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For Partners

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State Office:
Colorado Department of Public Health and Environment
Prevention Services Division 
Health Care Program for Children with Special Needs (HCP)
PSD – HCP – A4
4300 Cherry Creek Drive South
Denver, CO 80246-1530
Phone: 303-692-2370 
Main Line - Toll Free: 1-800-886-7689 ext. 2370
Fax: 303-753-9249    
 
 
State Staff:
Angela (Angie) Goodger, MPH, MHA, HCP Consultant
303-692-6316
 
Kelsey Minor, MPH, HCP Consultant
303-692-6315
 
Jane Gerberding, BSN, RN, HCP Nurse Consultant
303-692-2024
 
Dale Knochenmus, HCP Data Coordinator/Help Desk 
303-692-2384
 
Jennie Munthali, MPH, HCP Unit Manager
303-692-2435

HCP has three main components (see tabs below):

  • HCP Care Coordination 
  • HCP Specialty Care Clinics
  • Medical Home Systems Development

 

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woman and special needs boy
Care coordination addresses the interrelated behavioral, developmental, educational, financial, medical, and social needs of an individual in order to optimize health and wellness outcomes. Care coordination is a person-and-family-centered, assessment-driven, team activity designed to meet the needs and preferences of individuals while enhancing the care giving capabilities of families and service providers (Colorado Care Coordination Resource Guide, June 2013).


HCP provides care coordination services that aim to improve the quality of life for children and youth with special health care needs and their families by improving their abilities to appropriately and effectively utilize the health care system in collaboration with the child/youth's primary care provider.
 
 
HCP Care Coordinators shall work with families to:
 

  • promote participation in decision making
  • coordinate access to pediatric specialty care
  • promote independence
  • navigate options to help pay for health care
  • identify community and state services and resources
  • coordinate transition to adult health care
  • help with referrals to community resources
  • assist with identifying respite care resources
  • provide education and guidance in coordinating health care
  • collaborate with a children's health care providers
  • promote communication between providers and community resources
  • support a medical home approach using evidence based activities

 

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special needs boy in chair
 
HCP, located within the Colorado Department of Public Health and Environment (CDPHE), in collaboration with Regents of the University of Colorado and local public health agencies throughout the state of Colorado, seeks to provide access to pediatric specialty care for children and youth with special health care needs (CYSHCN) and their families living in rural counties in Colorado where pediatric medical specialists are least available.  
 
HCP contracts with the Regents of the University of Colorado so pediatric specialists from the University of Colorado School of Medicine, in partnership with Children’s Hospital Colorado, can travel to rural areas of the state to provide care.

 
These pediatric specialists: 
  • provide specialty care for neurology, orthopaedics, and rehabilitation medicine
  • collaborate with local primary care providers and model a medical home team approach
 
How can a child or youth attend a HCP Specialty Clinic? 
Contact the child’s primary care provider to receive a referral or contact a HCP clinic coordinator or public health nurse from the list below to receive assistance with getting a clinic referral. 
 
 
 
 
 
To contact a HCP Specialty Clinic Coordinator:
HCP Specialty Clinic Locations Type of Clinics Contact Information for Clinic Coordinator
Grand Junction 
Mesa County Health Department
Neurology and Rehabilitation Lisa Hudson
970-248-6948
lisa.hudson@mesacounty.us
Delta
Delta County Health Department
Orthopaedic Lisa Hudson
970-248-6948
lisa.hudson@mesacounty.us
Montrose
Montrose County Department of Health and Human Services
Neurology Ruth Ann Bohler
970-252-5014
rbohler@montrosecounty.net
Sterling and Fort Morgan
Northeast Colorado Health Department
Neurology, Orthopaedic and Rehabilitation Sherri Yahn
970-522-3741 x1242
sherriy@nchd.org
Durango
San Juan Basin Health Department
Neurology and Rehabilitation
Marybeth Paletta
970-335-2088
mpaletta@sjbhd.org
Alamosa
Alamosa County Public Health Department
Neurology and Rehabilitation Kelly Robinson
719-587-5184
krobinson@alamosacounty.org
Pueblo
Pueblo City County Health Department
Neurology, Orthopaedic and Rehabilitation
Jenna Ward
719-583-4431
ward@co.pueblo.co.us
Rocky Ford 
Otero County Public Health Department
Neurology and Rehabilitation
Jenna Ward
719-583-4431
ward@co.pueblo.co.us
 
What can a family expect when a child or youth attends a HCP Specialty Clinic?
Attending a HCP Specialty Clinic is an opportunity for a child or youth with special health care needs to see a pediatric specialist in a rural community without driving to a large urban area. It is an opportunity to ask questions about a child’s care, medication, day to day concerns and possible resources. HCP Specialty Clinics reduce barriers to families such as cost, lost work or school time, and travel. 
 
