Collaboration Between Iowa s MCH and Medicaid Programs

1. Collaboration Between Iowa’s MCH and Medicaid Programs Gretchen Hageman Iowa Department of Public Health

2. Iowa’s EPSDT Care for Kids ProgramDHS and DPH started program 12 years ago 12 years in existence 12 years in existence

3. Iowa’s 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 Outcome data – participation data – improved dramatically 11% - Outcome data – participation data – improved dramatically 11% -

4. Iowa’s 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 Daily interaction – with Medicaid and BFH staff Team – purpose – keeps DPH and DHS in sync for program management (billing codes) state wide public policy collaboration Daily interaction – with Medicaid and BFH staff Team – purpose – keeps DPH and DHS in sync for program management (billing codes) state wide public policy collaboration

5. Iowa’s 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 Iowa’s 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. Iowa’s 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. Iowa’s 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. Iowa’s 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. Iowa’s 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 Understood the audience Federal, state, and local Lot of crediability Creditability of local Everyone participatedUnderstood the audience Federal, state, and local Lot of crediability Creditability of local Everyone participated