Agenda - 01-21-1992 - Laserfiche WebLink

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6 2. DESCRIBE YOUR MCC AND CSC PROGRAMS AS THEY CURRENTLY EXIST. Maternity Care Coordination (MCC) Maternity Care Coordination services are provided by two different agencies in-orange County, Orange County Health Department (OCHD) and orange Chatham Comprehensive Health Services (OCCHS). OCCHS, a community health center, has 1.2 FTE MCC's and currently provides MCC services to 100 pregnant women, 75 of which are receiving medicaid. In CY 1990 OCCHS had 186 prenatal clients, 170 of which were from orange county. oCCHS provides care coordination for all of their prenatal clients regardless of medicaid eligibility. After extreme difficulties in obtaining qualified staff for the MCC program, OCHD was able to reestablish MCC services for prenatal clinic clients at its Hillsborough clinic and to offer, for the first time, MCC services to Medicaid eligible Orange County residents receiving prenatal care at the University of North Carolina Hospitals, prenatal clinic. Services were begun in both locations in September 1991. OCHD has 1.5 FTE MCC's, and caseloads are 35 in Hillsborough and 35 at UNC Hospitals at this time. OCHD provided prenatal care to 165 new prenatal clients in FY 90 -91, the majority of which were medicaid eligible. it is projected that there are 120 medicaid eligible orange county residents receiving prenatal care at UNC Hospitals. OCHD, OCCHS and UNc Hospitals are the only medical providers in orange County who provide prenatal care to medicaid recipients. with the availability of MCC services at all three prenatal care sites, a local health department, a community health center, and a tertiary care center, the goal is to enroll all medicaid eligible pregnant women into Maternity Care Coordination services. (There were 269 medicaid births in FY 90 -91 in orange County.) The MCCS employed by both OCCHS and OCHD are master's degree level social workers. The MCC's at OCCHS provide care coordination to all their prenatal clients and OCHD is currently targeting all medicaid eligible women. The MCC's at both OCCHS and OCHD are part of a multidisciplinary team whose services are integrated into clients' clinic visits. The MCCs at both locations work closely with the Child service coordination (csc) Program, often identi- fying and initiating csc referrals on eligible infants prior to delivery. Child Service Coordination. (CSC) OCHD is the local coordinative agency for CSC Services in orange County and is a direct provider of CSC. There are 7 nursing positions and 1 social war}: position that allocate time to the CSC broaram. In FY 90 -91 OCHD served 131 clients through the CSC Program and the OCHD is currently serving 110 clients. The CSC Program receives referrals from area hospitals (primarily UNC 2