WCMS Past Programs
The Children's Access
Program served to enroll eligible children living in Wake County in the
Medicaid and NC Health Choice Programs based on the knowledge that
children with health insurance have better health outcomes than children
without coverage. This project began in 2002 and has a staff of seven
out reach workers whose goals included both enrollment in Medicaid and
NC Health Choice. The Program also implemented changes to streamline the
processes involved in eligibility determination for the Medicaid and NC
Health Choice Programs. The Program enrolled over 3800 children in the
Medicaid and NC Health Choice Programs during 2005. The grant funded by
the Rex Endowment continued through June 2007.
Project Access for
Children
Medication Assistance for Children through Project Access was funded by
John Rex Endowment from 2004 thru 2010. Each child enrolled received a
medication assistance card and was able to receive meds which helped
manage chronic diseases such as asthma. These meds helped to reduce ED
visits for non-citizen children who were not eligible for state, county
or federal benefits.
About CAP-C Program for Medically Fragile
Children
The CAPC Program is a
special Medicaid program that targets medically fragile children,
regardless of insurance, who meet the eligibility criteria for
institutional care. This program was developed as an alternative to
institutional care for disabled children with serious medical
conditions. The CAPC program in Wake, Johnston and Franklin Counties has
a team of RN’s who intensively case manage these children so they are
able to be cared for at home rather than an institution. Case Managers
work closely with parents and providers to assure the health, safety and
well-being of these children are being maintained. This includes 24/7
emergency planning with backup plans available. Each child is
re-evaluated on a yearly basis for eligibility.
Early Childhood Development
Program Description(1) Increased
intervention in physician’s practices for young children in Wake County
with developmental problems, and
(2) Worked to increase the supply of local providers trained with the
most current and effective intervention strategies.
Additionally, since children living in poverty are
particularly at risk for developmental problems, this proposal targets
providers who care for a significant number of low-income children.
The project included the following
activities:
- Recruit primary care and mental health providers
who serve a significant number of low-income children;
- Train primary care physicians to recognize young
children with social, emotional and behavioral problems, provide
brief, effective intervention when
appropriate and refer to more specialized services when that is
necessary;
- Train mental health providers in effective
practice for intermediate and longer term intervention for social,
emotional and behavioral problems; Train primary care providers and
mental health providers to use effective practice management
strategies (appropriate coding, claims filing procedures; etc.) in
order to minimize barriers to providing services for children;
- Provide training in three phases for both
primary care and mental health providers including:
Implementation/Training; Mentoring/Consultation and
Surveillance/Support;
- Participate in Wake County’s Young Child Mental
Health Initiative funded by the Triangle United Way.
The Expected Outcomes and Measurements:
- Increase number of low income children who
receive timely referrals for brief interventions conducted in
primary care offices;
- Increase number of low income children who
receive timely referrals to mental health providers for intermediate
or longer term intervention;
- Increase number of low income children who
secure care for social/emotional/behavioral problems;
- Increase number of primary care physicians and
mental health providers who are participating in training/mentoring;
- Increase in perceived competence of primary care
physicians and mental health providers to identify, treat, and/or
refer children with behavioral/mental health needs;
- Increase number of comprehensive
developmental/medical evaluations and completed Individual Family
Service Plans for low income children;
- Reduce time between identification of
developmental issues and intervention;
- Increase in family/parent satisfaction with
providers care of their children’s behavioral and emotional health
concerns; and,
- Increase provider satisfaction with practice
management issues coding, claims processes, reimbursement, etc.)
related to providing care for children with social, emotional and
behavioral problems.
