Hello, I am a family nurse practitioner with environmental health. I was recently hired on because we are now moving into clinical services. We have developed a program that incorporates clinic services (detailed exposure history evaluations, assessments, as needed labs, etc) with healthy home assessments and interventions. We are currently focusing on our poorly controlled asthmatic pediatric patients in the local Houston area as well as patients with elevated lead levels and also other environmental exposure concerns.

Please comment on the training that CHWs and Nurses receive to be trained in the case management of the healthy homes program. Did CHWs receive reimbursement? If so, I am interested in how this was presented to Medicaid so that the non-licesed health professionals were reimbursed.

Were medication and outpatient utilization and costs included as well?

Are the rates drawn from Medicaid's rates, or from claims' data or from charges?

Any data gathered on health-related quality of life for the kids or caregivers?