Topic: Disabled Children’s Home Care A Presenter: Vermont Health Connect & Expanded Kristen Bigelow-Talbert, Quality Improvement Facilitator, Bi-State Primary Medicaid – 10 minutes Care Association Disabled Children’s Home Care AKA Katie Beckett - 15 minutes Betty Morse, Health Services Training and Technical Assistance Specialist/CSHN Refugee and Immigrant Access Terry Fitzgerald, Central Vermont Eligibility Supervisor/ESD – 15 minutes Diapers & Durable Medical Equipment Aaron French, Deputy Commissioner, – 20 minutes Health Services & Managed Care Division & Daljit Clark, Clinical Operations Director/DVHA Care Coordination & Medical Home Debra Forrett, Medical Social Worker/CSHN – 20 minutes Facilitated by Kristen Bigelow-Talbert & Betty Morse AKA “Katie Beckett,” “Katie Beckett Program,” or “Katie Beckett Waiver” Vermont Family Network Conference 4/8/15 What is CSHN? A public health program for families, health care providers, and communities. Supports Vermont children and youth with special health needs by ensuring comprehensive, communitybased and family-centered services. Betty Morse Health Services Training & Technical Assistance Specialist 3 1. Children with Special Health 2. 3. 4. 5. 6. 7. Needs in Vermont Dr. Dynasaur versus DCHC Eligibility How do I apply? Process Follow up What if I need help? 4 Children with Special Health Needs in Vermont State % National % 17.1 15.1 Estimated number of CSHCN: 21,790 The National Survey of Children with Special Health Care Needs Chartbook 2009-10 (HRSA) 5 Dr. Dynasaur? Disabled Children’s Home Care? 6 Disabled Children’s Home Care is a Green Mountain Care Program that allows certain children under the age of 19 who have long term disabilities, or complex medical needs that require a high level of care, to become eligible for Medicaid insurance even though their families’ income is above the eligibility level for Dr. Dynasaur. With DCHC, only the child’s income and resources are used to determine eligibility – not the family income. Having Medicaid enables children to be cared for by their families at home, even if they need the level of care that could be provided in a hospital or residential center. Vermont supports DCHC because we know that children thrive best in the care of their families and communities. 7 The Disabled Children’s Home Care application is part of a Medicaid paper application packet for the Aged, Blind, & Disabled (MABD) that is processed through the Agency of Human Services Economic Services Division. 1-800-250-8427 http://dcf.vermont.gov/sites/dcf/files/pdf /esd/202MED.pdf 8 What about my child? Vermont resident Under 19 years of age Not over $2000.00 in resources Qualify under (SSA) definition of disability Require “Institutional level of care” 9 Filling Out the Application 10 Application Process Application & Document Processing Center Economic Services Division Disability Determination Services (DDS) Economic Services Division Reviewed for approval or denial Letter sent to applicant/family Entered in Medicaid Monitoring & Information System (MMIS) 11 12 What if I need help? Your local Economic Services District Office BARRE 5 Perry Street, Suite 150 Barre, VT 05641-4270 MORRISVILLE 63 Professional Drive, Suite 4 Morrisville, VT 05661 BENNINGTON NEWPORT 200 Veteran's Memorial Drive, 100 Main Street, Suite 240 Suite 6 Newport, VT 05855 Bennington, VT 05201-1918 BRATTLEBORO RUTLAND 232 Main Street, Second Floor 320 Asa Bloomer Building Brattleboro, VT 05302 Rutland, VT 05701 BURLINGTON 119 Pearl Street John Zampieri State Office Building Burlington, VT 05401-4405 SPRINGFIELD 100 Mineral Street, Suite 201 Springfield, VT 05156 HARTFORD 224 Holiday Drive, Suite A White River Junction, VT 05001-2097 ST. ALBANS 27 Federal Street, Suite 400St. Albans, VT 05478 MIDDLEBURY ST. JOHNSBURY 156 South Village Green, Suite 67 Eastern Avenue, Suite 7 201 St. Johnsbury, VT 05819 Middlebury, VT 05753 Green Mountain Care Health Access Member Services 1-800-250-8427 Vermont Family Network (VFN) 1-800-800-4005 Your CSHN Medical Social Worker 1-800-660-4427 • Your Social Worker/Nurse • Your Case Manager 13
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