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Santa Barbara County
CHDP Spring Newsletter
Child Health &
Disability
Preven on
Program
345 Camino del
Remedio
Santa Barbara, CA
93110
Santa Barbara County Children’s Oral
Health Collaborative Invites Physicians
805‐681‐5130
Fax 805‐681‐4958
To Join us for Dinner!
Please share this
Newsletter with
your CHDP
Staff.
Thursday April 30, 2015 6:00pm-8:00pm
The Garden Room, Upham Hotel 1404 De La Vina St.
Santa Barbara, CA 93101
Inside this issue:
Oral Health
Summit
2
Fluoride Varnish
3
Susan Fisher-Owens, MD, MPH, Associate Professor of Pediatrics and of
Preventive and Restorative Dental Sciences, UCSF
Irene V. Hilton, DDS, MPH, National Network for Oral Health Access
You will learn about:
Provider
Information Notice
4
Medical Subscription
Services
Audiometric
Screening Training
5
•
The impact that poor oral health has on a Child’s overall health
•
The role of pediatric medical providers in oral health
assessments and prevention of dental caries
•
Risk factors for dental caries in young children
•
Promising methods to prevent and stabilize dental caries in young
children
•
Oral health prevention activities that are occurring in Santa Barbara County
•
Ways to increase access to dental care for young children
•
Methods to improve the oral health of children in Santa
Barbara County
WIC News
CA– MMIS Release
6
Child Abuse
Prevention
7
Buellton Medical
Center
Providers of
Excellence
8
Camp Wheez
IZ News
9
Motivational
10
Workshop
Registration
Forms
11
Page 2
Children’s Oral Health Summit 2015:
Please plan to attend the Children’s Oral Health Summit 2015!
The Santa Barbara County Oral Health Summit will include presentations by:
Dr. Fisher-Owens will be presenting, “The Critical Role of Oral Health in Optimal Health”.
Susan Fisher-Owens, MD, MPH
Dr. Fisher-Owens is Associate Professor of Pediatrics of Preventative and Restorative Dental
Sciences at UCSF. She serves as a general pediatrician and faculty member working with and teaching
medical students and residents to serve children from birth through 18 years, through well and sick
child visits.
Dr. Hilton will be presenting, “Integrating Oral Health and Primary Care Practice”.
Irene V. Hilton, DDS, MPH NNOHA Dental Consultant
Dr. Hilton is a staff dentist at the San Francisco Department of Public Health, and is the
dental consultant for National Network for Oral Health Access (NNOHA), the national organization of
Health Center oral health providers.
Ms. Rehse will be presenting, “Santa Barbara County Wide Oral Health Statistics Update”.
Mary Ellen Rehse, MSW, Oral Health Program Manager Santa Barbara County Education Office Health
Linkages will be presenting Santa Barbara County State Preschool oral health screening statistics for the
past 9 years. Learn how the integration of fluoride varnish as a part of the CHDP Well Child Exam has
made a significant contribution in reducing dental decay rates for children in specific areas of our
county.
There are 2.5 Nursing CEU’s offered for the summit.
Summit Registration Form on Page 9 of this newsletter
Page 3
It Pays to Apply Fluoride Varnish
Fluoride Varnish is a covered benefit for eligible children enrolled in the Santa Barbara Health Initiative
(SBHI), San Luis Obispo Health Initiative (SLOHI), and Healthy Kids Programs.
By applying fluoride varnish, medical providers have an opportunity to help prevent tooth decay which
remains one of the most common chronic diseases of childhood. Tooth decay can contribute to a wide
range of problems including poor nutrition, subnormal growth and unnecessary pain, and can require
expensive dental treatment.
Fluoride varnish is a new form of topical fluoride that is more effective in preventing tooth decay than
other forms of topical fluoride. The application does not require special equipment and it is
practical to use with young children.
“To catch the reader's attention, place
an interesting sentence or quote from
the story here.”
