 Medical
Homes in Texas
This page is designed to keep you informed about events
and activities happening in Texas that will help improve access
to medical homes for children with special health care needs
(CSHCN).
Click on a topic below to learn more about what's
going on in Texas
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.
Texas Medical Home Contact:
Name: Lesa Walker, MD, Title V CSHCN Director
Contact: Phone: 512/458-7111 ext. 2567
Email: Lesa.Walker@dshs.state.tx.us
State Team Roster
Name: Beverly MacCarty, Texas Medical Home Workgroup Staff
Contact: Phone:(512) 458-7111, Ext. 6436
| Fax: (512) 458-7238
Email:
Beverly.MacCarty@dshs.state.tx.us
Texas Department of State Health CSHCN Services Program Medical Home webpage has been revised: http://www.dshs.state.tx.us/cshcn/medicalhome/default.shtm
The revised webpage is organized in 4 sections: Medical Home Basics, Medical Home Workgroup, Medical Home Resources, Medical Home Supports in Texas, Related Initiatives
 Introduction to Medical Home online module
Texas Health Steps Online provider education – The Texas Department of State Health Services and the Texas Health and Human Services Commission have collaborated to develop a FREE, online education program designed to educate health care providers about Texas Health Steps (Medicaid for children) and other health care services. The comprehensive program offers FREE continuing education credits, and its courses are accredited by the Texas Medical Association, the American Nurses Credentialing Center, the National Commission for Health Education Credentialing, the Texas State Board of Social Work Examiners, the Accreditation Council of Pharmacy Education, and the Academy of General Dentistry. Topics include Introduction to Medical Home and many others!
To view a course online, please visit www.txhealthsteps.com
Notice of Open Enrollment for Medical Home Supports: March 2008-March 2009
The Department of State Health Services (DSHS), Children with Special Health Care Needs (CSHCN) Services Program, within the Purchased Health Services Unit, issues this Notice of Open Enrollment (the “Notice”) requesting applications from Texas pediatric or family physician practices to implement practice-level supports to help improve the provision of a Medical Home for children and youth with special health care needs (CYSHCN) and their families. To be enrolled as a Contractor for Medical Home Supports, the applicant must meet the eligibility requirements described in the Notice and complete, sign, and submit the application attached to the Notice. The enrollment period begins March 1, 2008 and ends March 1, 2009. For more information on this Open Enrollment opportunity, please click on the following link to the posting on the Electronic State Business Daily (ESBD): http://esbd.cpa.state.tx.us/bid_show.cfm?bidid=74328
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.
The Mountain States Regional Collaborative (AZ, CO, MT, NM, NV, TX, UT & WV) was awarded a Medical Home Visting Professorship (2008)
Medical Home Visiting Professorship Pilot Program
The American Academy of Pediatrics National Center for Medical Home Initiatives for Children with Special Needs and the American College of Medical Genetics' National Coordinating Center for the Regional Genetics and Newborn Screening Service Collaboratives (NCC) in partnership with the ACMG and MCHB recently developed a pilot visiting professorship program. This program focuses on the specific topic areas of genetics and medical home and also establishing linkages between Regional Genetics and Newborn Screening Services Collaboratives (RCs) and AAP Chapters.
Family-Centered
Care Champions Incentive Grant - Incentive
Award FAQs
Goal: To organize a Parent Group Network designed
to promote family-centered care by providing information
and support to parent groups at the local level. This includes
the identification, production and dissemination of family-centered
and practical tools/methods for families to use in order
to build partnerships with health care providers that promote
both family centered care and effective medical coordination
within the medical home.
For more information contact: Laura
J. Warren, Executive Director
Phone: (512) 458-8600 | Email: laura@txp2p.org
Healthy Tomorrows Program
for Children Grant 2005-2010
Behavioral Developmental Primary Care Program
People’s Community Clinic, Austin, TX
Program goals include: provide an improved system
of behavioral/mental health/developmental screening, assessment,
and care coordination for school- aged (3-19) patients and
to offer an improved, formalized resource to the larger
Central Texas community by providing diagnostic assessments,
case coordination, and a medical home to youth and families
referred specifically to the program by schools, youth serving
agencies, and individuals because of behavioral/developmental/mental
health concerns. Click here for more information on this
project. Click
here for more information on this project.
For more information on the Healthy Tomorrows Grant Program click
here. For
more information on this HTPCP project, please e-mail your
name, address, telephone, and fax numbers with your specific
request to healthyt@aap.org.
Texas participated in the National
Initiative for Child Health Quality (NICHQ) Medical Home
Learning Collaborative (October 2004 - September 2005)
The Medical Home Learning Collaborative was a 15-month project
committed to helping primary care practices become accessible,
family-centered, and provide care that is continuous, comprehensive,
coordinated, compassionate, and culturally effective. A
particular emphasis was placed on care coordination and
family involvement in decision-making for children with
special health care needs (CSHCN). Project
Overview.
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:
www.txpeds.org/
The Texas Pediatric Society, the Texas Chapter of the American
Academy of Pediatrics, is a state professional nonprofit
organization of 2,800 Texas pediatricians and 600 medical
students. The goal of the Society is that all children in
the State attain their full potential for physical, emotional,
and social health.
