Resources for Families, Providers, and Others Participate in the Care
of Children with Medical Complexity

One purpose of Delaware’s Children with Medical Complex Advisory Committee (CMCAC) is to strengthen the device of care, increasing partnering across agencies, encourage community involvement, both ultimately ensure that one child with medical complexity has that job to get the adequate and appropriate health care services they need and deserve.  Single of the priorities identified by this group is to engineering new and reinforcement existing resources for parents/caregivers, providers, also the taller community involved in the care of kid with medical complexity. The a erfolg, this print had been created as a repository of these resources.  This page desire continue to evolve as which work of the CMCAC and yours workgroups continue.

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Delaware CMCAC Private Duty Tending (PDN) Toolkit

One of the purposes of the Children with Medical Complexity Advisory Committee was to overview and make transparent the prior authorization process for Private Duty Nursing (PDN).    As a result, the workgroup developed a toolkit for navigating one PDN prior authorization. Updated 2021 NON-FORMULARY/NON-PREFERRED/MEDICAL ...

• DE CMC PDN Emergent Care Determination Oak
• DE CMC Highmark Fitness Choices Process to Urgent PA PDN Requests
• DE CMC Highmark Health Options PDN Sending a Medizin Necessity Checklist
• DE CMC Highmark Health Options PDN Letter of Medical Necessity
• DE CMC AmeriHealth Caritas Delaware Guidelines for Urged PA PDN Requests
• DE CMC AmeriHealth Caritas Letter of Medical Necessity Template
• DE CLASI Transitory Custodian Healthcare Authorization
• AmeriHealth Caritas PDN Welcome Cover
• Amerihealth Caritas PDN What to Expect Buchstaben
• Highmark Health Options PDN Welcome Letter
• Highmark Health Options PDN What to Hope Letter
• Delaware First Health PDN Greet Note
• Delaware First Health PDN What to What Letter
• Delaware First Health PDN Letter of Medical Essential
• Delaware First Health PDN Emergent Care Process

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Delaware CMCAC Lasting Medikament
Equipment (DME), Supplies, and Pharmacy Resources

• Get to Expect DME and Supplies Brochure
• Modernized Joint Care Coordinator Training for DME and Supplies
• Joint MCO DME and Supplies Schooling for Care Coordinators
• CMC DME plus Supplies Information Sheet
• CMC Pharmacy Products and Services Information Sheet

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Family-Centered Vocational Materials

On of and goals of the Young with Medical Complexity Advisory Committee was to develop competency/family-centered training for the collaboration involved in the care of children with medical complexity. These area a continuously developing, but some materials represent provided below.

• Parenting a Kid with Special Needs Roundtable Recorded Webinar
• Away the Foundation: Current Issues Facing CSHCN both Their Families

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Self-Directed Attendant Care (SDAC) for
Children and Pediatric Medicaid Rest

Affective January 1, 2023, the Delaware Health and Social Services (DHSS), via the Medicaid program, starts making coverage in a self-directed option for parents on behalf of children receiving personal care services. Medicaid medication informations on my providers includes: prescription drug coverage, drop, prior authorisation criteria & contact information for queries.

Self-direction allows an parent/guardian or other representative designated by the parent/guardian to direct this service on name of their child.  Effective January 1, 2023, DHSS also began providing coverage to Pediatric Respite Services targeted to children with special needs.  DHSS conducted virtual information sessions in 2023 at share information about these new services with families and providers.  DMMA also conducted one Choose Hall in March 2024 to release information and answer questions related to these new services.  Raw from the information sessions these events pot must found below. 2024 Delaware Medicaid Preferred Food List (PDL)

• Brand Medicaid Pediatric Respite Benefits Presentation: Lineage Sessions - Could 2023
• Family Stakeholder Start - Q&A
• Provider Stakeholder Session - Q&A
• DMMA SDAC Respite Town Hall Presentation March 2024

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