Abbreviations
HV Programs
Social Care Network
Authorizations: Amounts, Dates, and Units
Case Scenarios: Name the Program
100

MCH

Maternal Child Health
100

This home visiting model requires expecting mother to enroll before they are 28 weeks pregnant

Nurse Family Partnerships

100

These are the 4 domains covered under the Social Care Network

Nutrition, Transportation, Housing and Social Care Management

100

Unit amount used for creating a case when time spent completing the EA and navigating services took 16-30+ minutes

2 units

100

After covering all of her expenses for her 1 bedroom apartment, Missy often finds herself not having enough to buy groceries for herself and her  8 month old twins and looking for support in that regard

SNAP/WIC

200

FSRD

Family Support Resource Directory

200

This home visiting model is a short-term program that involves 1-3 postpartum visit by a health worker

Newborn Home Visiting Program

200

This notation in Epaces confirms that the member has Medicaid Managed Care and may be eligible for enhanced services

Eligible PCP

200

Authorization amount for Medically tailored Meals

$1200

200

Lucy has bottle fed all her children but with her EDD nearing she wants to try breastfeeding when she gives birth. She is inexperienced and looking to participate in virtual workshops to learn about breast feeding and to build her confidence.

 Prenatal Infant Feeding Workshops through the NYC Breastfeeding Warmline

300

PNP

Pregnancy and Parenting

300

This program enrolls families with children between 16-30 month and provides home visits until child is 4 years old.

Parent Child+

300

The purpose of this form is to record the care needs and services for members who qualify for enhanced services. Navigators create these plans and they are meant to be updated over time as services are provided and needs are addressed.

Social Care Plan

300

Authorization amount for Mold and/or pest eradication

$500

300

First time mother to be is 30 weeks pregnant and currently resides in a shelter. She plans to give birth at Elmhurst hospital and is looking to be connected to a doula

Growing HoPe

400

PICHC

Perinatal and Infant Community Health Collaborative

400

This home based program enrolls low-income, homeless foster children, and/or pregnant women and services families until the child turns 3.

Early Head Start/ Head Start

400

This case is created to document the time spent doing the EA for MCO members who are eligible for enhanced services

*What is the program name?

Enhanced HRSN Care Management - Eligibility Assessment (Level 2 only)

 

400

Authorization dates for Medically Tailored Meals

6 months from the date EA was completed

400

Sarah is a single mother and she is working hard to make ends meet, however she’s having a hard time grappling with the passing of her newborn. She wants to be connected to a safe space with others who have had similar experiences.

Remembering You, Remembering Us

500

EMPATHS

Enhanced Perinatal Mental Health Spectrum of Support

500

This evidence based model supports mother and families from pregnancy up until child turns 3 months. Well regarded in the state of New York.

Healthy Families New York

500

This is required to verify the enhanced population of a member when it was not captured in EMSF data and/or  verify the medical necessity of enhanced services

Provider attestation

500

True or False- When creating a case for a member who has been rescreened, the appropriate unit amount to use is 2 units to account for the time spent to rescreen

False

500

Analise is currently pregnant and resides in her Bronx apartment where she is having difficulties with mold. She has reached out to her management company for assistance to no avail. As a Medicaid recipient, she is aware that she can get support through her insurance plan. While doing her research, she found Family Connect on Findhelp

SOMOS