Local Health Departments. Local governmental departments administer certain public health programs which are critical to the protection of the public’s health and, therefore, must be available to Medicaid managed care enrollees. For those services defined as public health services under State law, the MCO may choose either to provide these services itself or to Contract with local health departments. However, if an MCO enrollee seeks such a service directly from a non-contracted local health department, the MCO must pay for the service at the lesser of the health department’s fee rate or the Medicaid fee rate. The MCO must provide the following core services to Medicaid managed care enrollees and must reimburse the local health departments as specified:
Local Health Departments. Providers who are a Local Health Department (LHD) carrying out care management for high-risk pregnancy and for at-risk children agree to comply with the Department’s Care Management for High-Risk Pregnancy Policy and Care Management for At-Risk Children Policy found in State Contract Attachments M.4 and 5. The requirements include, but are not limited to:
Local Health Departments. The Department encourages the HMO to contract with local health departments for the provision of care to BadgerCare Plus and/or Medicaid SSI members in order to ensure continuity and culturally appropriate care and services. Local health departments can provide HealthCheck outreach and screening, immunizations, blood lead screening services, and services to targeted populations within the community for the prevention, investigation, and control of communicable diseases (e.g., tuberculosis, HIV/AIDS, sexually transmitted diseases, hepatitis and others). WIC projects provide nutrition services and supplemental foods, breast feeding promotion and support; and immunization screening. Many projects screen for blood lead poisoning during the WIC appointment. The Department encourages the HMO to work closely with local health departments. Local health departments have a wide variety of resources that could be coordinated with the HMO to produce more efficient and cost-effective care for the HMO members. Examples of such resources are ongoing medical services programs, materials on health education, prevention, and disease states, expertise on outreaching specific sub-populations, communication networks with varieties of medical providers, advocates, community-based health organizations, and social service agencies, and access to ongoing studies of health status and disease trends and patterns.
Local Health Departments. For all contracts with any provider who is a Local Health Department (LHD) carrying out care management for high-risk pregnancy and for at-risk children, a provision that outlines the care management requirements consistent with the Department’s Care Management for High-Risk Pregnancy Policy and Care Management for At-Risk Children Policy. Each contract with a LHD who is carrying out care management for high-risk pregnancy and for at- risk children shall include a statement that the contracted provider agrees to comply with the Department’s Care Management for High-Risk Pregnancy Policy and Care Management for At-Risk Children Policy.
Local Health Departments. The contractor shall demonstrate to DMAHS that it has established a working linkage with local health departments (LHDs) that meet credentialing and scope of service requirements. The contractor should include linkages with LHDs especially for meeting the lead screening and toxicity treatment compliance standards required in this contract. The contractor shall refer lead-burdened children to LHDs for environmental investigation to determine and remediate the source of lead.
Local Health Departments. All records produced by state and local government agencies must be maintained in accordance with appropriate records retention schedules (PA 431 of 1984 as amended by PA 504 of 1988). Records include but are not limited to electronic and or paper correspondence, personnel records, policies, sign-in sheets, financial reports, meeting minutes, training materials, emergency response plans, after action reports, etc. Records retention requirements specific to LHD PHEP programs are defined in three schedules: General Schedule (GS) 7 – Local Health Departments GS 26 – Local Government Human Resources GS 31 – Local Government Financial Records GS7 was revised on April 24, 2018, to include three major categories of records for the PHEP program (see Attachment 3). Please note that it is the responsibility of each health department to be aware of applicable records retention schedules and to ensure records are maintained appropriately and in accordance with State law. Tribal Health Partners: Tribal health partners should follow any records retention laws, policies or procedures established by their respective tribal nation. Federal Disclaimer for Publications and Conferences Publications (journal articles, books, pamphlets, etc.,) produced under the PHEP cooperative agreement must bear the following acknowledgment and disclaimer: This publication (pamphlet, booklet, journal article, etc.) was supported by Xxxxx of Cooperative Agreement Number, 5NU90TP922062-02-00 funded by the Centers for Disease Control and Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention or the Department of Health and Human Services. If a conference or seminar is funded, wholly or in part, through the PHEP program the following statement must be included on conference materials, including promotional materials, agenda, and internet sites: Funding for this conference was made possible (in part) by the Centers for Disease Control and Prevention. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services, nor does the mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.
Local Health Departments. The CONTRACTOR shall contract with each local health department in the Grand Region(s) served by the CONTRACTOR for the provision of TENNderCare screening services until such time as the CONTRACTOR achieves an adjusted periodic screening percentage of eighty percent (80%) or greater. Payment to local health departments shall be in accordance with Section 2.13.5.
Local Health Departments. 2.13.7.1 The CONTRACTOR shall reimburse contracted local health departments (see Sections 2.11.7.3 and 2.12.1.3) for TENNderCare screenings to members under age twenty-one (21) at the following rates, unless specified otherwise by TENNCARE. Although the codes include preventive visits for individuals twenty-one (21) and older, this Section only requires the CONTRACTOR to pay local health departments for the specified visits for members under age twenty-one (21). Preventive Visits 85% of 2001 Medicare 99381 New pt. Up to 1 yr. $ 80.33 99382 New pt. 1-4 yrs. $ 88.06 99383 New pt. 5-11 yrs. $ 86.60 99384 New pt. 12-17 yrs. $ 95.39 99385 New pt. 18-39 yrs. $ 93.93 00000 Xxxxx. pt. Up to 1 yr. $ 63.04 00000 Xxxxx. pt. 1-4 yrs. $ 71.55 00000 Xxxxx. pt. 5-1l yrs. $ 70.96 00000 Xxxxx. pt. 12-17 yrs. $ 79.57 00000 Xxxxx. pt. 18-39 yrs. $ 78.99
Local Health Departments. Local governmental departments administer certain public health programs which are critical to the protection of the public’s health and, therefore, must be available to Medicaid managed care enrollees. For those services defined as public health services under State law, the MCO may choose either to provide these services itself or to contract with local health departments. However, if an MCO enrollee seeks such a service directly from a non-contracted local health department, the MCO must pay for the service at the lesser of the health department’s fee rate or the Medicaid fee rate. 10 Health centers not receiving grants but certified by the Secretary of Health and Human Services as meeting the requirements of the grant program may also apply for FQHC status as an FQHC “look-alike.” All FQHCs are non-profit or public entities and must be located in areas designated by the federal government as medically underserved. The MCO must provide the following core services to Medicaid managed care members and must reimburse the local health departments as specified:
Local Health Departments. The agreement reiterates the language in House Report 117– 96 and urges CDC to publicly track and re- port to the Committees how funds provided to State health departments are passed through to local health departments, includ- ing amount, per grant award, by local juris- diction.
