 Medical
Homes in Pennsylvania
This page is designed to keep you informed about events
and activities happening in Pennsylvania that will help improve
access to medical homes for all children and youth.
Click on a topic below to learn more about what's
going on in Pennsylvania
Medical Home Initiatives
This section
provides information on state medical home initiatives/programs.
Pennsylvania Medical Home
Contact:
Name: Molly
Gatto - Project Coordinator, EPIC Integrated Care PA Chapter,
AAP
Phone: 484/446-3000 | E-mail: mgatto@paaap.org
Educating Practices in
Community Integrated Care (EPIC IC) 
Educating Practices in Community Integrated Care (EPIC IC) is a medical home development project funded by the Pennsylvania Department of Health and the federal Maternal Child Health Bureau. The EPIC IC Medical Home Program is funded by the Pennsylvania Department of Health, Bureau of Family Health
(state Title V agency). The grant administration and oversight is housed within the Division of Community
Systems Development and Outreach.
The EPIC IC medical home project is based on the Educating Physicians In their Communities (EPIC) model. EPIC IC is a statewide provider of education/quality improvement programs using office-based change as the key to improving the care provided to children and youth with special health care needs (CYSHCN).
The EPIC IC project facilitates the provision of medical homes to CYSCHN throughout the Commonwealth of Pennsylvania. For more information please visit pamedicalhome.org.
Pennsylvania Chronic Care Initiative
In May 2007 the Pennsylvania Chronic Care Management, Reimbursement and Cost Reduction Commission was created to develop a strategic plan for treating chronic disease that would improve the quality of care for those with these conditions while reducing avoidable illnesses and their costs. The Commission delivered a strategic plan to the Governor and Legislature in February 2008 to implement CCM through regional rollouts using
learning collaboratives,
practice coaches and
provider and consumer incentive alignment. The first rollout was in Southeast PA in May 2008. The model is an integration of Chronic Care Model and the Patient- Centered Medical Home concept; the iInitial focus is on diabetes and pediatric asthma.
Related
Grant Initiatives
This section provides information on
current state grants that are working on medical home initiatives.
This includes the grant abstract as well as key contacts
for the grant.
State Implementation Grant (D70) for Improving Systems of Services for Children and Youth with Special Health Care Needs (CYSHCN) - Abstract 
Grantee: Pennsylvania Department of Health
Grant Period: 2008-2011
Program Director: Michelle Connors, Director, CSDO Division
Phone: 717/772-2763
E-mail: mconnors@state.pa.us
Partners
in the State
This section provides information on who in the state
(individuals and agencies) are working together to create
medical homes for children.
American Academy of Pediatrics (AAP) Chapter
American Academy of Family Physicians (AAFP) Chapter
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.
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.
MCH Contact:
Name: Melita J. Jordan, CNM, MSN, APRN C, Director, Bureau of Fanily Health
Address: PA Department of Health, 7th & Forster Streets
Harrisburg, PA 17120
Phone: 717/787-7192 | Fax: 717/772-0323 | E-mail: mejordan@state.pa.us
Web site
CSHCN Contact:
Name: Michelle Connors, Director, Div of Community Systems Development & Outreach
Address: PA Department of Health, 7th & Forster Streets
Harrisburg, PA 17120
Phone: 717/772-2763 | Fax: 717/772-0323 f | E-mail: mconnors@state.pa.us
Web site
Family Voices of Pennsylvania
Family Voices of Pennsylvania (FV PA) shares resources with families of CYSHCN through a variety of activities including one-to-one contacts with family members, focus groups, conferences and listservs. FV PA works with other organizations to ensure that parents have information on family and youth leadership, legislative advocacy, special education, Medical Home, mental health, cultural competence, foster care services, transition to adult care and vocational rehabilitation.
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, link newborns to a medical
home and strive to eliminate geographic and financial barriers
to service access.
Name: Arthur Florio,
Program Administrator
Phone: 717/783-8143 | Fax: 717/705-9386 |
E-mail: aflorio@state.pa.us
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.
Name: Maureen
Cronin, Part C Coordinator
Phone: 717/783-7213 | Fax:
717/772-0012 | E-mail: mcronin@state.pa.us
Section 619/ Preschool Grants Program of the
Individuals with Disabilities Education Act (IDEA). This
program provides free appropriate public education (FAPE)
for children, ages 3 through 5 years, with disabilities:
Name: Richard
Price, Chief
Phone: 717/ 783-6882 (Price)
or 717/ 783-6889 (Beck) | Fax: 717/ 783-6139 |
E-mail:
rprice@state.pa.us
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.
Name: Tracey Khalife,
ICC Co-Chair
Phone: 570/836-1995 | E-mail: khalife@epix.net
Janice Matthew, ICC Co-Chair
Phone: 412/323-4088 | Fax: 412/323-3965 | E-mail: drjmatthew@aol.com
Web site
Resources/Documents
Sample Forms:
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.
Educational Initiatives
This section provides information on training initiatives
on the medical home. Some states will discuss their outreach
projects in relation to physicians, families, and the community.
Screening
Initiatives
This section provides information on surveillance
and screening initiatives in the state.
State Newborn Screening & Genetics Programs:
Pennsylvania Newborn Screening Program and Contact Information
Pennsylvania Genetic Services and Contact Information
Newborn Screening and Genetics Collaborative – HRSA Region 2
State Resources on the Internet
Note: The information provided on the state pages was submitted
by the state medical home teams.As this is not an exhaustive
list, please let us know if you have additions for your
state resource page. You can contact us at: medical
home@aap.org.
Last Updated
January 7, 2010
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