NEW JERSEY MEDICAL HOME INFO
Announcements

National Academy for State Health Policy —New Jersey 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.

Horizon Blue Cross Blue Shield of New Jersey
Horizon Blue Cross Blue Shield of New Jersey launched its Patient-Centered Pediatric Program on January 1, 2014. This is Horizon Blue Cross Blue Shield of New Jersey’s first patient-centered program targeted at the pediatric population and will benefit over 100,000 pediatric patients. The program focuses on improving care coordination and quality outcomes for its participants and reimburses providers with outcome-based payments.

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Projects and Grant Initiatives

Medical Home Chapter Champions Program on Asthma, Allergy and Anaphylaxis (MHCCPAAA)
Through the support of the Allergy & Asthma Network Mothers of Asthmatics (AANMA), the MHCCPAAA 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. MHCCPAAA 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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Maternal, Infant, and Early Childhood Home Visiting Program (2012)
The US Department of Health and Human Services (HHS) has announced the awarding of grants to 10 states including the New Jersey Department of Health and Senior Services to provide early childhood supports and home visits to families. The funding has been awarded for the purpose of expanding or establishing home visiting programs that will provide for effective coordination and delivery of critical health, development, early learning, child abuse and neglect prevention, and family support services to at-risk children and families.

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Healthy Tomorrows Partnerships for Children Grants—Children’s Medical Services & Advocacy Center (2012 - 2016)
The Children’s Medical Services & Advocacy Center provides intake assessments/exams, medical triage, acute care and medical consultation, along with comprehensive health care case management serving children in agency foster care programs. The purpose is to improve the health of these children by implementing the medical home model, integrating health care with mental health services, providing acute care, coordinating comprehensive preventive care and health education, and ensuring high quality coordination of medical care in a safe and supportive environment, consistent with the AAP’s Bright Futures Guidelines. Children in foster care have high rates of chronic health conditions and special needs.

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State Implementation Grant for Improving Services for Children and Youth with ASD and Other DD—Statewide Parent Advocacy Network of New Jersey
Grant Period: September 1, 2010 - August 31, 2013
35 Halsey St., Newark, NJ 07102-3047
Program Director: Jennifer B Pitre | Phone: 856/649-4420 | E-mail: jbpitre.span.nj@gmail.com
Medical Home Director: Malia Corde | Phone: 908/537-4673 | E-mail: parent2parent@spannj.org
The purpose of this project is to improve access to a quality, comprehensive, coordinated community-based system of services for CYSHCN with Autism Spectrum Disorders (ASD) and other Developmental Disabilities and their families that are family-centered and culturally competent. The initiative supports grants to assist State Title V CSHCN programs, family organizations, providers, and other partners to implement the six core outcomes of a system of services based on evidence based practices for CYSHCN.

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Innovative Evidence Based Models for Improving the System of Services for CYSHCN
Grant Period: September 1, 2011 - August 31, 2014
35 Halsey St., Newark, NJ 07102-3047
Program Director: Mercedes Rosa | Phone: 973/642-8100 x 191 | E-mail: mercedes.rosa@spannj.org
Medical Home Director: Malia Corde | Phone: 908/537-4673 | E-mail: parent2parent@spannj.org
The purpose of this project is to improve access to a quality, comprehensive, coordinated community-based system of services for underserved CYSHCN and their families that are family-centered and culturally competent. The initiative supports grants to assist State Title V CSHCN programs, family organizations, providers, and other partners to implement the six core outcomes of a system of services based on evidence based practices for CYSHCN. The focus of SPAN's project is working with immigrant families served by Federally Qualified Health Centers in three high-immigrant, high-poverty counties.

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Monmouth County Pilot of the AAP New Jersey Chapter/Pediatric Council on Research and Education (PCORE)
As part of the Family to Family Health Information Center (F2F HIC), Family Voices-NJ at the Statewide Parent Advocacy Network (SPAN) has recruited parent partners to participate in medical home site visits under the Monmouth County pilot of the AAP - New Jersey Chapter/PCORE. In June 2009, SPAN commenced their Integrated Community Systems for CYSHCN project funded by HRSA in collaboration with the state Departments of Health, Human Services, and Children and Families and the NJ AAP chapter. A major component of the project is to expand the current Monmouth County medical home pilot, involving one hospital, one federally qualified health center, and six other pediatric practices, to five additional counties within the three-year project period. A full-day statewide training has been conducted. F2F HIC parent partners have been participating in medical home visits for 30 diverse parents of children and youth with a range of special health care needs.

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State Initiatives in Patient-Centered Medical Homes
The Council of State Governments
The majority of state Medicaid programs are testing models of coordinated medical care to improve quality and reduce costs, particularly for patients wit h multiple chronic illnesses. This brief includes descriptions of eleven states' pilot programs or authorizing legislation including New Jersey.

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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.

  • The Enduring Influence of the (ABCD) Initiative
    In May 1999, NASHP and The Commonwealth Fund launched the ABCD project. New Jersey is one of the states included in this initiative. This report offers lessons, strategies, and policies learned over the past 12 years through this initiative.

