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Molina Healthcare of Michigan
sheets are mailed at least 30 days prior to the recommended EPSDT visit for children
from birth to 18 months, and every 60 days to children age 20 to 36 months who are
due/overdue. In March 2004, the program was extended to include four , five , and
six year olds, bringing the total number of children enrolled to more than 23,000.
These age groups were added because Molina s HEDIS scores for well child visits for
children, ages four, five, and six, have been below the NCQA 75th percentile.
Although many members appreciated receiving the board books in the initial pilot,
Molina found that it was not an effective incentive to encourage parents who were
overdue in scheduling well child visits. As a result, Molina will pilot an incentive of a
$10 gift certificate to encourage members whose children are overdue for EPSDT visits
and who already have received two reminders to schedule well child exams.
Molina Healthcare of Michigan also is extending the use of the BCAP Quality
Framework to other quality improvement initiatives. The plan will apply BCAP to
design and measure the results of a statewide lead screening program and also is
planning to use the BCAP approach for mammography reminders and cervical cancer
screen reminders.
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