Provider Update Spring 2019

Health Impact of Immigration Policies on California Children and Families By Kim Baranek, Outreach and Education Specialist

The new research report from Children’s Partnership and the California Immigrant Policy Center sheds light on the health impact of recent Federal immigration policies on California families. Based on interviews with families and providers, their Infographic highlights an increase in anxiety, depression and fear among children in immigrant families. Fear of being reported to immigration authorities has led to an increase in skipping scheduled healthcare appointments and an increase in concerns about enrolling in government programs, including Medi-Cal. The report includes promising programs , such as a parenting group to foster social support and empowerment among immigrant families in San Mateo County. The group is funded by Mental Health Services Act (MHSA). Another report on immigrants' barriers to accessing mental health care by California Pan-Ethnic Health Network (CPEHN) points out that unlike Medi-Cal, MHSA funded programs have no legal restrictions in serving those who are undocumented. Through MHSA, counties can fund culturally and linguistically competent community organizations to offer mental health support to children, youth and families recovering from the trauma of immigrating and/or the multiple stressors of daily life. Alameda County's MHSA funded programs include several offering support for immigrant families, such as: Services for unaccompanied Latino minors through La Familia API Connections through Asian Health Services Reviving Our Youths’ Aspirations through Center for Empowering Refugees and Immigrants See "Resources for Undocumented Patients" below for legal, counseling, and other supports.

March is National Nutrition Month By Mary DeBusman, Nutritionist

National Nutrition Month® 2019 is an annual nutrition education and information campaign created by the Academy of Nutrition and Dietetics. The campaign, celebrated each year during the month of March, focuses on the importance of making informed food choices and developing sound eating and physical activity habits. This year the Academy announced that there is no longer going to be a specific theme – the promotion of nutrition and National Nutrition Month will be its own theme.

Key Messages: 1. Discover the benefits of a healthy eating style. 2. Choose foods and drinks that are good for your health. 3. Include a variety of healthful foods from all of the food groups on a regular basis. 4. Select healthier options when eating away from home. 5. Be mindful of portion sizes. Eat and drink the amount that's right for you, as MyPlate encourages us to do. 6. Keep it simple. Eating right doesn't have to be complicated. 7. Make food safety part of your everyday routine. 8. Help to reduce food waste by considering the foods you have on hand before buying more at the store. 9. Find activities that you enjoy and be physically active most days of the week. 10. Consult the nutrition experts. Registered Dietitian Nutritionists can provide sound, easy-to-follow personalized nutrition advice to meet your lifestyle, preferences and health-related needs.

Some ideas to get your patients and/or staff involved: • Have families commit to trying a new fruit or vegetable each week during March • Encourage families to eat more meals together  • Organize a “Healthy Recipe” contest among employees • Organize a healthy potluck, making sure each of the food groups is represented  For more information and educational materials, visit the Academy of Nutrition and Dietetics website:  http://www.eatright.org/nnm/ For nutrition resources and onsite nutrition-related training for staff, please contact your CHPD Nutritionist, Mary DeBusman, MS, RD at 510-618-2068 or mary.debusman@acgov.org.

Safe Sleep Recommendations for Winter Months

As you have conversations with parents and caregivers about safe infant sleep during the winter months, key messages include the following: Do not put loose bedding, blankets, sheepskins, or fleeces under baby, over baby, or anywhere in baby’s sleep area. Dress the baby appropriately for the environment and do not overbundle. Watch for signs of overheating, such as sweating or the baby’s chest feeling hot to the touch. Ensure the baby’s face and head are uncovered during sleep. Visit NICHD for patient handouts, videos, and more resources. 

The Medi-Cal Dental Program offers comprehensive benefits for covered/eligible pregnant women, children in families with household incomes up to 266 percent of poverty, and more limited benefits to adults who earn up to 138 percent of the federal poverty level. Alameda Co. Member Representative Rebecca Hoffar rhoffar@delta.org 916-861-2641

Alameda Co. Provider Representative Michelle Brucklacher mbrucklacher@delta.org 916-861-2647 Contact Michelle to have materials, such as coloring books, story books, and posters brought to your office!

