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1. Adapted Healthcare (14.1): Support the development of multi-language educational materials about secondhand smoke exposure risk
2. Automatic Initiation of Smoking Cessation Program (14.1): Screen for tobacco use and automatically refer pregnant women who smoke to cessation services
3. Behavioral Health Programs: Support state agencies to identify eligibility and connect children to appropriate behavioral health services
4. Care Coordination: Provide access to comprehensive care coordination for children with chronic diseases to ensure benefits adequacy and reasonable costs
5. Caregiver/Parent Education and/or Counseling (Child): Provide education to and/or conduct motivational interviews with parents/caregivers on the importance of enrolling in dental coverage and how to schedule dental appointments
6. Cell Phone-Based Tobacco Cessation (14.1): Support the development of a cell phone-based tobacco cessation support program
7. Clinic Systems to Promote Attendance of Well-Visits: Provide information and guidance to actively schedule, code, and remind patients about the adolescent well-visit
8. Clinic-based Counseling + Education Materials (14.2): Provide in-person counseling + educational materials during visits with a health care provider to reduce child exposure to secondhand smoke in the home
9. Community Health Workers: Establish a network of community health workers within communities of low preventive care service utilization
10. Community School Partnerships (Child): Facilitate partnerships between community schools and pediatric oral health services
11. Community-Based Group Education: Support community-based education that promotes annual preventive visits
12. Comprehensive Multicomponent Programs (Planning + Transfer Assistance + Integration into Adult Care + Care Coordination) : Provide comprehensive multicomponent programs, including planning activities, transfer assistance, integration into adult care, and care coordination to increase the percent of adolescents who received services to prepare for the transition from pediatric to adult health care
13. Counseling (14.1): Counseling to reduce smoking during pregnancy
14. Dedicated Care Coordinators: Use dedicated care coordinators to develop relationships with families to increase timely attendance of well-child visits and respond to the needs of families
15. Designated Clinics/Extended Hours: Increase access and visibility to clinics that offer expanded preventive services/extended hours within close proximity to MCH populations
16. Early Head Start Integration (Child): Integrate oral health activities into Early Head Start Programs
17. Eligibility Expanded Insurance Coverage/Medicaid Eligibility: Adopt a protocol to ensure that all persons in maternal, child, and adolescent health programs are referred for enrollment in health insurance
18. Engagement of Other MCH Programs to Disseminate Information and Make Referrals for Well-Woman Visit: Provide education on the importance of the well-woman visit to other MCH programs such as WIC, Healthy Start, MIECHV and other home visiting programs; encourage these programs to make referrals or visits
19. Expanded Insurance Coverage: Adopt a protocol to ensure that all persons in adolescent health programs are referred for enrollment in a health insurance program (e.g., state for federal health exchanges, Medicaid, Children's Health Insurance Program)
20. Faith Community Nursing: Establish a program to connect a registered nurse with a faith community to serve as a health liaison
21. Federally Qualified Health Centers (FQHCs): Expand the number of FQHCs in the state to provide preventive care services to the underinsured
22. Feedback (14.1): Provide feedback to support reduction for smoking cessation behaviors
23. Health Care Provider Reminder Systems for Tobacco Cessation (14.1): Support the implementation of health care provider reminder systems within primary care and women's health clinics
24. Health Care Provider Training (14.1): Train health care providers to promote prenatal smoking reduction and cessation
25. Health Education (14.1): Provide health education to reduce smoking during pregnancy
26. Health Insurance Enrollment Outreach and Support Health Care Entities: Community-based case managers offer health insurance information and application support
27. Health Literacy Interventions: Develop patient education videos to improve health literacy surrounding use of preventive care services
28. Home Visiting: Support home visiting programs that promote annual well-woman visits and preventive cancer screenings
29. Home Visits + Education Materials + Telephone Counseling (14.2): Provide in-person counseling via home visits + educational materials + telephone counseling to reduce child exposure to secondhand smoke in the home
30. Incentives (14.1): Provide incentives to reduce smoking during pregnancy
31. Information about Teledentistry (Child): Provide information about opportunities and challenges related to teledentistry (e.g., state statutes, practice acts, reimbursement policies) to key state and/or local oral health partners
32. Information about Teledentistry (Pregnancy): Provide information about opportunities and challenges related to teledentistry (e.g., state statutes, practice acts, reimbursement policies) to key state and/or local oral health partners
33. Insurance Enrollment Helpline (Benefits Counseling): Maintain a state-run helpline to assist with insurance enrollment navigation
