Collaboration Between Iowa

1
Collaboration Between Iowas MCH and Medicaid
Programs

• Gretchen Hageman
• Iowa Department of
• Public Health

2
Iowas EPSDT Care for Kids ProgramDHS and DPH
started program 12 years ago
3
Iowas Relationship at the Departmental Level

• Formal interagency agreement between DHS and DPH
  is reviewed and revised each year
• Medicaid program at DHS pays DPH to manage
  statewide informing and care coordination
• DPH provides an extensive report each year to DPH
  summarizing activities and successes

4
Iowas Relationship at the Program Level

• DPH program management staff communicates
  regularly with DHS staff
• EPSDT Team meets monthly with representatives
  from DPH and DHS
• DPH provides resources to local MCH agencies to
  accomplish informing and care coordination

5
Iowas Relationship at the Local Level

• Local MCH agencies follow guidelines published in
  DHS Medicaid Provider Manual and DPH Informing
  and Care Coordination Handbook
• DPH is responsible for on-going training and
  support for the local MCH agencies for EPSDT
  activities
• Local MCH agencies are able to obtain Medicaid
  reimbursement for EPSDT activities

6
Purpose of Iowas Technical Assistance

• Catalyze action to improve child health policy
• Integrate early childhood system development
• Energize local MCH agencies to build upon the
  EPSDT program at the local level and build
  public-private relationships

7
Iowas Priorities

• Work together to support universal child health
  coverage
• Language in the 2007 General Assembly to expand
  SCHIP eligibility based on federal authorization.
  
• IDPH and other partners are working with
  legislators and federal partners

8
Iowas Priorities

• The role and capacity of the EPSDT local care
  coordinators should be strengthened
• 2006 EPDST Spring Conference provided technical
  assistance from Kay Johnson on expanding the
  capacity and the role of building public-private
  relationships
• Integration of 1st Five Healthy Mental
  Development into local Child Health Agencies
• I-Smile Dental Home
• Dental home for every child in Iowa by June 2008

9
Iowas Priorities

• Educating policy makers about the importance of
  early childhood preventive and developmental
  services
• Child and Family Policy Center Health Coalition
• Off to a Good Start Health Policy meeting
• Early Childhood Iowa Congress
• Early Childhood Day on the Hill
• Interim Legislative Committees

10
Iowas Priorities

• Create new model for financing well-child visits
• IDPH and other partners are working to define
  medical home and criteria for pay for performance
  levels
• Key Stakeholders
• Iowa Chapter of the AAP
• Iowa Chapter of the AAFP
• Legislators
• Iowa Nebraska Primary Care Association

11
Benefits of the Technical Assistance

• National experts
• Creditability of local MCH agencies and everyone
  participated
• State managers have been able to continue to draw
  local MCH agencies into participatory events
• Leaders developed priorities and are moving
  forward on priorities
• Health Coalition