Don’t Forget the Fluoride Varnish By Lori Trigalet, Nurse Manager

Fluoride Varnish application is a fast and easy way to prevent cavities and reverse white spots. We know that dental health is linked to a child’s overall general health, and tooth decay is almost entirely preventable.  Fluoride varnish in the primary care setting has been a reimbursable preventative dental service since 2006. It is billable for Medi-Cal children ages 0 through 5 years and can be provided in medical offices up to 3 times in a 12 month period.  Although fluoride varnish applications are not a benefit of the CHDP program, fluoride varnish may be applied at the CHDP health assessment visit to children pre-enrolled in CHDP Gateway or children who are already Medi-Cal beneficiaries. In either case, the procedure must be billed separately to Medi-Cal. The Fee-for-Service Medi-Cal reimbursement rate is $18 per fluoride varnish application. Providers are to use CPT code 99188 for billing. CPT Code 99188 is only reimbursable when performed on the same date of service as an office visit or preventive screening visit and should be billed simultaneously with the visit. For Medi-cal Managed Care reimbursement rates please contact the Plan. Currently FQHC’s may not bill for fluoride varnish as a separate procedure.  We encourage continued or new participation in providing this evidence-based practice. CHDP Providers are encouraged to contact our office with questions, or request training on how to start providing this valuable service.

Providers Coming and Going By Karrisa Havlicek, School Health Services Supervisor at TCHC and Mimi Nguyen, Provider Relations Nurse

Coming on Board: Tri-City Health Center (TCHC) School Health Mobile Clinic, a collaboration with the Fremont (FUSD) and Newark (NUSD) unified school districts to extend medical services to students. The mobile clinic stations at various FUSD and NUSD school sites to provide students with medical care near school campus.   The mobile clinic's goal is to minimize student absences and increase positive student health outcomes. The mobile serves the ages of 2 to 24 years old. For anyone outside of that range, staff can schedule an appointment at one of the various TCHC clinics. Equipped with two private exam rooms and a triage area, mobile services include physicals (including sports), immunizations and sick checks. TCHC also incorporates behavioral health services and dental screenings for students. If the mobile isn’t equipped for certain services such as X-rays, TCHC staff can provide referrals and other resources to connect patients to services. More than 60 percent of all students served on the mobile have been referred to a TCHC location for additional medical services.  If students are uninsured, they are offered insurance assistance and enrollment appointments with a member services staff. Students are able to access mobile services regardless of insurance type. Medi-cal is accepted; for privately insured patients there is a $20 cash fee for physical exams and immunizations and a $30 cash fee for sick visits.    More information and the mobile schedule can be found on the TCHC website, tri-cityhealth.org, Facebook and Twitter.

Leaving CHDP: Lifelong Medical Care Thunder Road: An Adolescent Treatment Center, Inc. Thunder Road ‘s mission and goal are to assist youth and their families recovering from the abuse of alcohol, drugs, nicotine and overcoming behavioral health conditions. The treatment center also supports the youth to grow as a healthy, connected and honorable members within our communities.  This program was headed by Dr. Catherine McDonald. Dr. McDonald was very much interested in CHDP and Vaccine For Children Program (VFC). This office became active with CHDP program in 2006 and offered CHDP gateway and services as well as VFC services to the under-served youth.   Currently Dr. Catherine McDonald has retired and the office has no medical staff on site. With this, the office is no longer doing CHDP. We at CHDP program are very pleased to have had Thunder Road as part of CHDP in the past years.

