The
services available under the CHV pilot program are described below:
(1)
Prenatal home visits: the
benefit package includes the following services for eligible pregnant
individuals during their pregnancy:
(a)
monitoring for high blood pressure or other complications of pregnancy (only
covered under the NFP model);
(b)
diet and nutritional education;
(c)
stress management;
(d) sexually
transmitted disease (STD) prevention education;
(e) tobacco use screening and cessation
education;
(f) alcohol and other
substance misuse screening and counseling;
(g) depression screening; and
(h) domestic and intimate partner violence
screening and education.
(2)
Postpartum home visits: the
benefit package includes the following services that may be delivered as part
of a postpartum home visit, when provided during the 12-month postpartum period
to an eligible member:
(a) diet and
nutritional education;
(b) stress
management;
(c) sexually
transmitted disease (STD) prevention education;
(d) tobacco use screening and cessation
education;
(e) alcohol use and
other substance misuse screening and counseling;
(f) depression screening;
(g) domestic and intimate partner violence
screening and education;
(h)
breastfeeding support and education. Members may be referred to a lactation
specialist, but lactation consultant services are not covered as a home
visiting service;
(i) guidance and
education regarding wellness visits to obtain recommended preventive
services;
(j) medical assessment of
the postpartum mother and infant (only covered under the NFP model);
(k) maternal-infant safety assessment and
education, such as safe sleep education for sudden infant death syndrome (SIDS)
prevention;
(l) counseling
regarding postpartum recovery, family planning, and needs of a
newborn;
(m) assistance to the
family in establishing a primary source of care and a primary care provider,
including help ensuring that the mother/infant has a postpartum/newborn visit
scheduled; and
(n) parenting skills
and confidence building.
(3)
Infant and children home
visits: the benefit package includes the following services that may be
delivered to newborn infants born to CHV Pilot Project members until the child
reaches two years of age for NFP and five years of age or kindergarten entry
for PAT, as part of an infant home visit:
(a)
breastfeeding support and education. Members may be referred to a lactation
specialist, but lactation consultant services are not covered as a home
visiting service;
(b) child
developmental screening at major developmental milestones from birth to age two
for NFP according to the model standard practice, and age five or kindergarten
entry for PAT; and
(c) parenting
skills and confidence building.