N.M. Admin. Code § 8.308.9.23

Current through Register Vol. 35, No. 20, October 22, 2024

Section 8.308.9.23 - CENTENNIAL HOME VISITING (CHV) PILOT PROGRAM SERVICES

Beginning January 1, 2019, the benefit is available to approximately 300 eligible pregnant medicaid managed care enrolled members and their children who reside in Bernalillo County (other HSD-designated counties may be included at a later time and with a distinct enrollment limit) in accordance with the program standard. The MCO shall contract with agencies operating in the HSD-designated counties that provide services that are in alignment with one of the two following evidence-based early childhood home visiting delivery models:

A.Nurse Family Partnership (NFP): The services to be delivered under the NFP national program standards are for first-time parents only. In Bernalillo County, the program is anticipated to serve up to 132 families by the end of the first year of implementation using one NFP team and to approximately 240 eligible members (annual average at full implementation) thereafter using two NFP teams. The number of families served will be determined based on the number of active NFP teams in any program year. HSD may expand this program to other counties at HSD's discretion dependent upon provider capacity. The NFP services will be suspended once the child reaches two years of age.

B.Parents as Teachers (PAT): The PAT evidence-based program services will adhere to the national model and curriculum and serve approximately 60 families (annual average at full implementation) in Bernalillo County. Services will begin during pregnancy and may continue until the child reaches five years of age or kindergarten entry. HSD may expand this program to other counties at HSD's discretion dependent upon provider capacity. The number of families served in other counties will be determined based on the number of active PAT teams in the program year. The MCO may propose other evidence-based early childhood home visiting delivery models with similar services in lieu of the PAT model if available in the HSD-designated service areas.

C.Description of Services: 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.

N.M. Admin. Code § 8.308.9.23

8.308.9.23 NMAC - N, 1-1-14, Adopted by New Mexico Register, Volume XXIX, Issue 08, April 24, 2018, eff. 5/1/2018, Amended by New Mexico Register, Volume XXIX, Issue 23, December 11, 2018, eff. 1/1/2019, Amended by New Mexico Register, Volume XXXIII, Issue 07, April 5, 2022, eff. 4/5/2022