Scheduling systems that Yes Title V 0 None recognize the additional time 1 Weak (IF YES) How effective are those State Medicaid involved in caring for CYSHCN policies and procedures? CHIP 2 Moderate exist. 1 Not effective Health Plan/Insurer 3 Strong 2 Somewhat effective Provider (please specify) 3 Very effective Family/Consumer Other (please specify) OPTIONAL: Why? No Not applicable to my organization Enter Score: Enter Score: Pre-visit assessments are Yes Title V 0 None completed with the family to (IF YES) How effective are those State Medicaid 1 Weak ensure that the medical home policies and procedures? CHIP 2 Moderate team provides family-centered 1 Not effective Health Plan/Insurer 3 Strong care and is better able to make 2 Somewhat effective Provider (please specify) necessary referrals. 3 Very effective Family/Consumer Other (please specify) OPTIONAL: Why? No Not applicable to my organization Enter Score: Enter Score:
Scheduling systems that recognize the additional time involved in caring for CYSHCN exist. Yes (IF YES) How effective are those policies and procedures? 1 Not effective 2 Somewhat effective 3 Very effective No Not applicable to my organization Enter Score: Title V State Medicaid CHIP Health Plan/Insurer Provider (please specify) Family/Consumer Other (please specify) 0 None 1 Weak 2 Moderate 3 Strong OPTIONAL: Why? Enter Score: Pre-visit assessments are completed with the family to ensure that the medical home team provides family-centered care and is better able to make necessary referrals. Yes (IF YES) How effective are those policies and procedures? 1 Not effective 2 Somewhat effective 3 Very effective No Not applicable to my organization Enter Score: Title V State Medicaid CHIP Health Plan/Insurer Provider (please specify) Family/Consumer Other (please specify) 0 None 1 Weak 2 Moderate 3 Strong OPTIONAL: Why? Enter Score: