Maternal And Child Health Services

1.   Program Purpose

Maternal and Child Health (MCH) programs promote the development of local systems of health care for pregnant women, children ages 0 to 21, and their families and support the continued improvement in the health, safety, and well-being of all mothers and children in Kansas, especially low-income and at-risk families. Fundamental to MCH programs are services that are family-centered, community-based, collaborative, comprehensive, flexible, coordinated, and culturally competent and developmentally appropriate. In addition, local grantees are expected to make a special effort to build community capacity to deliver such enabling services as care coordination, transportation, home visiting, and nutrition counseling, which complement and help ensure the success of State Medicaid and SCHIP (HealthWave) medical assistance programs.

 

2.   Funding

Continuation Grants: Highest priority is to continue funding of local agencies that demonstrate progress toward specific objectives, meet program requirements and participate in education updates. A second priority is to provide funding equal to at least 90% of the previous year´s award and to allocate the remaining 10% based on performance/need data.

  1. New Grants: Awards for new projects are subject to the availability of funds and identified maternal and child health needs resulting from a recently completed community needs assessment.
  2. Match: Local matching funds must be equal to or greater than 40% of the grant funds requested and awarded. Local program revenues may be utilized to meet the match requirement.
  3. Local MCH Services: Applicants should adhere to a service plan that utilizes 50% of the funds for activities and services directed to pregnant women and infants including materials for outreach and support and 50% of the funds for activities and services directed to children and adolescents within the community to promote health.

3.   Specific Program Information

  1. Application:  Follow the KDHE SFY 2013 Grant Application Guidance
  2. Services:  MCH grants address priorities identified in the current federally required 5-year MCH state needs assessment called MCH2015. Go to http://www.kdheks.gov/bfh/index.html to find the Biennial Report and MCH 2015 or refer to MCH program manual at http://www.kdheks.gov/c-f/downloads/MCH_Manual.pdf.
  3. MCH2015:  Each local grantee agency will provide services in order to address the following State priorities identified in MCH2015:
    • Pregnant Women and Infants
      (1) Promote early and comprehensive health care before, during and after pregnancy for all women.
      (2) Improve mental health and behavioral health of pregnant women and new mothers.
      (3) Reduce preterm births (including low birth weight and infant mortality).
      (4) Increase initiation, duration and exclusivity of breastfeeding.
    • Children & Adolescents
      (1) Promotion of health care through medical homes for all children and youth.
      (2) Reduce child and adolescent risk behaviors relating to alcohol, tobacco and other drugs.
      (3) Promote achievement and maintenance of healthy weight for all children and youth.
  4. Program Goals and Outcome Objectives: Families that have a regular source of healthcare in a medical home are receiving services that are family-centered, community-based, collaborative, comprehensive, flexible, coordinated, culturally competent and developmentally appropriate. With a medical home, early identification and intervention for women, infants, and children may improve health outcomes. Therefore, the SFY 2012 Goal for MCH services is:

    (1) All pregnant women, infants, children and adolescents served by the MCH local agency will have an identified medical home that consists of a provider as a regular source of care and an identified payor source. For more information on Medical Home, go to the American Academy of Pediatrics Kansas Medical Home Webpage at: http://www.medicalhomeinfo.org/states/state/kansas.html.

4.   SFY 2013 Outcome Objectives

The local MCH agency will develop a minimum of three objectives that address medical homes and the MCH population groups: (1) pregnant women and infants and (2) children and adolescents. One objective must be written for each of the MCH population groups.

 

Information on medical homes can be found in the MCH program manual, Section 250 “Guidelines for Bright Futures® and the Medical Home Model:”
http://www.kdheks.gov/c-f/downloads/MCH_Manual.pdf.

 

The objective(s) addressing locally identified needs for the pregnant women and infant population should be written in a S.M.A.R.T. objective format. MCH staff will assist any grantees requesting assistance in writing S.M.A.R.T. objectives on an individual basis.

 

The objective(s) addressing locally identified needs for the children and adolescent (ages 1 through 21 years) population should be written in a S.M.A.R.T. objective format. MCH staff will assist any grantees requesting assistance in writing S.M.A.R.T. objectives on an individual basis.

 

5.   MCH Program Outcome Objectives Template

The following template can be used to copy/paste objectives into the “Program Request” form:

  1. Medical Home Objective –
          Objective: “______   [number of] MCH clients (i.e., pregnant women, infants, children and adolescents) will be served in an identified medical home that consists of (1) a provider as a regular source of health care and (2) an identified payer source.”
  2. Pregnant Women and Infants Objective(s) – (includes Healthy Start Home Visitor services)
          Objective(s): [insert one or more objectives]
  3. Children and Adolescents Objective(s)
          Objective(s): [insert one or more objectives]

6.   SFY 2012 Process Objectives

The following template can be used to copy/paste objectives into the “Program Request” form:

  1. Please indicate number to be served in the application.
    In SFY 13, services will be provided to #_____ pregnant women.
    In SFY 13, services will be provided to #_____ infants (birth to (12 months, zero days).
    In SFY 13, services will be provided to #_____ children and adolescents (1 through 21 years).

 

7.   Program Requirements:

  1. The local grantee agency will develop and have on file written program policies and procedures that are based on program standards and guidelines as in Section 3, SPECIFIC PROGRAM INFORMATION above.
    (1) Income and family size of all MCH clients must be determined and documented at least annually.
    (2) A sliding fee scale with a minimum of four increments must be established and implemented for all MCH services provided. The fee scale is not required to slide to zero.
  2. Agencies will submit client encounter data by a paper Client Visit Record (CVR) or by electronic means at least once a month.
  3. Grantees will provide at least 20% of the families visited with a client satisfaction survey card. Survey cards may be mailed individually or collected and sent to KDHE prior to the end of each quarter. An electronic summary will be returned to the local health agency for program self-evaluation.
  4. The local grantee agency will use a billing system to maximize revenues from 3rd party sources including Medicaid.
  5. Monitoring/Site Visits are conducted and technical assistance will be provided to all MCH grantees by KDHE MCH program staff. A quality improvement (QI) process will be jointly developed to address issues identified during the site monitoring visit.
  6. An MCH Service Plan should be developed and made available upon request to MCH staff that includes:
    1. Any identified local areas of need (more prenatal care services, increase number immunized, etc).
    2. Strategies to meet locally identified needs (include activities to promote health and provide linkages to local, regional and state resources).
    3. Suggested partners for local collaborative efforts.
    4. Description of the agency outreach services to the MCH population (pregnant women, infants and children and adolescents) in the community setting (in homes, grocery stores and other places people meet).
    5. Description of the local agency care coordination for nursing, social service, nutrition, oral health and medical needs are met for the MCH population groups (pregnant women, infants and children and adolescents).
  7. A 5% penalty of total grant award amount will be assessed for delinquent year-end reports beyond August 15th.
  8. For multi-agency grants only, the delegate agency shall provide each agent/subcontractor with a completed grant application, contract, and reporting instructions, and to have on file a signed memorandum of agreement (MOA) with each agent/subcontractor which includes provisions for record keeping and providing matching funds if required. A copy of the signed memorandum of agreement with each agent/subcontractor shall be on file with the State Agency.

 

Continuing Education

  1. An Individual Professional Development Plan (IPDP) or other system of documenting educational updates, such as through KS-TRAIN, will be maintained on all MCH professional staff members at each agency.
  2. Orientation to MCH services will be provided for all new MCH staff at the annual Governor´s Public Health Conference.
  3. At least one local agency MCH professional staff will attend the annual Governor´s Public Health Conference. Attendance at this conference is highly recommended for all MCH staff.
  4. Newly hired Healthy Start Home Visitors (HSHVs) will attend the Kansas Home Visitation Training within the first six months of employment.
  5. All Healthy Start Home Visitors will attend the Fall Regional HSHV training and one statewide conference of the local agency´s choice. Attendance at the Governor´s Public Health Conference is highly recommended for all Healthy Start Home Visitors. If the HSHV position is vacant, then the supervisor must attend.

 

8.   Reporting Requirements

Refer to the KDHE "SFY 2013 Grant/Contract Reporting Instructions."

 

9.   Program Contact Persons

Jamie Klenklen, MCH Administrative Consultant
785-296-1234     jklenklen@kdheks.gov

Joe Kotsch, Perinatal Health Consultant
785-296-1306     jkotsch@kdheks.gov

Vacant, Child Health/School Health Consultant
785-296-7433    

Jane Stueve, Adolescent Health/School Health Consultant
785-296-1308     jstueve@kdheks.gov

 

Form required:  Program Request/Detail Budget

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