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  • 1. AR LINKS Arkansas Linkages Improve Networks and Knowledge of Service ABCD III: CREATING EFFICIENT SYSTEMS TO SUPPORT HEALTHY CHILD DEVELOPMENT Sheena Olson, JD, MPA Assistant Director for Medical Services
  • 2. SYSTEM CHALLENGES
    • Multiple fragmented points of entry for (EI) services
    • Complex referral system
    • Rural state, underserved populations
    • Lack of awareness and understanding of: Arkansas ’s EI Program, other Medicaid programs for developmental needs, developmental screening with a standardized tool, and all resources available within local communities.
  • 3. AR LINKS OBJECTIVES
    • To create community based systems to support quality, efficient linkages and services for healthy child development in Arkansas.
    • Encourage and promote the use of standardized tools for developmental screening.
    • Improve feedback from service providers to PCPs; improve/close the “communication link” between all providers.
    • Make referral process easier for PCPs
    • Educate parents and physicians on auxiliary services/resources/supports.
    • Provide networking opportunities for various programs serving children and families with developmental issues.
    • Support efforts to improve the quality of developmental assessments and increase provider comfort in treating children with developmental delays.
  • 4. INTERVENTION STRATEGIES Community Partners and Family Frameworks
    • Some unique aspects of Arkansas ’s approach to the ABCD III Project:
    • Development and use of the Community Café model through partnerships with Child Care Programs in order to gain feedback and insight from parents and families
    • Use of Medicaid Provider Relations Representatives to work with Primary Care Providers and Service Providers within the pilot sites
    • Use of Hometown Health ’s established community networks of stakeholders
    • Engagement of other project teams such as SpecialQuest, Community-Based Autism Liaison and Treatment (CoBALT) Pilot, and UAMS Family Resource Directories
  • 5. IMPLICATIONS POLICY IMPROVEMENTS
    • Improve communication between service providers and physicians
    • Statewide use of combination referral/feedback form services
    • Standardize the referral process
    • Develop statewide system to track developmental screening and referrals.
    • Improve delivery and quality of well-child check-ups and referrals by employing evidence-based guidelines and tools to better identify and treat developmental delays
  • 6. IMPLICATIONS ARKANSAS MEDICAID TRANSFORMATION PROJECT
    • Arkansas Medicaid is projected to remain solvent through the upcoming fiscal year, but at the current rate of growth will face large budget deficits in FY 2013. Arkansas is proposing to design a program and payment system to:
    • Emphasize wellness and prevention
    • Pay for effective, coordinated episodes of care rather than for individual services
    • Build off of existing practices, referral networks, and partnerships
    • Align financial incentives with other payers to achieve a transformed system of care
  • 7. IMPLICATIONS ARKANSAS MEDICAID TRANSFORMATION PROJECT
    • Three payment components for care:
    • Diagnosis and treatment of disease—a medical model of care for episodes of physical and behavioral care
    • Birth, well-child, contraceptive, and preventive services—a wellness model of care
    • Care services in the most appropriate setting for individuals requiring assistance with activities of daily living—a supportive model of care
    • ABCD Implications
      • Wellness Emphasis
      • Service delivery and care coordination from identification
      • Emphasis on outcome of services rendered