Figure 1. Pennsylvania Programs
and Systems Serving CSHCN:
What care and services need to be coordinated?
Who is providing care coordination?
| HEALTH
AND MEDICALLY RELATED CARE COORDINATION/CASE MANAGEMENT FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS |
|---|
| Early Intervention
Service Coordination (0-3 yrs, all eligible) |
| Title V CSHCN
Care Coordination (0-21 yrs, all eligible) |
| Medical Home Primary
Care Practices (0-21 yrs, patients at select sites) |
| Medicaid Managed Care
Special Needs Units (0-21 yrs, all eligible and enrolled) |
| Specialty / Tertiary
Care Providers (0-21 yrs, patients at select sites) |
| Elks Home Services
(0-2 years, select families at select sites) |
| OTHER SYSTEMS WITH CASE MANAGEMENT |
|---|
| Mental Health / Mental
Retardation Targeted case management (0-21, selected populations) |
| Education / Schools IDEA Special Education, 504 case management (0-19 years, all eligible) |
| Juvenile Justice case
management (0-19 years, all eligible) |
| Child Welfare Case
management (0-21 yrs, all eligible) |
| These public health programs serve care coordination functions for various families with different risks and needs. |
|---|
| Home visiting |
| Healthy Start |
| Family Partnerships |