 
Does it cost to attend a HCP Specialty Clinic?
In some cases, families may be asked to pay a Clinic Support Fee for a HCP Specialty Clinic visit. The HCP Specialty Clinic support fees provide financial support to contracted LPHA host sites in order to help off-set expenses related to coordinating clinics. The HCP Specialty Clinic Coordinator is responsible for charging families according to a sliding scale fee. Families and HCP Specialty Clinic Coordinators should be aware of the following guidelines:
 
  1. Fees are in addition to any co-pays or deductables that may be collected by UPI.
  2. Fees are not charged to families whose child/youth is enrolled in Medicaid.
  3. Fees are assessed based on a self report of household income.
  4. If a family refuses to self report income, a $100.00 maximum fee for each clinic will be charged
  5. A family who has more than one child seen in clinic will be charged a clinic support fee for each child seen that day.
  6. Families shall not be denied services for inability to pay any of the sliding fee charges.
  7. Sliding scale fees are based on Federal Poverty Level (FPL)
     
HCP Specialty Clinic Sliding Scale for Clinic Fees:
% Poverty Level (FPL) At or below 100% 101 - 133% 134 - 185% 186 - 211% 212 - 399% 400 - 450% Greater than 450%
$ Clinic Fee (per Child/per Visit) No Charge $5 $10 $30 $50 $75 $100
 
 
 
 
Insurance coverage for a HCP specialty clinic visit:  
University Physicians Inc. (UPI), Inc, may bill Medicaid, CHP+ and private insurance companies for the clinic visit.University Physicians Inc.(UPI), may also bill families for HCP Specialty Clinic according to the following guidelines:
1.  If UPI bills Medicaid, CHP+, and/or private insurance companies:
       a.  UPI must accept Medicaid/CHP+ payment as full reimbursement.
       b.  UPI may bill a family with private insurance for any co-pay due or when as insurance payment is  denied because the deductable has not been met.
               i.  Families may be responsible for their co-pay and/or deductable and should make payment  directly to UPI. 
 
2.  Patients unable or unwilling to obtain their own insurance (identified as "self pay") will not be billed unless the family and the pediatric specialist agree before services are rendered on payment plans based on the family's ability to pay. This should be documented at the time of visit. 
 
3.  UPI may choose not to bill families and, if so, will receive no further compensation
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The American Academy of Pediatrics (AAP) defines a Medical Home as not a building, house, or hospital, but rather an approach to providing health care services in a high-quality and cost-effective manner. 
 

A medical home appraoch is recommended for all infants, children, and adolescents, including those with special health care needs. 


Essential components of a medical home approach include care that is accessible, patient/family centered. continuous, comprehensive, coordinated, compassionate and culturally responsible. While the health care provider or practice setting is one place that the components of a medical home approach is implemented, it is critical to recognize that a provider is operating within the context of a larger medical home system.
 

HCP promotes a medical home team approach throughout Colorado through care coordination, specialty clinics and community partnerships.


A Medical Home:

  • is a concept of quality health care.
  • is a team approach to coordinating health care services.
  • promotes a partnership between families and providers.
  • encompasses medical, mental and oral health care.
  • is accomplished when families feel included and valued, and when care and treatment options are mutually discussed and collaboratively decided.

 
Essential Components of a Medical Home Approach

  1. Accessibility – Families know who to call and which insurance plans are accepted. Providers are available in their communities, and needed services are physically accessible to patients and families.
  2. Patient/Family-Centered – The patient/family is recognized as the principal caregiver and center of strength, knowledge, and support for the child. The family voice is valued.
  3. Continuous – The same health care professionals are available from infancy through adolescence, and transition to the adult health care system is successful.
  4. Comprehensive – The child and family's medical, educational, developmental, psychological, and other needed services are identified and addressed.
  5. Coordinated – A plan of care is developed by the health care provider, child, and family and is then shared with other health providers, agencies, and organizations. A team approach is paramount.
  6. Compassionate – An effort is made to understand and empathize with the feelings and perspectives of both the child and family. Providers are encouraged to become familiar with the Social Determinants of Health.
  7. Culturally Responsive – The child and family's cultural background (including beliefs, rituals and customs) are recognized, respected and incorporated into care planning.


Download the document:   Essential Components of a Medical Home Approach pdf file
 

To learn more about the Colorado Medical Home Forums, please visit: coloradomedicalhome.org