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Medical Homes in Missouri
This page is designed to keep you informed about events and activities happening in Missouri that will help improve access to medical homes for children with special health care needs (CSHCN).

Click on a topic below to learn more about what's going on in Missouri
»Medical Home Initiatives »Resources
»Related Grant Initiatives »Educational Initiatives
»Partners in the State »Screening Initiatives
»Autism Resource Guide


Medical Home Initiatives
This section provides information on state medical home initiatives/programs. States that are a part of the mentorship network will have a "Promise to the State" which outlines how they will achieve ensuring that all children have a medical home by 2010. This is based on the Healthy People 2010 goals which is a 10 year action plan to achieve and measure success for all CSHCN.

Missouri Medical Home Contact:

Name: Gary Harbison - Director, Children with Special Needs
Contact:
Phone: 573-751-6246 | Email: gary.harbison.dhss.mo.gov

The Missouri Partnership for Enhanced Delivery of Services (MO-PEDS): Helping families coordinate care for their children
www.hsc.missouri.edu/~MO-PEDS/

A medical home project designed to improve the quality of care for rural and underserved children with special health care needs (CSHCN). The MO-PEDS program helps families find comprehensive and coordinated care for their CSHCN, including medical, educational, mental health, and family support services.

The project goals include:

  • Partnering with primary care physicians to increase the availability of comprehensive care coordination services in 16 central Missouri counties
  • Evaluating the impact of MO-PEDS care coordination on CSHCN enrolled in a Medicaid managed care organization
  • Sustaining the MO-PEDS intervention by developing a care coordination training program for state agency personnel
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.

Genetics Grant: Abstract
Project Period: June 1, 2001-May 31, 2004
Purpose:
The purpose of this project is to develop an integrated genetics information system and improve the ability of children in the newborn screening program to receive needed medical and intervention services, including integration into Missouri’s special health care needs systems of care. This project will help achieve the goal of developing a statewide surveillance system for genetics by integrating and enhancing existing surveillance systems as identified in Missouri’s state plan for genetic services.

Hemophilia Grant: Abstract
Project Period: 6/1/02 through 5/31/2005
Purpose: To provide comprehensive care for people with hemophilia and their families in the fours states of the region: Iowa, Kansas Missouri, and Nebraska. Comprehensive care provides an integrated, multidisciplinary system of care for persons with hemophilia and their families throughout their lifetime.

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: www.moaap.org/

American Academy of Family Physicians (AAFP) Chapter: www.mo-afp.org/

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:
Melinda Sanders
Title V Director
Address: P.O. Box 570
Jefferson City, Missouri 65102
Phone: 573-751-6235 | Fax: 573-526-5347
Email: melinda.sanders@dhss.mo.gov

For the CSHCN Contact please view the Medical Home Contact at the top of the page.

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: Catherine Harbison
Contact: Tel: 573-751-6266 | Email: catherine.harbison@dhss.mo.gov

First Steps - 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: Deborah Parsons, Coordinator
Contact: Phone: (573) 751-2965 | Fax: (573) 526-4404 |
Email: debbie.parsons@dese.state.mo.us
Web Site: dese.mo.gov/divspeced/FirstSteps/index.html

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: Deborah Parsons, Coordinator
Contact: Phone: (573) 751-2965 | Fax: (573) 526-4404
Email: debbie.parsons@dese.state.mo.us
Web Site: www.dese.state.mo.us/divspeced/

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: Valerie Lane, Director
Contact: Phone: (660) 826-4400 | Fax: (660) 826-4420
Email: vlane@chs-mo.org

Name: Elizabeth Spaugh, ICC Co-Chair
Contact: Phone: (636) 461-0324 | Email: elizabethspaugh1@msn.com

Resources/Documents
State Waiver Information: www.cms.hhs.gov/MedicaidStWaivProgDemoPGI/08_WavMap.asp
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.

No information is currently available for this category.

Screening Initiatives
This section provides information on surveillance and screening initiatives in the state.

State Newborn Screening & Genetics Programs: genes-r-us.uthscsa.edu/resources.htm

  • State Newborn Screening Program Links
  • State Genetics Program Links
  • Regional Genetics and Newborn Screening Collaborative Links
  • Newborn Screening State Contact Fact Sheet

Autism Resource Guide
The Missouri departments of Elementary and Secondary Education and Mental Health are pleased to share the Missouri Autism Resource Guide, developed by parents and professionals from all areas of the state. The resource guide is a direct result of the Interagency Agreement between the two departments and the accompanying activities for action. The purpose of the interagency agreement is to facilitate collaboration and coordination between the departments in the support of students with autism and their families. http://cise.missouri.edu/publications/autism.pdf

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 August 26, 2008

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