Methods of Coordination Between Title V and Medicaid
are many common strategies in which Title V works with
Medicaid to increase access to care. These strategies
can be organized in terms of the four-tiered MCH Pyramid
of Health Services.
|Ways in Which Title V and Medicaid
Building Services: These
include evaluation, policy development, coordination,
standards development, training, and information
- Title V provides funding and experience
for development and implementation of model programs
that benefit Medicaid beneficiaries.
- Title V and
Medicaid develop jointly agreed upon policies
and standards of care for Medicaid beneficiaries
(especially relevant with EPSDT services).
V provides expertise to Medicaid in analyzing
utilization patterns and recommending ideas
for services provided such as more effective treatment services
or options for families.
- On a State level,
Medicaid utilizes Title V population data collected
through such systems as the
Title V Information System to provide key population
and service statistics, performance and outcome measures,
- Medicaid uses materials
developed by Title V grantees, either directly
or with modifications for
- Title V and Medicaid collaborate in planning
activities such as designing benefit packages,
forms, enrollment procedures, and referral and follow-up
|Population-based Services: These include
screenings, immunizations, oral health, nutrition
and outreach, and public education.
- Title V programs and Medicaid perform
EPSDT services for infants, children, and adolescents,
- Title V programs coordinate services
such as lead screening and referral to Title
V programs for
additional evaluation and management, if necessary.
- Title V programs provide
public education to Medicaid beneficiaries on
nutrition and oral health
issues, stressing the need for such services from an
|Enabling Services: These include outreach,
health education, family support services, case management,
and coordination with Medicaid.
- Title V programs provide outreach and
enrollment services to eligible beneficiaries,
funds to pay for those services.
- Medicaid performs
outreach to audiences traditionally supported
by Title V programs and vice-versa.
- Title V agencies
administer programs that support Medicaid beneficiaries,
not only to ensure
enrollment but to track and/or provide follow-up treatment.
- Medicaid utilizes
Title V programs for care coordination and assistance
in accessing treatment services
(e.g., facilitating transportation).
|Direct Health Care Services: These
include basic health services and health services
- Title V pays for gap-filling services
to Medicaid benefic-iaries.
- Title V provides funds
for services needed by uninsured children and
pregnant women and for necessary
services not covered by Medicaid or other sources.
- Medicaid coordinates with
Title V programs to pay for community specialists
who provide appropriate
care for CSHCN.