Integrate care with other Yes Title V 0 None providers and ensure that 1 Weak (IF YES) How effective are those State Medicaid information is shared effectively policies and procedures? CHIP 2 Moderate with families and among and 1 Not effective Health Plan/Insurer 3 Strong between providers. 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: Perform care tracking, including Yes Title V 0 None sending of proactive reminders (IF YES) How effective are those State Medicaid 1 Weak to families and clinicians of policies and procedures? CHIP 2 Moderate services needed, via a registry 1 Not effective Health Plan/Insurer 3 Strong or other mechanism. 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:
Integrate care with other providers and ensure that information is shared effectively with families and among and between 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: Perform care tracking, including sending of proactive reminders to families and clinicians of services needed, via a registry or other mechanism. 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