NEBRASKA MEDICAL HOME INFO
Announcements

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Projects and Grant Initiatives

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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Developmental Surveillance and Screening Policy Implementation Project (D-PIP)
Boys Town Pediatrics from Omaha, NE participated in the D-PIP. The D-PIP selected 17 practices from across the United States to implement the AAP policy statement Identifying Infants and Young Children with Developmental Disorders in the Medical Home: An Algorithm for Developmental Surveillance and Screening to:

  1. Determine if the algorithm is efficiently and effectively implemented into pediatric practice,
  2. Recognize strategies for implementing the algorithm, and
  3. Examine outcomes of implementation.

Following the project, information and outcomes will be shared with pediatric clinicians and other health care professionals who are seeking to improve the delivery of developmental surveillance and screening.

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State Implementation Grant (D70) for Improving Systems of Services for Children and Youth with Special Health Care Needs (CYSHCN)
Grant Period: 2008-2011 (or 2009-2012, depending on which class they are)
Father Flanagan's Boys' Home - Abstract DOC
14100 Crawford St, Boys Town, NE 68010-7520
Program Director: Thomas Tonniges
Phone: 402/778-6920 | E-mail: tonnigest@boystown.org

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Integrated Services for Children with Special Health Care Needs Grant – The Nebraska Integrated System of Care for Children and Youth with Special Health Care Needs (NISOC)
(June 1, 2008 to May 31, 2011
)
Through partnership with Nebraska’s Title V programs, including the Nebraska Medically Handicapped Children’s Program, and the Nebraska Family-to-Family Health Information Center, the Boys Town Institute for Child Health Improvement will assess State and community-based programs for integration of family-centered care principles and coordination/linkages between programs, improve the quality of health care services through a statewide Medical Home Learning Collaborative, expand developmental screening and surveillance in medical homes, and partner with State and local programs to develop social marketing campaign on developmental screening and access to medical homes.

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Consortium to Advance Medical Homes for Medicaid and CHIP Participants PDF
Nebraska is one of eight state teams brought together in 2009 by the National Academy for State Health Policy (NASHP) to form a Consortium to Advance Medical Homes for Medicaid and Children's Health Insurance Program (CHIP) Participants. These states will work together during this one-year program, to develop and implement policies that increase Medicaid and CHIP program participants' access to high performing medical homes.

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Nebraska Medicaid Medical Home Pilot Program
In 2009, the Nebraska Legislature passed legislation which requires the Nebraska Department of Health & Human Services to establish a Medicaid medical home pilot in one or two rural geographic areas by January 1, 2012. The objectives of this pilot program include working to align the payment methodology to the clinical practice of medicine and to institute a team model approach to patient care to improve quality, safety, access, and health outcomes.

Partners in State

American Academy of Pediatrics (AAP) Chapter - Nebraska
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.

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American Academy of Family Physicians (AAFP) Chapter - Nebraska
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.

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Family Voices Chapter - Nebraska
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, they provide families tools to make informed decisions, advocate for improved public and private policies, build partnerships among professionals and families, and serve as a trusted resource on health care.

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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 in a unique position to help families because they are typically staffed/run by parents of CYSHCN themselves, and as parents, they have traveled through the maze of services and programs designed to help CYSHCN. Staff at F2F HICs understand the issues that families face, provide advice, offer a multitude of resources, and tap into a network of other families and professionals for support and information. Family Voices, through the National Center for Family / Professional Partnerships, provides technical assistance, training, and connections to other F2F HICs and partnering organizations.

PTI Nebraska
Address: 3135 N. 93rd Street, Omaha, NE 68134
Phone: 402/934-1488 | Toll free: 800/284-8520
Primary Contact: Glenda Davis
(MCHB: 6/2007-5/2010)

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Title V Block Grant to States
Title V of the Social Security Act is one of the largest Federal block grant programs. It leads the nation in ensuring the health of all mothers, infants, children, adolescents, and children with special health care needs (CSHCN). Title V is administered by the Maternal and Child Health Bureau (MCHB) as part of the Health Resources and Services Administration, U.S. Department of Health and Human Services.

MCH Contact
Name: Paula Eurek, Title V/MCH Director
Address: 3rd Floor, PO Box 95026, Lincoln, NE 68509
Phone: 402/471-0196 | Fax: 402/471-7049 | E-mail: paula.eurek@hhss.ne.gov
Web site

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Title V and Children with Special Health Care Needs
MCHB Objective: Support development and implementation of comprehensive, culturally competent, coordinated systems of care for the estimated 18 million U.S. children who have or are at risk for chronic physical, developmental, behavioral or emotional conditions and who also require health and related services of a type or amount beyond that required by children generally.

CSHCN Contact
Susan P. Buettner, Administrator, Long-Term Care Programs
Address: 5th Floor, PO Box 95026, Lincoln , NE 68509-5026
Phone: 402/471-9185 | Fax: 402/471-9092 | E-mail: susan.buettner@nebraska.gov

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Early Hearing Detection & Intervention (EHDI) Contact(s)
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 the 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
Nebraska Newborn Screening Program and Contact Information
From the National Newborn Screening and Genetics Resource Center Web site

Nebraska Genetic Services and Contact Information
From the National Newborn Screening and Genetics Resource Center Web site

Newborn Screening and Genetics Collaborative – HRSA Region 5
Translating research into practical health care services and systems to improve the health and quality of life of individuals with heritable disorders through Collaboration and Partnership

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Early Intervention/Part C Coordinator
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 age 2 years, and their families.

