Section VII Health Care Program for Children in Foster Care HCPCFC 712010 2 History 712010 712010 3 History The trauma of family separation and frequent moves for foster children compound serious health conditions Given this fact foster children require more health services tha ID: 742785
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CHDP Director/Deputy Director Training Section VII
Health Care Program for Children in Foster Care (HCPCFC)
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History
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History
The trauma of family separation and frequent moves for foster children compound serious health conditions. Given this fact, foster children require more health services than other children, which they often fail to receive due to inadequate medical records and limited access to care
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History
Code Blue: Health Services for Children in Foster Care (1998)
Report by the California Foster Care (FC) Children’s Task Force: foster care children typically suffer serious health, emotional, and developmental problems and the causes of these conditions are multiple.
Recommendations of the Task Force included: develop a system of health care for children in FC, improve coordination and delivery of services in counties, and hire FC Public Health Nurses (PHNs).
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Program Legislation
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Program Legislation
State Budget Act of 1999
Appropriated State General Funds (GF) to the California Department of Social Services (CDSS) for the purpose of increasing the use of PHNs in meeting the health care needs of children in foster care.
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Program Legislation
Assembly Bill 1111 (1999)
Enabling legislation for the Health Care Program for Children in Foster Care (HCPCFC). It defined the components of the program and added to the Welfare and Institutions (W&I) Code, Section 16501.3(a) through (e).
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Program Letter
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Child Health and Disability Prevention (CHDP) Program Letter
CHDP Program Letter (PL) No. 99-6 (10/21/99)
Describes the HCPCFC (as provided for by the State Budget Act of 1999 and the W&I Code sec. 16501.3). It states that funds to CDSS will be transferred to the Department of Health Services (DHS), CMS Branch, and will be distributed through the CHDP program in the form of an augmentation to the local CHDP program allocation.
CDSS and DHS developed a Memorandum of Understanding (MOU) to ensure the availability of federal matching funds, which are available only to DHS as the single agency (for Medicaid).
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Program Description
HCPCFC is administered through the local public health department CHDP programs to provide public health nursing expertise in meeting the medical, dental, mental and developmental health needs of children and youth in court-ordered out-of-home placement, or foster care.
FC PHN’s worksite should be in the Social Services office. The PHN works in tandem with the child’s social worker or probation officer to ensure the needed health care resources are provided.
Documentation in the Health and Education Passport (HEP)
Participation in interdisciplinary team conferences
Serves in an
administrative
capacity
, linking the child to vital community resources
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Program Implementation Tools
Legislation
Memorandum of Understanding (MOU)
Health Services
Social Services
Probation
Scope of Work (SOW)
PHN Duty Statement
HCPCFC Resource Guide
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Legislative Mandates
FC Nurses must be PHNs and
must
be housed within Social Services
Purpose
: enhance physical, mental, dental, &
developmental well being of foster children
Serves as
liaison
with health care professionals
Collaborates with Social Services/Probation workers to
coordinate
health care services
Services provided must be limited to Title XIX mandates (
NO Direct Care)
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MOU
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MOU
CHDP provides program oversight
of activities of PHN working with Social Services and Probation
Social Services provides work-space for PHN
Probation works collaboratively with
CHDP/Social Services within MOU
Probation
Social
Services
CHDP
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PHN Responsibilities
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Responsibility of PHN in MOU/SOW
Accessing Resources
Identify & liaise with health care providers in the community
Serve as resource & facilitate referrals
Assist in out-of-county placement referrals
Health Care Planning & Coordination
Collaborate with the Social Worker (SW)/Probation Officer (PO) to develop a health plan for each child expected to remain in out of home placement
Interpret health care reports
Obtain & provide medical input for the HEP
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Responsibility of PHN in MOU/SOW
Training/Orientation
Provide in-services for Social Services/Probation staff & foster care community
Policy/Procedure
Development
Participate in multi-disciplinary meetings for
review of health-related issues
Transition from Foster Care
Assist foster child & SW with community health
care resources & final HEP update
Quality Assurance
Participate in joint reviews, evaluation
process & data development
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HCPCFC PHN vs. Social Services - funded PHN
HCPCFC PHN limited to perform duties as specified within the MOU
“No Direct Care”
Social Services PHN may perform duties as specified by their funding source
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PM 160 Process
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PM 160 Process
PM 160 comes to
CHDP from the
provider’s office
PM 160 Goes
To Foster Care PHN
PHN reviews PM 160
and collaborates with SW,
Medical Provider, Substitute Care Provider, utilizing
resources; makes
appropriate referral
Assure all
documentation is in
the child’s HEP
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References
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References
Code Blue
http://www.dhcs.ca.gov/formsandpubs/publicatio
ns
/Documents/CMS/CodeBlue.pdf
HCPCFC
http://www.dhcs.ca.gov/services/
hcpcfc/Pages/ResourceGuide.aspx/
CHDP
http://www.dhcs.ca.gov/services/chdp/Pages/default.aspx
CMS
http://www.dhcs.ca.gov/services/Pages/CMS.aspxSlide23
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Public Health Nurse Resources
PHN Directory
http://www.dhcs.ca.gov/services/HCPCFC/Documents/HCPCFCDirectory.pdf
Regional Meeting Calendar
http://www.dhcs.ca.gov/services/HCPCFC/Pages/Events.aspx
Web Resources and Publications
http://www.dhcs.ca.gov/services/HCPCFC/Pages/WebResources.aspxSlide24
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Contact Information
Nurse Consultant III
CDHCS/Children's Medical Services
Health Care Program for Children in Foster Care
1515 K Street, Suite 400
P. O. Box 997413, MS 8100
Sacramento, CA 95899-7413
(916) 327-1400
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