The Children's Health Insurance Program (CHIP) provides comprehensive benefits to children. Since states have the flexibility to design their own program within Federal guidelines, benefits vary by state and by the type of CHIP program.

 

Medicaid Expansion Benefits

 

Medicaid Expansion CHIP programs provide the standard Medicaid benefit package, including Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) services, which includes all medically necessary services like mental health and dental services.

 

How Can CHADIS Help?

 

CHADIS offers online pre-visit Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) screens including:  EPSDT (HEALTH), EPSDT (Health Risk): without questions on HIV or chemotherapy, EPSDT-Anemia Screen, EPSDT-High Cholesterol Screen, EPSDT-High Cholesterol Screen: hereditary risk factors only, EPSDT IVR, EPSDT Lead Screening – Arkansas, EPSDT-TB Screen, EPSDT - TX (Health Risk), and EPSDT-VA-Lead Screen.

 

2017 Core Set of Children’s Health Care Quality Measures for Medicaid and CHIP (Child Core Set)

 

Primary Care Access and Preventive Care

 

Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents – Body Mass Index Assessment for Children/Adolescents (WCC-CH)

 

CHADIS provides access to Brenner Families in Training (FIT) (nutrition/obesity and exercise). The Brenner FIT questionnaire asks parents a series of questions to assess overall health and fitness habits of a child and their family plus questions about readiness for change.

 

Developmental Screening in the First Three Years of Life (DEV-CH)

 

CHADIS provides an array of developmental screen for ages 0-3 including: Ages and Stages Questionnaire-3® Ages and Stages Questionnaire: Social-Emotional®Baby Pediatric Symptom Checklist (BPSC), Childhood Autism Rating Scale, Second Edition (CARS2-ST), CHADIS Child Developmental History, CHADIS Pregnancy and Perinatal History, CHADIS 0 – 3 (e.g., eating, sleeping, mental health), Early Childhood Screening AssessmentInfant Development Inventory (IDI)MacArthur-Bates Language Short forms (8-15mo and 16-30 mo)M-CHAT-RevisedTM, M-CHAT-Revised Follow-upTM, Strengths and Difficulties Questionnaire© (SDQ)Strengths and Difficulties Questionnaire Functional Assessment©, and Survey of Well-being of Young Children (SWYC).

 

Care of Acute and Chronic Conditions

 

Medication Management for People with Asthma (MMA-CH)

 

CHADIS proactively manages chronic and preventive care using evidence-based protocols to guide treatment of asthma through the use of the Asthma Care Patient Specific Template.  Clinicians gather on-line, pre-visit asthma information from the patient, receive tailored clinical ‘Next Steps’ to easily follow during the visit, receive "problem solving counseling" suggestions to address adherence, efficiently create an individualized Asthma Treatment (Asthma Action) Plan with the patient/family, receive tailored resources for the patient/family, and have access to clinician education all while earning Part 4 MOC credits. All of the data, information, and plans are then documented within your EHR.

 

Tools available for management of asthma through CHADIS:  Pediatric Asthma Control & Communication Instrument (PACCI), CHADIS Environmental Triggers & Smoke Exposure Questionnaire, CHADIS Asthma Parent Priorities, CHADIS Asthma Parent Perception Rating, CHADIS Asthma Medications (Adherence), CHADIS Asthma Medical History, and Asthma Control Test 4-11 & 12+ versions.

 

Behavioral Health Care

 

Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication (ADD-CH)

 

CHADIS offers the ADHD Patient Specific Template (PST), the ADHD PST gathers pre-visit ADHD information from parents AND teachers without any clinician effort. 

 

The pre-visit ADHD-related questionnaires cover all essential questions for an ADHD check-up visit. This includes parent and teacher Vanderbilts, screening for DSM disorders, and more. School data is essential to optimizing ADHD care and medications. Teachers can be “invited” by parents or staff to complete Vanderbilts via CHADIS with FERPA compliant online parent consent forms.  

 

Each PST provides a tailored graphic to be shown to families, illustrating the patient’s ADHD challenges over time, facilitating discussion. The PST suggests tailored, research-supported, goals for clinicians to review with parents. Parents are sent specific suggestions for how to accomplish the chosen goals. Selected goals are also listed in subsequent PSTs, so clinicians are reminded to follow-up on progress. The 504 plan and IEP letters can be automatically generated as well as post-visit messages tailored to the parent’s goals and challenges. Printable handouts and local resources are all accessible to the parent online in the CHADIS MemoryBook Care Portal.  

 

Relevant questionnaire data pre-populates the PST and any further PST clinician actions are automatically documented. In addition, MOC Part 4 credits can be earned without chart review!

 

Child and Adolescent Major Depressive Disorder: Suicide Risk Assessment (SRA-CH)

 

CHADIS provides access to many depression screens:  Edinburgh Postnatal Depression Scale, Kutcher Adolescent Depression Scale, Mood Disorder Questionnaire (MDQ)Patient Health Questionnaire (PHQ-A)Patient Health Questionnaire-9 Modified (PHQ-9 CTS), Center for Epidemiological Studies Depression Scale for Children (CES-DC) and Patient Health Questionnaire-9 Modified.