Billing for Fluoride Varnish
Use HCPCS code D1206 (topical application of fluoride child)
•
To prevent
•
Benefit is limited to children up to 5 years. Reimbursement for D1206 includes
all materials and supplies needed for the applications
•
Applications must be documented in the member’s medical record
•
Treatment is covered up to 3 times in a 12-month period
varnish on a
•
Physicians, clinics, and hospitals providing outpatient services may bill for the
Service
baby’s first
• Preauthorization is not required
If you are in Santa Barbara County and want in-office training on how to apply
fluoride varnish, contact Mary Ellen Rehse, Oral Health Program Manager at
[email protected] or call 805.964.4711 X 4465.
tooth decay.
Apply fluoride
tooth. It can be
applied up to 3
times in a twelve
month period.
Additional information on the application of fluoride varnish or oral health
assessments can be found at First Smiles website, www.first5oralhealth.org
Please contact the CenCal Health Claims Department with any questions 805.685.9525.
Page 4
Provider Information Notice (PIN)
The CHDP Program Transition to the Use of the CMS (Children's Medical Services)
1500, the ACS X 12N 837P Electronic Transaction, and the Use of National CPT-4
Codes.
Claims for CHDP services will transition to provide full compliance with the national standard
health care electronic transactions and code sets required by the Health Insurance Portability and
Accountability Act (HIPAA) for CHDP. The CHDP proprietary local procedure codes will be
replaced by the national standard Common Procedural Terminology (CPT) 4 procedure codes.
CHDP provider claims for reimbursement will transition to the paper CMS 1500 Health Insurance
Claim form and the current version of the HIPAA standard electronic claim for health care professionals and suppliers, the ASC X12N 837P (professional), version 5010A1.
CHDP providers will also be provided with online real-time functionality for submission and correction of CHDP claims, the ability to retrieve patient eligibility status and billing information, and
access to assistance on-line through the Medi-Cal internet portal.
The projected implementation date for this transition is June 30, 2015.
CHDP providers should continue submitting the PM-160 and the PM-160
Information Only Confidential Screening and Billing forms until further
notice.
PINS: Available online at: http://www.dhcs.ca.gov/services/chdp/Pages/CHDPPLPIN.aspx
MediCal Subscriber Services (MCSS)
This is a useful subscription service to receive the latest MediCal up-dates. The MediCal
Subscription Service is a free service that enables providers and other interested subscribers to
receive links to Medi-Cal news, Medi-Cal Update bulletins and/or System Status Alerts via email.
Providers can subscribe to MCSS by following these steps:
•
•
•
Go to the MCSS Subscriber Form
Enter your email address and ZIP code
Customize the subscription by selecting subject areas for NewsFlash announcements, Medi-Cal
Update bulletins and/or System Status Alerts
Subscribers may choose as many subject matters of interest as they wish. They may also choose to
receive either NewsFlash articles or Medi-Cal Update bulletins, but it is recommended that subscribers choose to receive both.
After subscribers submit a completed MCSS Subscriber Form, they will receive a welcome email
from MCSS.
Page 5
Save The Date: CHDP Summer
Audiometric Screening Training
Bill (AB) 2109
California law that modifies the process
All of us at the CHDP local office wish a very fond farewell and happy rePlan now for staff Audiometric Screening training!
tirement to
Dr. Gerard Brewer, MD who was in practice from 1972-2014. Thank you for your many years of dedicated serCHDP requires clinic staff to complete an
vice to our children and community.
Audiometric Screening training every 4 years.
for obtaining exemptions to student
immunization based on personal beliefs
We welcome the Family Medicine Center in Santa Maria as a new
Our next training will be held from 8:00am-3:00pm in
Santa Barbara on July 21, 2015 and in Santa Maria on July 23, 2015.
Registration form is on page 9 of this newsletter.
For more information call or
e-mail Carmen Unzueta at 805-681-4933.
[email protected]
A summary of the recent food changes in the WIC program include:
•
Only 1% low-fat and nonfat milk will be choices for women and children 2-5 years old (2% milk is no
longer offered)
•
Whole grain foods have an expanded list of approved brand names for the 16oz whole
grain package.
•
Fresh potatoes including all types of potatoes: gold, purple, red, and russets
are allowed on the Fruits & Vegetables check
•
Call the WIC Phone Center at 877-275-8805 if your patient would like to enroll in WIC.