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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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Comprehensive Primary Care Initiative (CPCi) 
New Jersey is one of seven markets participating in CPCi. In this initiative, Medicare is collaborating with public and private insurers in the selected states or regions with the goal of strengthening primary care. In New Jersey, CPCi launched in November 2012, bringing together five payers, as well as 71 participating primary care practices with 272 providers across the state. For more information,  visit the NASHP New Jersey Medicaid Medical Home Demonstration Project.

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New Jersey Medicaid Accountable Care Organization (ACO) Demonstration Project
New Jersey’s PL 2011, Ch 114 was signed into law in August 2011 creating the New Jersey Medicaid ACO Demonstration Project. Under the 3-year demonstration program, ACOs will assume responsibility for Medicaid/CHIP populations within a designated area. For more information about ACOs in New Jersey,  visit the NASHP ACO New Jersey page.

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Funding Opportunities
This page houses information on funding opportunities from the AAP and other organizations, as well as links to other key funding contacts and resources.

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Partners in State

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—New Jersey
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—New Jersey
AAFP represents more than 94,000 family physicians, family medicine residents, and medical students.

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Family Voices Chapter—New Jersey
Family Voices aims to achieve family-centered care for all children and youth with special health care needs (CYSHCN) 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 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.

Statewide Parent Advocacy Network (SPAN)
Address: 35 Halsey Street, 4th Floor, Newark, NJ 07102
Phone:
973/642-8100 ext 110 | Toll free: 800/654-7726
Primary Contacts: Diana Autin at diana.autin@spannj.org and Mercedes Rosa at Mercedesrosa1@yahoo.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) 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 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.

  • Medicaid State Reports—2011
    The American Academy of Pediatrics, in partnership with the National Association of Children's Hospitals, has created fact sheets that explain the importance of the Medicaid program, and how children in every state rely on it for their health care.

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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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MOM2MOM Helpline Program
1/877-914-6662 (MOM2) is a 24 hour/7-day a week helpline coordinated by University of Medicine and Dentistry of New Jersey-University Behavioral HealthCare and New Jersey Medical School. The helpline features peer counseling, clinical assessments, and useful resources and referrals. The helpline provides Moms of special needs children in Essex and Union Counties of New Jersey access to a comprehensive support network of mental health professionals.

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Public Policy/Legislation

Association of Maternal and Child Health Programs (AMCHP)—New Jersey State Profile pdf download
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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Issue Brief: Implementing the Medical Home in Medicaid, CHIP, and Multistakeholder Demonstration Programs pdf download
American Academy of Pediatrics (Member access only)

This 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.

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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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Child Health USA 2013 pdf download
US Department of Health and Human Services, Health Resources and Services Administration

This annual statistical report highlights the health status and service needs of America's children. The report contains easy-to-access graphs and charts summarizing significant indicators of children's health status, statistics, figures, and references.

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America's Children: Key National Indicators of Well-Being, 2011
Federal Interagency Forum on Child and Family Statistics

The purposes of the report are to improve Federal data on children and families and make these data available in an easy-to-use, non-technical format. It organizes well-being indicators into seven sections: family and social environment, economic circumstances, health care, physical environment and safety, behavior, education, and health.

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KIDS COUNT Databook
Annie E Casey Foundation
This report is a national and state-by-state profile of the well-being of America's children available as an interactive databook, a complete PDF-format report, and on request, in print. Data and rankings on 10 key indicators of child well-being are available by state, county, and city.

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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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National Healthcare Quality & Disparities Reports
Agency for Health Research and Quality (AHRQ)

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50-State Demographics Wizard
National Center for Children in Poverty (NCCP)

This tool allows you to create custom tables of national- and state-level statistics about low-income or poor children. Choose areas of interest, such as parental education, parental employment, marital status, and race/ethnicity—among many other variables.

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Adolescent Health Database
National Adolescent Health Information Center (NAHIC)
The NAHIC database includes national and state-level profiles of key measures of the health of adolescents and young adults. National-level data is available by gender and race/ethnicity and also state-by-state, with summaries, data tables, and guidance for using this data to improve the health of adolescents and young adults.

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Medical Home Data Fact Sheet—January 2009 PDF
American Academy of Pediatrics
To inform key aspects of the pediatric medical home, the AAP has compiled a data fact sheet of summary statistics and facts from various AAP and public and proprietary sources. These data define the current state of pediatric care, and as the efforts surrounding the promotion and expansion of the pediatric medical home accelerate, the fact sheet will change to reflect this new picture.

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Profile of Pediatric Visits—April 2010 PDF
American Academy of Pediatrics

This report is based on the most current available four years worth of NAMCS and MEPS data (2004-2007).  The updated report includes annualized estimates by source of payment, patient age, physician specialty, well vs sick visit, office setting, practice ownership, physician employment status, and geographic location.

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Other Resources

AAP Child Health Informatics Center—State and Territory Specific HIT Resources
This page on the AAP 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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Bill To Establish Medical Home Project In New Jersey Signed Into Law (September 15, 2010)
A bill which establishes a medical home demonstration project to enhance primary, patient-centered acute care for Medicaid recipients was signed into law by Gov. Chris Christie. The new law, S-665, requires the State Medicaid program to establish a three-year Medicaid medical home demonstration project to expand the options for Medicaid recipients to receive patient-centered, coordinated primary care.

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