34. Internet-Based Tobacco Cessation Interventions (14.1): Support the development of internet-based tobacco cessation programs
35. Mandated Benefits: Implement mandated (state-required) benefits to include specific services for children covered by private health insurers
36. Mass Media Campaigns Against Tobacco Use (14.1): Educate families about the importance of smoking cessation through a mass media campaign against tobacco use
37. Media Campaigns: Utilize media outlets to promote preventive medical visits
38. Medicaid Buy-In Program: Adopt a Medicaid Buy-In program for children with disabilities to ensure adequate insurance coverage
39. Medicaid Reforms (Child): Increase the number of dental providers who accept Medicaid through activities such as provider training, increased reimbursements, and other incentives
40. Medicaid Reforms (Pregnancy): Provide comprehensive dental coverage for Medicaid-enrolled pregnant women during pregnancy and postpartum
41. Medicaid Waivers: Implement protocol to waive federal regulations to ensure health insurance coverage for CYSHCN
42. Medical Home Integration: Incorporate transition strategies into medical home systems
43. Medical Homes: Support the development of a medical home care model to be implemented within clinics statewide
44. Mobile Oral Health Care Programs (Child): Use mobile dental clinics to perform preventive care for individuals who otherwise would not have access to services
45. Multicomponent Approach: Use a multicomponent approach (e.g. care management + education/parent engagement + collaborative partnerships; educational messaging + data from program databases + individual counseling) to facilitate enrollment of uninsured and underinsured children
46. Multicomponent Psychosocial (14.1): Use a multicomponent approach to increase smoking cessation among pregnant women
47. Nurse-Led Multicomponent Interventions: Support multicomponent interventions led by nurse practitioners to improve access to preventive services for women in health care settings
48. Outreach Using School Staff: Use trained school staff to assist families in getting insurance coverage
49. Outreach Using School-Based Communication Tools: Use school-based outreach tools to promote enrollment among children and families
50. Parental Health Insurance Expansions: Provide health insurance coverage for parents to increase the likelihood of insuring children
51. Patient Education/Counseling (Pregnancy): Integrate oral health messages and strategies within existing community-based maternal and infant health programs
52. Patient Financial Incentives for Preventive Care: Support the use of patient financial incentives for preventive care
53. Patient Navigation: Support programs and adapt clinical protocols that assist women in scheduling preventive visits using patient navigators
54. Patient Reminders: Support providers in disseminating reminders (e.g., postcard, text, e-mail, phone calls, or a step-by-step combination) to women about scheduling an annual preventive visit
55. Patient Reminders / Navigator Program: Support a patient reminder program that includes telephone, text, and mailed reminders
56. Peer Support and Mentorship: Create a peer support and mentorship program for adolescent advisory council to discuss issues around health care transition
57. Pharmacotherapy (14.1): Use nicotine replacement therapy (NRT) or other pharmacological agents to reduce smoking during pregnancy
58. Planning for Transition + Transfer Assistance: Provide planning activities and transfer assistance to increase the percent of adolescents who received services to prepare for the transition from pediatric to adult health care
59. Planning for Transition + Transfer Assistance + Care Coordination: Provide planning, transfer assistance, and care coordination to prepare adolescents for the transition from pediatric to adult health care services
60. Planning for Transition + Transfer Assistance + Integration into Adult Care: Provide planning, transfer assistance, and integration into adult care activities to increase the percent of adolescents who received services to prepare for the transition from pediatric to adult health care
61. Policies to Promote Medical Home: Develop policies to promote the medical home model for children and adolescents
62. Policy (14.1): Roll out national, state, or local anti-smoking campaigns or regulations to increase smoke-free environments
63. Practice Coaches/Facilitators: Develop a practice facilitation program to connect practice coaches with primary care clinics
64. Preconception Education Interventions (14.1): Provide smoking cessation education during preconception counseling appointments
65. Premium Assistance: Support the development of a premium assistance program for low-income working families
66. Preventive Oral Care Outreach with Early Head Start, Head Start, Home Visiting, and WIC Clinics (Child): Collaborate with Early Head Start and Head Start programs, home visiting programs, and/or WIC clinics to train staff to provide preventive oral health care and referrals to oral health professionals for dental visits
67. Professionally Trained Medical Interpreters: Support the development of a training program for medical interpreters
68. Provider Alliance and Mid-Level Providers: Use a provider alliance and mid-level providers to create a “one-stop” medical home model to provide community outreach and coordination of services
