a federal/state entitlement program that provides medical assistance to certain individuals and families with low incomes and/or special health care needs. Medicaid is of unique importance to children; together with the CHIP, Medicaid insures more than one in four children in the United States, with millions more eligible but currently unenrolled. The Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program is a critical component of Medicaid, which guarantees that children enrolled in Medicaid are screened for medical or developmental problems early, and that necessary treatments and services are provided. To find information on health coverage programs in your state, visit the InsureKidsNow.gov Web site.

  • Patient 1st
    More than 420,000 Alabamians currently participate in Patient 1st, a primary care case management (PCCM) program operated by the Alabama Medicaid Agency. The present program was approved by the Centers for Medicare and Medicaid Services (CMS) in August 2004 and includes expanded technology and tools to help doctors and other health professionals better manage the increasing cost of health care while promoting better care for Medicaid patients.
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Community Health Centers in the State
HRSA provides a searchable database of federally-funded health centers. Health centers provide care to those with or without health insurance including well-care check ups, treatment when sick, complete care during pregnancy, immunizations and checkups for children, dental care, prescription drugs, and mental health and substance abuse care.

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Regional Extension Centers (RECs)
Health Information Technology RECs support and serve health care providers to help them quickly become adept and meaningful users of electronic health records (EHRs). RECs are designed to make sure that primary care clinicians get the help they need to use EHRs by providing training in adopting EHRs, guidance with implementation, and technical assistance as needed.

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Help Me Grow
Help Me Grow (HMG) is a collaborative, cross-sector system that assists states in identifying at-risk children, then helping families find community-based programs and services. The organization and its affiliates do not provide direct services. Rather, it is a system for improving access to existing resources and services for children through age eight. States affiliated with the Help Me Grow National Center use the HMG system to implement effective, universal, early surveillance and screening for all children, and then link them to existing quality programs.

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Patient Care Networks of Alabama
In August 2011 Alabama enhanced their Patient 1st program and launched four patient care networks run by Patient Care Networks of Alabama (PCNA) in select counties to support primary medical providers.  The Alabama Medicaid Agency established working relationships for this project with state physician associations including the Alabama chapter of the American Academy of Pediatrics.  The networks are each developing initiatives around topics that have already been identified (high cost/high co-morbidity patients, asthma, diabetes, etc.) and topics that will be defined through mutual agreement. For more information, visit the NASHP PCNA information page.

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Alabama Health Home Program
In April 2013, the Centers for Medicare and Medicaid Services approved a Section 2703 health home state plan amendment, creating health homes for Medicaid enrollees. Alabama’s health home program builds upon the state’s Patient 1st and Patient Care Networks of Alabama (PCNA) programs, and implementation is limited to the four PCNA service regions. The program seeks to specifically improve preventive care for children. For more information, visit the NASHP Alabama information page.

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Regional Care Organizations
Regional Care Organizations (RCOs) Legislation passed in 2013 will build on the four existing Patient Care Networks of Alabama to form risk-bearing RCOs that will manage a continuum of health care services for Medicaid beneficiaries under a single capitated rate. The RCO strategy stems from recommendations finalized in January 2013 by a multi-stakeholder Medicaid Advisory. The Alabama Medicaid Agency submitted an 1115 Waiver Concept Paper in early 2013 and has plans to work with Centers for Medicare and Medicaid Services regarding the development of an application for a Section 1115 Demonstration Waiver. For more information visit the NASHP Alabama information page.  

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Public Policy/Legislation

Association of Maternal and Child Health Programs (AMCHP)—Alabama State Profile PDF
These state profiles provide a snapshot of how the Maternal and Child Health Block Grant (Title V) works in specific states. The profiles detail the federal funds appropriated to each state, state match, specific programs funded, numbers of people receiving services and state health needs.

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Early Childhood State Policy Profiles
National Center for Children in Poverty (NCCP)
NCCP’s Early Childhood Profiles were produced as part of the Improving the Odds for Young Children project. These comprehensive profiles highlight states’ policy choices that promote health, education, and strong families alongside other contextual data related to the well-being of young children.

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Medical Home Data

Medical Home Data Portal—State Data Pages
Child and Adolescent Health Measurement Initiative
The Medical Home State Data Portal profiles provide a state’s medical home performance level for all children and children with special health care needs, based on data from the 2009/2010 National Survey on Children with Special Health Care Needs, 2007 National Survey on Children's Health and the 2005/2006 National Survey of Children with Special Health Care Needs.

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State-at-a-Glance Chartbook on Coverage and Financing for Children and Youth with Special Health Care Needs
The Catalyst Center
The Online State-at-a-Glance Chartbook provides data on carefully selected indicators of health coverage and health care financing for CYSHCN. Using the online Chartbook, you can access data for your state and easily compare it with both national averages and other states' data.

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Other Resources

AAP Child Health Informatics Center—State and Territory Specific HIT Resources
This page on the AAP Child Health Informatics Center (CHIC) Web site allows you to identify pediatric specific HIT resources by state related to Meaningful Use, Regional Extension Centers, State Health Information Exchanges, and other important information.

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