Where needed, systems such as Yes Title V 0 None satellite programs, electronic 1 Weak (IF YES) How effective are those State Medicaid communications, and policies and procedures? CHIP 2 Moderate telemedicine are used to 1 Not effective Health Plan/Insurer 3 Strong enhance access to specialty 2 Somewhat effective Provider (please specify) care, regional pediatric centers 3 Very effective Family/Consumer of excellence where available, Other (please specify) and other multidisciplinary teams of pediatric specialty OPTIONAL: providers. Why? No Not applicable to my organization Enter Score: Enter Score: Physical health, oral health and Yes Title V 0 None mental health are coordinated (IF YES) How effective are those State Medicaid 1 Weak and integrated. policies and procedures? CHIP 2 Moderate 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:
Where needed, systems such as satellite programs, electronic communications, and telemedicine are used to enhance access to specialty care, regional pediatric centers of excellence where available, and other multidisciplinary teams of pediatric specialty providers. 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: Physical health, oral health and mental health are coordinated and integrated. 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: