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Molina Healthcare of Michigan

Change:

Education Department staff conducted training sessions for provider office staff at all

11 identified provider practices. To ensure buy in from providers, Molina s Provider

Service Representative spoke with practitioner office staff about the pilot project prior

to the training to allow them to give the plan feedback on the format of the session.

Training focused on the importance of detecting developmental delays early, referral

sources for children with developmental delays, EPSDT visit components, proper docu 

mentation, and coding of EPSDT/Well Child visits.

Communication was frequent to the provider pilot sites throughout the project.

Program progress letters were sent to each provider site at two months and five

months into the program. The letter included a report indicating the number of check 

off slips received verifying the developmental screening and referrals for follow up if

applicable.

INTERVENTION 

To increase the number of infants and toddlers receiving appropriate well child visits,

Molina implemented strategies to educate members about the importance of preven 

tive care and to help them recognize warning signs of potential problems in their child's

development. The plan also developed provider materials to facilitate developmental

screening within EPSDT visits and assist in referrals.  

Aim: 

1. To ensure that 80 percent of Molina members in Kent County, from birth to age 

three, have an appropriate EPSDT visit.

2. To track and improve the number of children who received developmental screens 

and referrals through claims data.

Measure: 

1. # children identified needing EPSDT visit sent reminder letter and program materials

Total # of children due or overdue for an EPSDT visit

# of EPSDT claims (July   Nov 2003)

Total # of children due or overdue for an EPSDT visit

2. # of developmental screenings

# of EPSDT visits identified from claims/encounter data

# of referrals

#of screenings

Change:

Molina implemented the following member and provider education strategies to

increase the number of children, from birth to age three, who received EPSDT screen 

ings and appropriate developmental screenings:

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