Pediatric centers of care (e.g., Yes Title V 0 None cardiac, regional genetics, end 1 Weak (IF YES) How effective are those State Medicaid stage renal disease, perinatal policies and procedures? CHIP 2 Moderate care, transplants, 1 Not effective Health Plan/Insurer 3 Strong hematology/oncology, 2 Somewhat effective Provider (please specify) pulmonary, craniofacial, and 3 Very effective Family/Consumer neuromuscular) are available to Other (please specify) CYSHCN and their families when needed. OPTIONAL: Why? No Not applicable to my organization Enter Score: Enter Score: The system serving CYSHCN Yes Title V 0 None includes Title V CYSHCN (IF YES) How effective are those State Medicaid 1 Weak programs, LEND and UCEDD policies and procedures? CHIP 2 Moderate Centers for individuals with 1 Not effective Health Plan/Insurer 3 Strong developmental disabilities, 2 Somewhat effective Provider (please specify) where available. 3 Very effective Family/Consumer Other (please specify) OPTIONAL: Why? No Not applicable to my organization Enter Score: Enter Score:
Pediatric centers of care (e.g., cardiac, regional genetics, end stage renal disease, perinatal care, transplants, hematology/oncology, pulmonary, craniofacial, and neuromuscular) are available to CYSHCN and their families when needed. 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: The system serving CYSHCN includes Title V CYSHCN programs, LEND and UCEDD Centers for individuals with developmental disabilities, where available. 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:
4_Medical%20Home_In%20DepthFINAL.docx