Page 6Page 6
CHDP Provider Update
CA-MMIS Health Enterprise Systems Release
The Department of Health Care Services’ (DHCS) partnership with the provider community ensures
accessible and affordable quality health care services for Californians. To further this effort,
development and implementation of a replacement California Medicaid Management Information
System (CA-MMIS) is underway.
The replacement system, referred to as CA-MMIS Health Enterprise (HE), will transition legacy
CA-MMIS business operations gradually to the new CA-MMIS HE, providing additional capabilities and
finally supporting all CA-MMIS business operations.
CA-MMIS HE Release 2, planned for this summer, will allow providers who participate in the Child Health and Disability
Prevention (CHDP) program to access an improved method for beneficiary enrollment via the web-based Health Enterprise
Portal. Changes include:
•
CHDP providers will access HE Portal to register for a User ID and password.
•
CHDP providers will access HE Portal for improved CHDP beneficiary enrollment.
Release 2.3, planned for this fall, will begin processing CHDP claims. Changes include:
•
CHDP Electronic Data Interchange (EDI) providers will be required to use Health Insurance Portability and
Accountability Act (HIPAA) Operating Rules connectivity.
•
The proprietary electronic claim format (CMC PM 160) will be replaced by the national standard HIPAA-compliant
ASC X12N/005010X222 (837P) transaction.
•
CHDP EDI providers will be required to perform a test claim submission in the new 837P file format.
•
The CHDP claim form (PM 160) will be replaced with the National Standard CMS-1500 claim form (version 02/12).
•
The CHDP two-digit local billing codes will be discontinued and replaced with national codes.
The CHDP Remittance Advice will be replaced with the national HIPAA-compliant Adjustment Reason Codes (ARC),
Adjustment Group Codes (AGC), and Health Care Remarks Codes (HCRC).
Through the coming weeks and months, providers are encouraged to watch for CA-MMIS HE updates and news on the
Medi-Cal website. These updates will inform and prepare providers to minimize unnecessary service disruptions.
DHCS looks forward to collaborating with its provider community to embrace and
realize the benefits of the new system in 2015 and beyond.
Page 7
Child Abuse Prevention Council (CAPC)
The Child Abuse Prevention Council recently released the poster for child Abuse
Prevention Month. The poster has a positive discipline theme this year. CAPC is
encouraging parents to take advantage of parent education classes offered in the community
by the Family Resource Center.
You are welcome to download posters and flyers from the website at:
www.preventchildabusesb.org
Call Gloria Munoz at: 805-681-4452, if you would like posters sent to your office.
Page 8
Introducing Buellton Medical Center
The CHDP local office is delighted to welcome the Buellton Medical Center as a new provider office in
Buellton.
The medical providers include: Myra Howard, NP, William Van Valin, MD, and CHDP approved
pediatrician Christopher Elstner, MD.
Their address is: 195 West Highway 246. Buellton, CA 9342
Phone: 686-8555
Providers of Excellence
This Newsletter’s Providers of Excellence awards go to:
Sansum Clinic Hitchcock Pediatrics
Community Health Centers of the Central Coast Lompoc!!!
Sansum Clinic Pediatrics sees a high volume of pediatric patients and delivers comprehensive care. They
take pride in the patient education and thorough follow up of conditions offered their clients. The
clinic is a longstanding provider in our community.
CHCC Lompoc has sparkling facilities and equipment. They utilize an electronic medical record
system which assists the clinicians in capturing essential information efficiently. The clinicians strive to
build relationships with their patients.
Camp Wheeze
When: August 10-14, 2015
Mon-Fri 8:30 am –12:30 pm
Where: First Baptist Church
949 Veronica Springs Road
Santa Barbara CA 93105
Space is limited. For an application and more information
visit us online at: www.sansumclinic.org/camp-wheez
For more information call: 805-681-7500 x8754
Free of charge
Page Page
9
9
Please join us in celebrating National Infant Immunization Week, April 18 – 25, 2015 and Toddler
Immunization Month in May. With the recent measles and pertussis outbreaks in California, this is an
excellent time to remind expectant parents and families of infants and toddlers that they should
schedule a doctor visit and get immunized against dangerous diseases such as:
ο Measles
Since December of 2014, there have been over 100 confirmed cases of measles in California. Now
is an opportune time to remind parents that measles is still a threat to our children’s well-being and that
vaccination is the best defense against measles. Measles education materials and tools are below:
Put Measles on the Spot Poster
Vaccine Safety: Answers to Parents’ Top Questions
Measles Alert Poster: Tell Staff and Get a Mask (Poster for Clinical Settings)
ο Pertussis
In 2014, nearly 10,000 cases of whooping cough were reported in California. Whooping cough
(pertussis) is highly contagious and potentially deadly. Santa Barbara County had the first recorded
death from pertussis in a 25 day old infant.
