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Special Health Issues
HealthCheck 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 Project
HealthCheck 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 Programs
Providers 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 Families
The 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.
DHCF identifies eligible children and families in order to:
The Commission on Social Service/IMA provides information to the Medicaid applicants about HealthCheck screening services during the initial Medicaid eligibility interview and through the subsequent recertification process.
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:
All Medicaid service providers are required to give written and oral EPSDT notice to eligible children and families.
At the first visit
At subsequent visits