Medical Homes in Montana
This page is designed to keep you informed about events and activities happening in Montana that will help improve access to medical homes for children with special health care needs (CSHCN).

Medical Home Initiatives
This section provides information on state medical home initiatives/programs. States that are a part of the mentorship network will have a "Promise to the State" which outlines how they will achieve ensuring that all children have a medical home by 2010. This is based on the Healthy People 2010 goals which is a 10 year action plan to achieve and measure success for all CSHCN.

Montana Medical Home Team Contact:

Name: Mary Noel - Children's Special Health Services
Contact: Phone: 406-444-6992 | Email: manoel@state.mt.us

Related Grant Initiatives
This section provides information on current state grants that are working on medical home initiatives. This includes the grant abstract as well as key contacts for the grant.

Healthy Tomorrows Partnership for Children Program Grant (2004)
Follow the Child - Missoula, MT
Follow the Child will integrate foster children and their foster parents into the MCCHD public health nursing home visiting program and public health clinic, and into other preventive health programs for which the child is eligible. Foster children will have a designated medical home where they receive routine well child and medical care, periodic developmental screening and assessment, and a reduced incidence of substantiated child abuse and neglect. Each child in family foster care and group home care will have baseline health data established. Key baseline indicators will be identified and tracked for each child's participation in Follow the Child. Foster parents will be educated about their child's actual or potential health problems.

Projects Goals & Objectives: The goals of this project are: 1) To integrate all Missoula County foster children into existing public health systems of preventive health care, and 2) To develop a system to collect retrievable health information (medical record) that can follow the child.

For more information on the Healthy Tomorrows Grant Program www.aap.org/commpeds/htpcp/index.html For more information on any of these HTPCP projects, please e-mail your name, address, telephone, and fax numbers with your specific request to healthyt@aap.org.

Hemophilia Grant
Project Period: June 1, 2002 through May 31, 2005
Purpose: The purpose of this proposal is to continue the family-centered, community-based comprehensive hemophilia care supporting the successful existing structure of Hemophilia Treatment Centers (HTCs) in MCHB Region VIII.

Partners in the State
This section provides information on who in the state (individuals and agencies) are working together to create medical homes for children.

American Academy of Pediatrics (AAP) Chapter:
Executive Director Jan Donaldson at 406/443-5006 or sweenycrik@aol.com

American Academy of Family Physicians (AAFP) Chapter: www.aafp.org/chapterweb/montana.html

Title V CSHCN Program - Children's Special Health Service's (CSHS): www.dphhs.mt.gov/cshs/index.shtml

Title V Block Grant to States
Title V of the Social Security Act is one of the largest Federal block grant programs. It leads the nation in ensuring the health of all mothers, infants, children, adolescents, and children with special health care needs (CSHCN). Title V is administered by the Maternal and Child Health Bureau (MCHB) as part of the Health Resources and Services Administration, U.S. Department of Health and Human Services.

Title V and Children with Special Health Care Needs
MCHB Objective: Support development and implementation of comprehensive, culturally competent, coordinated systems of care for the estimated 18 million U.S. children who have or are at risk for chronic physical, developmental, behavioral or emotional conditions and who also require health and related services of a type or amount beyond that required by children generally.

Early Hearing Detection & Intervention (EHDI) Contact(s):
State EHDI programs promote universal newborn hearing screening, develop effective tracking and follow-up as a part of the public health system, promote appropriate and timely diagnosis of the hearing loss, prompt enrollment in appropriate Early Intervention, link newborns to a medical home and strive to eliminate geographic and financial barriers to service access.

Name: Sib Clack
Contact: Phone: 406-444-4119 | Fax: 406-444-2606
E-mail: sclack@state.mt.us

Early Intervention/Part C Coordinator:
The Program for Infants and Toddlers with Disabilities (Part C of IDEA) is a federal grant program that assists states in operating a comprehensive statewide program of early intervention services for infants and toddlers with disabilities, ages birth through age 2 years, and their families.

