What is the completion rate for your enrolled families in the healthy homes asthma services that you offer?

Do you provide incentives to caregivers to finish the program?

Are the asthma trigger control supplies (ie. vacuum cleaner, mattress and pillow encasings, etc) provided to the family covered in the visit reimbursement as a recognized cost by the state medicaid program, or is this a separate reimbursement?

Do you have Respiratory Therapists involved in this program? Do you partner with the schools to increase awareness of the program? Looking to see if the schools can get reimbursed for the asthma prevention like we do for other medication administration/treatments through our state's Eshars.

I heard the EPSDT referrred to as if it could somehow be connected to the CHW reimbursement if we developed a SPA. Please clarify, could those same codes be used?

Now that some states have more options for reimbursements, what would you suggest as the best starting places, guidance, and pitches to use with individual community health centers to get them to embrace the expanded services?

We are trying to partner funding for resources we've developed to deploy a demonstration project

In order to realize the cost savings as calculated how did you find the high cost super utilizers for intervention. Were they referred by the insurer, hospital, provider?

Is there a single place where the various publications and references on Cost Savings Data are collated?

This would be a tremendous service if someone could create it?

   Bob

Robert Vinetz, MD
Medical Advisor, Pediatric Asthma Disease Management Prog. (QueensCare Health Centers)

Co-chair, Asthma Coalition of Los Angeles County

Once a state submits a SPA that is approved. Does this mean that they will be able to draw down federal matching funds to cover the comprehensive services of asthma care?

Anyone aware of models for local health depts to pursue reimbursement for asthma education through home visiting? It is difficult to get credentialed by the Medicaid MCO's as a health dept. Any suggestions from CMS staff on some avenues to pursue this.