Joan Luebbers, Part C Co-Coordinator
Phone: 402/471-2463 | Fax: 402/471-5022 | E-mail: joan.luebbers@nebraska.gov
Web site

Amy Bunnell , Part C Co-Coordinator
Phone: 402/471-9329 | Fax: 402/471-6352 | E-mail: jthelen@nebraska.gov
Web site

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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:

Ruth Miller, EC ICC Chair
Address: Educational Service Unit 8, PO Box 89, Neligh, NE 68756
Phone: 402/887-5041 | E-mail: ruth@esu8.org

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State Interagency Coordinating Council (ICC) Chairs
The ICC 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.

Kelly Johnson, ICC Chair
Phone: 406/755-2425 | Fax: 406/755-2426 | E-mail: kjohnson@wmcdc.org

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Medicaid
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 Children's Health Insurance Program, Medicaid insures over 1 in 4 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.

Medicaid State Director
For the most updated contact, please refer to the National Association of State Medicaid Directors Member List.

State Waiver Information
Waivers are the result of a process that allows state Medicaid agencies to apply for and receive permission from HCFA to provide services not otherwise covered by Medicaid and/or to do so in ways not described by the Social Security Act. Most Medicaid managed care programs require Waivers. The Waivers, which can differ greatly, are known by their numbers (1115, 1119), or as home-and community-based, or as Katie Beckett Waivers.

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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 of 2009 (CHIPRA) reauthorized 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 a number of 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.

Children’s Health Insurance State Program Director
For the most updated contact, please refer to the CMS listing of CHIP Directors pdf download.

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Community Health Centers in the State
Federally-funded health centers care for you, even if you have no health insurance. You pay what you can afford, based on your income. Health centers provide checkups when you're well, treatment when you're sick, complete care when you're pregnant, immunizations and checkups for your children, dental care and prescription drugs for your family, mental health and substance abuse care if you need it. For a listing of CHCs in Nebraska, please use HRSA’s ‘Find A Health Center’ search engine.

Public Policy/Legislation

Association of Maternal and Child Health Programs (AMCHP) Nebraska State Profile PDF
These state profiles provide a snapshot of how the Maternal and Child Health Block Grant 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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AAP Issue Brief: Implementing the Medical Home in Medicaid, CHIP, and Multistakeholder Demonstration Programs PDF
(AAP Member access only)

The Medical Home Issue Brief serves to provide guidance to AAP chapters working with states to implement medical home projects in Medicaid and CHIP as well as multipayer demonstration programs. It also addresses a number of the policy questions that frequently arise in creating state supports for the medical home.

State Medical Home Data

Child Health Measurement Initiative (CAHMI) Medical Home Portal - Nebraska State Profile PDF
These state profiles provide a state’s medical home performance level for all children or children with special health care needs, based on national survey data.

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National Adolescent Health Information Center (NAHIC) Adolescent Health Database
The NAHIC database includes national and state-level profiles of key measures of the health of adolescents and young adults, based on Healthy People 2010. Known as the Data Project, the online resource contains information on recent progress in key areas of adolescent health. National-level data is available by gender and race/ethnicity and also state-by-state, with summaries and data tables. The site also features information about data collection and presentation, state and national Excel files and guidance for using this data to improve the health of adolescents and young adults.

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2010 KIDS COUNT Databook
The Annie E Casey Foundation has released the 2010 Kids Count report. The annual Kids Count report is a national and state-by-state profile of the well-being of America's children that seeks to enrich discussions concerning ways to secure better futures for all kids. The 2010 Kids Count report data is available as an interactive databook, a complete PDF-format report PDF, and on request, in print. Data and rankings on 10 key indicators of child well-being are available by state, county, and city.

Other Resources

Parent Training and Information (PTI) Nebraska
The mission of PTI Nebraska is to provide training, information and support to parents in Nebraska who have a child birth through twenty six with special needs. Resources are provided for parents, other family members, school personnel and interested others.

Nina Baker, Health Information Coordinator
Phone: 402/346-9233  | E-mail: nbaker@pti-nebraska.org

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Early Childhood Comprehensive Systems (ECCS)
Together for Kids and Families, Early Childhood Comprehensive Systems Grant Project is designed to achieve optimum outcomes for Nebraska’s young children and their families through comprehensive system planning and collaborative effort among stakeholders. Medical Home is one of the core components identified as part of the early childhood system necessary to achieve positive outcomes.

Lynne Brehm, Together for Kids and Families Program Coordinator
Phone: 402/471-1384 | E-mail: lynne.brehm@nebraska.gov

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Boys Town Institute for Child Health Improvement
The Boys Town Institute for Child Health Improvement is working with local, state and national partners to improve the health of children and youth through improved access to medical homes. The Institute brings together community-based health care professionals with parents, policy makers and providers of services to children in the community to develop strategies that lead to the creation of medical homes and, subsequently, improvements in health care quality. Through a medical home, parents work in partnership to make informed decisions about their child’s care, while also considering their family’s cultural and non-medical needs. The Institute is working to demonstrate that by providing health care services through a medical home, there are improved health care outcomes that eventually result in improved school performance and increased opportunities for work and independence.

Amy Gibson, MS, RN, Assistant Director
Address: 14100 Crawford, Boys Town, NE 68010
Phone: 402/498-1321 | E-mail: gibsona@boystown.org

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Nebraska State Plan For Children with Autism Spectrum Disorders PDF

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