Provider Resources & Training Opportunities

Click the image to register. Event for providers and patients. Contact Kevin or Brandon for postcards, brochures, and/or posters

Trauma 101, Part 2 The Neurobiology of Trauma and Strategies to Support Healing and Building Resilience, sponsored by First 5 | Monday, March 18, 2019, 2PM -3:30PM |Youth Uprising, 8711 MacArthur Blvd, Oakland, CA 94605 |Presenter:Julie Kurtz, LMFT| Register Here The Institute for Healthcare Improvement’s (IHI's) Summit on Improving Patient Care | April 11–13, 2019, in San Francisco, CA National Transgender Health Summit, Center of Excellence for Transgender Health at the University of California San Francisco : April 13-14, 2019| Oakland Marriott City Center Required CHDP In-Office Measuring Height and Weight Training with CHDP Nutritionist Mary DeBusman. Flyer Here. Free Flouride Varnish training for CHDP providers, provided by Alameda County Office of Dental Health (ODH) staff and the Alameda County Integration of Oral Health Into Pediatric Primary Care Work Group. E-mail Mary Collett at mary.collett@acgov.org or call 510-208-5924 to schedule a training at your site. First 5 Alameda County Training Calendar

Events and Resources for Patients & Families

The Safe Surrender program encouraging parents to safely, legally and anonymously surrender a newborn at a hospital or fire station within 72 hours of the birth rather than abandoning them in an unsafe location. To find the nearest Safe Surrender site, call 1-877- 222-9723 (BABYSAF) or 2-1-1. Click on the image to the right to open a poster you can print and hang in your office.

Safe Kids Day | Saturday, May 4th | 10:00 am - 1:00 pm | University Village| 1123 Jackson St., Albany | Flyer in English and Spanish Safe Kids Day, led by Alameda County EMS, brings together public agencies and non-profits throughout Alameda County for a day focused on fun and interactive safety activities, a community health and safety resource fair, a car seat checkup event, a bicycle rodeo, free distribution of bicycle helmets and a bike repair station and more! The entire event is FREE, open to the public and focused on families and children 0-18 years old. WHAT WAY? DAT WAY! Summit for children of an incarcerated parent or youth impacted by incarceration  | Saturday, March 30th | Impact Hub Oakland (2323 Broadway) from 11am - 4pm | Registration Winter Shelter and Warming Stations in Alameda County 2019 EMS Car Seat Fitting Station Calendar in English and Spanish Health Advancement for Pacific Islanders program provides care coordination for pregnant Pacific Islander adults and teens at no cost. The program serves mothers and fathers | Flyer Here Mobile Food Pantry - Free food | First Friday of the Month, 1- 3 pm |San Leandro Adult School 1448 Williams St., San Leandro | Click here for flyer English/Spanish and Chinese . Freshest Cargo mobile farmers market in East Oakland on Sundays The Care, Cope, Connect resource, created by Sesame Street in Communities in collaboration with the First 5 Association of California, helps parents cope with stress and provide safety and security for their children. Download the 10 page booklet: English PDF | Spanish PDF Family Paths 24-Hour Parent Support Hotline: 1-800-829-3777.  Flyer to hang in your office.

Resources for Undocumented Patients   Alameda County has created a rapid response hotline where those facing deportation proceedings can get legal services. You can also report Immigration and Customs Enforcement activity or raids to the hotline: (510) 241-4011. Local Resource Guide for Immigrant and Refugee Services in Alameda County Immigrant Legal Resource Center (ILRC): The Rights of Lawful Permanent Residents NILC - Know Your Rights: Applying for health insurance or seeking health care services Serving Immigrant Rights and Education Network (SIREN) Health PAC - comprehensive healthcare services in Alameda County for people not enrolled in or eligible for full scope Medi-Cal. The Raha Foundation offers counseling and therapies to Muslim Americans in the Bay Area.

The CHDP program is part of the Family Health Services Division of the Alameda County Public Health Department. For questions, please call 510-618-2070. Newsletter Editor: Kim Baranek Contributing Staff: Mary DeBusman, Imelda Castaneda , Lori Trigalet, Mimi Nguyen, Michelle Lessard

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