American Academy of Family Physicians (AAFP) Chapter:
www.tafp.org/
The Texas Academy of Family Physicians is a medical specialty
organization dedicated to the delivery of quality health
care made up of ten local chapters in the state.
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.
MCH Contact:
Fouad Berrahou, Ph.D.
State Title V Director
Address: 1100 West 49th
Austin, TX 78756
Phone: 512-458-7321 | Fax: 512-458-7358
Email: fouad.berrahou@dshs.state.tx.us
Internet site: www.dshs.state.tx.us
For the CSHCN Contact please view the Medical Home Contact at the top of the page.
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, ensure a medical
home for all newborns and
strive to eliminate geographic and financial barriers to
service access.
Name: Gwen Lewis
Contact: Phone:(512) 458-7111 extension
2600 | Fax: (512) 458-7125
E-mail: gwen.lewis@dshs.state.tx.us
State Genetics Program: www.dshs.state.tx.us/genetics/default.shtm
Early Childhood Intervention/Part C Coordinator:
Early childhood Intervention (ECI) is a coordinated
system of services available in every Texas county for families
of children, birth through 2 years, with disabilities and
developmental delays. ECI is federally
and state funded through the Individuals with Disabilities
Education Act (IDEA.) The Division for Early Childhood Intervention
Services is a division of the Department of Assistive and
Rehabilitative Services.
Name: Kim Wedel, Assistant Commissioner
Texas Early Childhood Intervention Program
Department of Assistive and Rehabilitative Services
Contact: Phone: (512) 424-6754 | Fax:
(512) 424-6749
Email: kim.wedel@dars.state.tx.us
Web Site: www.dars.state.tx.us/ecis/index.shtml
Section 619/Special Education for ages 3-5 Coordinators:
This program provides free appropriate public education
(FAPE) for children, ages 3 through 5 years, with disabilities:
Name: Dottie Goodman, 619 Contact,
Texas Education Agency
Contact: Phone: (512) 463-9362 | Fax:
(512) 463-9560 |
Email: dottie.goodman@tea.state.tx.us
Web Site: www.tea.state.tx.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: Laura Logan Kender, ICC Chair
DEBT ECI Program
1628 19th Street
Lubbock, TX 79401-4895
Contact: Phone: (806) 766-1172 | Fax: (806) 766-1286
Email: lkender@lubbockisd.org
Web Site: http://www.dars.state.tx.us/ecis/advisorycommittee.shtml
Resources/Documents
The Primary Solution from the Texas Pediatric Society which is part of the Primary Care Coalition t which outlines recommendations to enhance primary care, including the primary care medical home
The 2008 Texas Medicaid Provider Procedures Manual is now available.
The 2008 CSHCN Services Program Provider Manual is now available
The Primary Care Medical Home for the Chronically Ill Child, April 2007
A powerpoint presentation delivered by Robert W. Warren, M.D., Ph.D., M.P.H. of the Texas Children’s Hospital, Houston, TX and Cynthia Lopez, M.D., F.A.A.P. Su Clinica Familiar, Harlingen, TX
Texas Medical Home Toolkit for Families Toolkit
Information for families on the concept of Medical Home
and how to get one set up for your child or clients who
have special health care needs. Includes: information
to take to my child’s doctor about the help I need
from him/her, and information on how to provide support
to families who would like to have a medical home.
Emergency Preparedness for Children with Special Needs
The Children with Special Health Care Needs (CSHCN) Services Program of the Texas Department of State Health Services recently published a bilingual booklet titled, “Emergency & Disaster Planning for Children with Special Health Care Needs". Click here to download the booklet. 
The booklet contains a bilingual Emergency Information Form for Children with Special Needs. The form was developed by the American Academy of Pediatrics and adapted by DSHS. The Emergency Information Form can also be downloaded for free from http://www.dshs.state.tx.us/cshcn/Newspage.shtm
Web-based Transitions Training for Case Managers Information
The Texas Department of State Health Services and the Center for Health Training created a web-based continuing education
for case managers to learn more about transition to adulthood for young adults with health conditions or disabilities.
Case managers will learn about:
- Why early planning for transition is important
- The stages of transition
- Who may need assistance with transition
- Health care transition and other transition issues such as education and independent living
- Resources in the state of Texas for transition
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)
Midland Community Healthcre Services from
Midland, TX 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.
Click
here for additional information on the D-PIP.
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
Texas Autism State Plan
Interagency Council on Autism and
other Pervasive Developmental Disorders:
The Texas Council on Autism and Pervasive Developmental Disorders was established by legislation in 1987 that added Chapter 114 to the Human Resources Code. The Texas Department of Aging and Disability Services provides administrative support for the Council. The council is composed of seven public members, the majority of whom are family members of a person with autism or a pervasive developmental disorder, appointed by the governor with the advice and consent of the Senate; and one representative from each of the following state agencies, to serve as ex officio members, appointed by the commissioner of the respective agency: Texas Department of Aging and Disability Services, Texas Department of State Health Services, Texas Health and Human Services Commission, Texas Education Agency, Texas Department of Assistive and Rehabilitative Services, and the Texas Department of Family and Protective Services. Every two years, the Council develops a state plan that identifies and articulates the needs of individuals with autism and other PDD, and recommends mechanisms to meet those needs of those persons and their families statewide.
State Resources on the Internet
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.
Last Updated November 3, 2008
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