ο Remind expectant mothers that Tdap is recommended during their third trimester of each
pregnancy, even if they got it before pregnancy. Getting a Tdap shot during pregnancy also protects
babies until it’s time for their first whooping cough shot at 6-8 weeks of age. Please disseminate
these materials to pregnant women in your practice:
Expecting? Protect Yourself and Your Baby Against Whopping Cough and Flu Flyer
Your Baby May Be At Risk for Flu and Whooping Cough Poster
Immunizations for a Healthy Pregnancy Brochure
Please utilize every opportunity to provide immunizations to babies and toddlers. You can help keep
patients’ families informed and on track with the following resources:
Childhood Immunization Brochure with Block Immunization Schedule
2015 CDC’s Birth-18 Years & "Catch-up" Immunization Schedules
Several of these materials are also offered as hard copies for FREE from the Santa Barbara County
Public Health Immunization Program. Visit our website at www.sbcphd.org/iz and download the
Immunization Supplies Request Form to order materials.
Thank you for helping to raise awareness about life-saving vaccines and for supporting National
Infant Immunization Vaccine Week and Toddler Immunization Month!
Page 10
Motivational Interviewing Techniques
Steven Malcolm-Berg-Smith, MS
AIM for Change (Awakening Inner Motivation)
◊
Resistance to behavior change is a by product of relationship. Be aware of your manner and style
when communicating.
◊
A patient needs to feel respected and accepted for who they are and what they do no matter how
unhealthy. It allows them the freedom to consider change---rather than defend against it.
◊
People are more motivated to make a change when it’s based on their own decisions and choices,
rather than an authority figure telling them what to do.
Techniques to build and strengthen Motivation for Change
◊
Start with a warm and friendly greeting:
Name, role, time you have today, agenda and ask permission.
◊
Explore use open ended questions and ask what a patient knows, has heard or would like to
know more about. Seek to understand things from the patient’s perspective.
“What are some things you already know about managing diabetes?”
“What concerns if any do you have about your child exercising?”
◊
Listen with Presence (undivided attention); eyes, ears and heart; acceptance; curiosity; delight;
no interruptions; silence; encouragers (e.g., mm-hmm, I see, go on, what else, tell me more); reflect
and summarize.
◊
Summarize: Be clear and concise and selective about what you choose to include in your summary.
“ My understanding is you have concerns about your child’s weight and how it is related to the
amount of sodas he drinks”.
◊
Ask Permission again:
“Do you mind if I share my concerns?”
“May I share some information with you?”
Page 1111Page
11
Children’s Oral Health Summit 2015 Registration:
CHDP Audiometric Screening Training Registration: Clip
Registration Deadline is: June 30, 2015
Mail/fax completed form, (one form per participant, make copies if needed) to:
Carmen Unzueta
Building 4 Room 315, 345 Camino del Remedio, Santa Barbara CA. 93110
Phone: 681-4933 Fax: 805-681-4958
Workshop fee: $5.00 for non-Public Health or Head Start Employees
Circle attendance location: South County North County
Circle: new certification
re-certification
Name: ________________________________________________________________ License #: ______________________
Clinic/Office: _____________________________________________________________ Phone: ______________________
Email: ___________________________________________________________________ Fax: ________________________
CEU for Nurses pending; $10 charge for non-Public Health employees, Checks payable at the door
to: Nursing Trust Fund
Do You need CEU?
Circle:
Yes
No
For More Information Contact: Laurinda Marshall 681-5122 or [email protected]
Jeri Waite 681-4955 or email [email protected]