Contractor must provide medical home capacity building services. Contractor must provide virtual and in person outreach, training, and technical assistance to pediatric primary care providers to implement developmental screenings and facilitate referrals to community resources, which may include HMG, Family Resource Navigators, and Enhanced Care Management. Contractor must provide consultation and technical assistance to designated pediatric provider sites, including private clinics and Federally Qualified Health Centers (FQHCs), and ensure support to practices is targeted to the site’s implementation stage, size, and need. Contractor must support pediatric provider sites in implementing, maintaining, or improving universal screenings. Screening may include, but are not limited to, the Ages and Stages Questionnaire (ASQ), Modified Checklist for Autism in Toddlers (M-CHAT), Survey of Wellbeing in Young Children (SWYC), and any other screening tools as agreed upon with ACPHD. Contractor must support designated primary care pediatric practices with access to referrals. This support may include HMG resources (e.g., Central Access Point, training, materials). Contractor must update, revise, produce, and distribute medical home materials, including a resource binder, reference guide, and referral information. Contractor must support pediatric provider sites in developing appropriate referral protocols for children and youth who screen for concerns and need community resources. Contractor must compile and distribute information on referral pathways specific to older children and youth, including transition into adult medical services and children and youth involved in child welfare. Contractor must provide updated information about referral pathways throughout the children’s care system and stay current on state and federal legislation relevant to children and youth with special health care needs. Contractor must provide and coordinate training (including agendas, food, handouts, etc.) and develop protocols to ensure training is evaluated for effectiveness and updated regularly. Training can include but is not limited to, developmental screenings, accessing services for the Regional Center, case management services, Respite Care, 211, and the school district. Contractor must set screening and intervention goals with each participating primary care practice, including but not limited to adding screening tools or intervals, screening more children at current intervals, and/or referring children to community resources. Goals should identify practice barriers and include strategies for remediation.
