State/local public health
AL | GA | MS | NE | NY "Section Five: PMP Functions and Duties...
H. Ensure and coordinate the provision of age appropriate immunizations with notation in the enrollee's file of who provided the service, what was provided and the date. See Attachment Two for a form that has been developed to facilitate the recording of immunization information. This form is not required but is recommended to ensure complete documentation of services received. NOTE: Providers who participate in the Vaccine for Children (VFC) Program are required to record and report data as specified in the VFC agreement.
PMPs are required to ensure that children on their panel are receiving age appropriate immunizations. PMPs not directly providing immunizations should make arrangements with the local health department or other community entity to arrange/ensure these services. Refer to Section 9.D. for further information on immunizations...
T. To report to the local public health department notifiable diseases and cooperate with the investigation and follow-up or reported cases. Cases or suspect case of tuberculosis should be reported to the local health department so that their clinical management can be coordinated by the health department and preventive outreach measures can be assured. Similarly, case and suspect cases of sexually transmitted diseases should be reported to the local health department so that partner notification and control activities can be initiated. Diagnostic and treatment services for tuberculosis and sexually transmitted diseases are without cost to the health department patients." Alabama PMP, pages 10-11.
"908.2 Authorization for HEALTH CHECK Screenings
The procedures listed below are to be used by the GBHC PCP to ensure that HEALTH CHECK screenings are provided to their assigned GBHC members, ages birth to 21 years of age...B. The PCP may choose to complete the screenings, or refer the member to any Medicaid HEALTH CHECK provider--public health departments...rural health clinics, community health centers..." Georgia Agreement, page IX-6.
"4.07 Functions and Duties of the Primary Care Provider...
11. Refer the enrollee to the local Health Department for immunizations if the PCP does not provide this service.12. Refer enrollees under the age of twenty-one (21) to the local Health Department or other EPSDT provider for EPSDT screening, EPSDT case management, or other EPSDT high risk case management services if these services are not provided by the HealthMACS provider. Note: EPSDT Continuing Care, if needed, must be provided by the PCP and not referred to another physician unless the PCP can not provide the needed care.
13. Refer the appropriate enrollees for Perinatal High Risk Management (PHRM) services to the local Health Department, community health center, or other designated provider in the area (if available) when the PCP is not a participant in the PHRM program.
14. Refer the appropriate enrollees to community resources that provide family planning services if these services are not provided by the PCP." Mississippi Manual, page 77.
"7.23 Public Health Initiatives: The Contractor shall work cooperatively with the public health agencies to share appropriate services data, to the extent that such service data is in the possession of Contractor, participate in other similar preventative and data collection initiatives that may be promoted b the Department and public health agencies as mutually agreed to by the parties, and comply with all notifiable requirements and 'good practices' to the extent that such requirements and good practices are provided to Contractor in a timely manner and prior to requirement for compliance." Nebraska Contract, page 73.
"(f) Throughout the contract term, the Contractor shall participate in the NHC Quality Assurance Contractor's ongoing maternal and child health related activities, including those supporting the HHS regulations and licensure's grant under maternal and child health programs and activities. Cooperate with the Department's Title V, Maternal Child Health Program (MCGP), to include: ...
(1) Training on new public health measures and standards...
(7) Cooperating with public health agencies who have identified children with abnormal lead levels. The Contractor will provide lead screening and blood lead testing according to the Center for Disease Control (CDC) ad Health Care Financing Administration (HCFA) requirements; provide information to PCPs regarding the provision of blood lead screening and testing; provide information regarding coverage of environmental investigation; encourage collaboration and communication with public health lead prevention programs; and utilize and reimburse laboratories under contract with public health lead prevention programs to perform blood level testing. The Contractors shall not require a PCP/Contractor approval to receive reimbursement for specimens sent to the laboratories by public health agencies." Nebraska Contract, pages 77-78."10.15 Lead Poisoning
If the (PCP/Contractor) serves children, the (PCP/Contractor) will be responsible for carrying out and complying with lead poisoning screening and follow-up as specified in 10 NYCRR, Sup-part 67.1. The (PCP/Contractor) shall coordinate the care of such children with local health departments to assure appropriate follow-up by the departments in terms of environmental investigation, risk management and reporting requirements...
(iv) Satisfactory case management systems to ensure that all necessary services are furnished on a timely basis. Special attention should be paid to establishing linkages with traditional HIV providers, such as Aids Designated Treatment Centers (ADTCs), community provider, and clinical education programs as a means of obtaining the most current treatment guidelines and standards." New York Contract, pages 29-32.