Name: Judy LeRoux, Part C Coordinator
Contact: Phone: (406) 444-5647 | Fax: (406) 444-0230
Email: jleroux@state.mt.us
Web Site: www.dphhs.state.mt.us/dsd/index.htm

Section 619/ Preschool Grants Program of the Individuals with Disabilities Education Act (IDEA). This program provides free appropriate public education (FAPE) for children, ages 3 through 5 years, with disabilities:

Name: Daniel McCarthy, Preschool/Monitoring Specialist
Contact: Phone: (406) 444-4425 | Fax: (406) 444-3924
Email: danmcc@state.mt.us
Web Site: www.metnet.state.mt.us/

State Interagency Coordinating Council (ICC) Chairs: The ICC advises appropriate agencies on the unmet needs in early childhood special education and early intervention programs for children with disabilities, assists in the development and implementation of policies that constitute a statewide system, and assists all appropriate agencies in achieving full participation, coordination, and cooperation for implementation of statewide system.

Name: Kelly Johnson, ICC Chair
Contact: Phone: (406) 755-2425 | Fax: (406) 755-2426 | Email: kjohnson@wmcdc.org

Resources/Documents
The University of Montana Rural Institute:
Center for Excellence in Disability Education, Research, and Service
ruralinstitute.umt.edu/

State Waiver Information: www.cms.hhs.gov/MedicaidStWaivProgDemoPGI/08_WavMap.asp
Waivers are the result of a process that allows state Medicaid agencies to apply for and receive permission from HCFA to provide services not otherwise covered by Medicaid and/or to do so in ways not described by the Social Security Act. Most Medicaid managed care programs require Waivers. The Waivers, which can differ greatly, are known by their numbers (1115, 1119), or as home-and community-based, or as Katie Beckett Waivers.


Educational Initiatives
This section provides information on training initiatives on the medical home. Some states will discuss their outreach projects in relation to physicians, families, and the community.

No information is currently available for this category.

Screening Initiatives
This section provides information on surveillance and screening initiatives in the state.

Developmental Surveillance and Screening Policy Implementation Project (D-PIP)
South Valley Pediatrics from Hamilton, MT is participating in the Developmental Surveillance and Screening Policy Implementation Project (D-PIP). The D-PIP has selected 17 practices from across the United States to implement the AAP policy statement (scheduled for publication in July 2006) “Identifying Infants and Young Children with Developmental Disorders in the Medical Home: An Algorithm for Developmental Surveillance and Screening” to 1) determine if the algorithm is efficiently and effectively implemented into pediatric practice; 2) recognize strategies for implementing the algorithm; and 3) examine outcomes of implementation. Following the project, information and outcomes will be shared with pediatric clinicians and other health care professionals who are seeking to improve the delivery of developmental surveillance and screening.

Additional information on the D-PIP is available at: www.medicalhomeinfo.org/screening/DPIP.html

State Newborn Screening & Genetics Programs: genes-r-us.uthscsa.edu/resources.htm

• State Newborn Screening Program Links
• State Genetics Program Links
• Regional Genetics and Newborn Screening Collaborative Links
• Newborn Screening State Contact Fact Sheet

Family Voices: www.familyvoices.org/st/MT.htm
Partnering with professionals and families to advocate for health care services that are family-centered, community-based, comprehensive, coordinated and culturally competent.

NAMI of Montana (National Voice on Mental Health): web.nami.org/about/namimt/
Education, advocacy and support for persons with brain disorders (mental illnesses) and their families.

Children's Services - Disability Services Division: www.dphhs.mt.gov/dsd/index.htm
The division provides or contracts for a wide variety of services including institutional care, residential services, case management and home-based services to families. They are also involved with a variety of employment outcome related services including: counseling and guidance, career training, transportation, adaptive equipment, orientation and mobility services to the blind, rehabilitation teaching services to the blind, independent living services, medical services, job placement, and supported employment. The division also has the responsibility for medical adjudication of all claims for Social Security Disability and Supplemental Security Income.

Family Village: www.familyvillage.wisc.edu/index.htmlx
A global community that integrates information, resources, and communication opportunities on the Internet for persons with cognitive and other disabilities, for their families, and for those that provide them services and support. This site offers informational resources on specific diagnoses, communication connections, adaptive products and technology,adaptive recreational activities, education, worship, health issues, disability-related media and literature, and much, much more!

Parents, Let's Unite for Kids: www.pluk.org/
Provide information, support, training and assistance to aid children at home, school and as adults.

State Resources on the Internet: www.medicalhomeinfo.org/states/index.html#res

Note: The information provided on the state pages was submitted by the state medical home teams.As this is not an exhaustive list, please let us know if you have additions for your state resource page. You can contact us at: medical home@aap.org.

http://www.medicalhomeinfo.org/states/state /montana.html

Last Updated May 1, 2007