69. Provider Education: Host an onsite or online educational series about annual preventive visits and strategies to help providers address missed opportunities
70. Provider Education (Early Head Start, Home Visiting, WIC) (Pregnancy): Collaborate with Early Head Start programs, home visiting programs, and/or Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) clinics to train staff to conduct oral health risk assessments, provide preventive oral health care, and refer pregnant women for dental visits
71. Provider Education (National Associations) (Pregnancy): Collaborate with national nurse midwifery, and family practice associations to train their members to conduct oral health risk assessments, provide preventive oral health care, and make referrals s to oral health providers for care
72. Provider Training: Increase provider training in the field of youth health transition among residents and current providers
73. Provider-School Partnerships: Develop partnerships between primary care providers (PCPs) and school-based health centers (SBHCs) to create an expanded medical home model based on care coordination and increased access to care
74. Public Insurance Coverage (Child): Collaborate with Medicaid to increase the number of children and youth who have had a preventive dental visit in the past year
75. Quality Improvement (QI) Initiatives to Increase Adolescent Well-Visits: Develop and adopt multicomponent QI initiatives within pediatric practices to increase annual well-visits for adolescents
76. Quality Improvement Collaboratives (Pregnancy): Implement quality-improvement collaboratives in safety net dental clinics to increase access to oral health care for expectant parents
77. Relief Funds: Establish a state relief fund to support families of CYSHCN with financial burdens
78. School-Based Health Centers: Support partnerships between primary care clinics and local school-based health centers
79. School-Based Oral Health Programs (Child): Provide school oral health programs and Title V local grantees with technical assistance to enhance the quality of oral health services and increase oral health visits
80. School-Based Screenings and Follow-Up (Child): Utilize school-based dental screenings to improve children’s oral health status and the use of dental services
81. School-based Counseling + Education Materials (14.2): Provide in-person counseling in a school setting + educational materials to reduce child exposure to secondhand smoke in the home
82. Shared Care Coordination with Home Visiting: Develop early connections to a medical home model through care coordination and collaboration with home visiting
83. Six Core Elements of HCT™: Implement the Six Core Elements of HCT™ through learning collaboratives in healthcare systems to support transition from pediatric to adult care with ongoing quality improvement
84. Smoking Policies/Bans/Legislation (14.2): Support policies/legislation to establish smoking bans in homes, cars, and other family spaces
85. Social Support (14.1): Provide social support for quitting smoking during pregnancy
86. State Policy/System Development: Partner with organizations to encourage adoption of evidence-driven health care transition (HCT) practices and policies
87. State/Systems-Level Policies and Practices: Partner with Medicaid and private payers to encourage adoption of annual well-visits standards and offer incentives
88. TEFRA Katie Beckett Option): Support the implementation of the Tax Equity and Fiscal Responsibility Act
89. Teledentistry (Child): Develop and provide training (for professional development) for oral health professionals at the state and/or local level about teledentistry. (including state practice acts and reimbursement policies), and provide teledentistry services for children and adolescents
90. Teledentistry (Pregnancy): Develop and provide training (for professional development) for oral health professionals at the state and/or local level about teledentistry. (including state practice acts and reimbursement policies), and provide teledentistry services for expectant parents
91. Telemedicine: Fund startup costs for telemedicine in pediatric and family medicine practices
92. Telephone Counseling + Education Materials (14.2): Provide telephone counseling + educational materials to reduce children’s exposure to secondhand smoke in the home
93. Tobacco Cessation Therapy and Affordability (14.1): Support efforts to increase the affordability of tobacco cessation therapies
94. Tobacco Quitlines (14.1): Implement, advertise, or enhance QuitLine services
95. Transfer Assistance + Integration into Adult Care: Provide transfer assistance and integration into adult care to increase the percent of adolescents who received services to prepare for the transition from pediatric to adult health care
96. Transition Care Coordination Services: Use care coordinators at clinics to help with appointments, scheduling, education, and other health care transition services
97. University-Based Quality Improvement Initiatives: Work with academic institutions to develop and adopt multicomponent QI initiatives to increase annual well-woman visits and preventive screening on college campuses
98. Value-Based Insurance Design: Support the shift to value-based insurance design for all health insurance models within the state
99. Youth Preparedness (Planning for Transition + Training/Educating Youth): Provide planning services, including training and educating youth with and without special health care needs, who are ready for transition to adult care