A plan of care is jointly Yes Title V 0 None developed and shared among 1 Weak (IF YES) How effective are those State Medicaid the primary care provider and/or policies and procedures? CHIP 2 Moderate the specialist serving as the 1 Not effective Health Plan/Insurer 3 Strong principal coordinating physician, 2 Somewhat effective Provider (please specify) and the CYSHCN and their 3 Very effective Family/Consumer family, and implemented jointly Other (please specify) by the child, their family and the appropriate members of the OPTIONAL: health care team. The plan of Why? care: No Addresses the physical, Not applicable to my organization oral health and mental health problems identified as a result of the initial and ongoing evaluation and describes the implementation and coordination of all services required by the CYSHCN and their family Identifies the strengths and needs of the child and family; incorporates and states their goals with clinical goals; and guides the roles, activities, and functions of the family, and the care team Is routinely evaluated and updated in partnership with the family as needed but no less frequently than every six (6) months Clearly identifies and delineates the roles, responsibilities, and accountabilities of all entities that participate in a care coordination child’s activities. These entities include but are not limited to physical, oral health and mental health care providers and programs,
A plan of care is jointly developed and shared among the primary care provider and/or the specialist serving as the principal coordinating physician, and the CYSHCN and their family, and implemented jointly by the child, their family and the appropriate members of the health care team. The plan of care: Addresses the physical, oral health and mental health problems identified as a result of the initial and ongoing evaluation and describes the implementation and coordination of all services required by the CYSHCN and their family Identifies the strengths and needs of the child and family; incorporates and states their goals with clinical goals; and guides the roles, activities, and functions of the family, and the care team Is routinely evaluated and updated in partnership with the family as needed but no less frequently than every six (6) months Clearly identifies and delineates the roles, responsibilities, and accountabilities of all entities that participate in a child’s care coordination activities. These entities include but are not limited to physical, oral health and mental health care providers and programs, 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 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?
4_Medical%20Home_In%20DepthFINAL.docx