It is also rooted in studies that demonstrate the effectiveness of such visits to at-risk families. To be considered eligible, the family must have certain characterstics and the child must be at risk for unnecessary and avoidable medical interventions. In addition, if case management services are being provided for the child through another program the family may not be eligible for 1-5. While the Vermont Department of Health coordinates this program, there must be a referral from the primary care provider, and direct serve is provided by RNs or masters level social workers employed by the area home health agency. Case management intervention is required to help families identify illness, use health care systems effectively and appropriately, and to provide stimulation for their children s development.
Family is homeless or living in unstable or unsafe housing.
Covered visits include assessment, case planning, parent education, referral to and arranging for the provision of needed medical and non-medical services, service coordination, and counseling of caregivers. With a primary care provider referral and Vermont Department of Health approval a child may receive up to 20 visits. The home health agency assesses the family and writes an appropriate plan of care. The Vermont Department of Health then ensures that the child s plan of care is implemented and determines with the home health agency, the rpimary care provider, and the family the progress toward meeting identified outcomes. After twenty visits, the Vermont Department of Health 1-5 program coordinator convenes a case review.