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OverviewHealthCheck Program Summaries: Coordination
Federal legislation requires state programs that provide the EPSDT benefit to coordinate with child health related programs to maximize access to services, prevent duplication, and ensure health care for children. These programs include:
Coordination can play an important role in assisting with outreach activities. Some examples of coordinated outreach activities/programs:
Healthy Start ProjectHealthCheck coordinates with the Healthy Start Project to ensure that members receive counseling, transportation, scheduling, and other necessary support services as a part of comprehensive health care.
WIC and Commodity Supplemental Food ProgramsProviders are required to refer Medicaid families found to be at nutritional risk to the WIC Program and the Commodity Supplemental Food Program (CSFP).
DC Healthy FamiliesThe State Childrens Health Insurance Program (SCHIP) (called DC Healthy Families) expands Medicaid eligibility to families and children with incomes up to 200% of the federal poverty level. DC Healthy Families has an active outreach and enrollment program.
OutreachThe Role of the DC Department of Health Care FinanceDHCF identifies eligible children and families in order to:
The Role of the Income Maintenance Administration (IMA)
The Role of Managed Care Organizations (MCOs)MCOs should distribute HealthCheck information to members who select or who are assigned to the MCO. MCOs shall conduct outreach activities to assist HealthCheck-eligible enrollees keep well-child appointments, including:
MCOs are also expected to coordinate their enrollees health care with the following child health related groups:
The Role of the ProviderAll Medicaid service providers are required to give written and oral EPSDT notice to eligible children and families. At the first visit
At subsequent visits
Annually
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