Letter to CMS - Medicaid Managed Care Policies - Agency for ...

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local WIC office to provide:
Agency For Health Care Administration
Managed Care Organizations
Newborn Requirements
CONTRACT SECTION V.H.15
REQUIREMENTS FOR NEWBORN REVIEWS
Required Components File #1 File #2 File #3 File #4 File #5
a. The current height or length and weight (taken within sixty
[60] calendar days of the WIC appointment);
b. Hemoglobin or hematocrit.
Y N N/A Y N N/A Y N N/A Y N N/A Y N N/A
Y N N/A Y N N/A Y N N/A Y N N/A Y N N/A
c. Any identified medical/nutritional problems
Y
from the most recent CHCUP.
N N/A Y N N/A Y N N/A Y N N/A Y N N/A
Each time the provider completed a WIC referral form, the provider
gave a copy of the form to the enrollee and kept a copy in the
enrollee's medical record.
Infants born to HBsAg-positive enrollees completed the Hepatitis B
Y N N/A Y N N/A Y N N/A Y N N/A Y N N/A
vaccine series according to the vaccine schedule established by the
Recommended Childhood Immunization Schedule for the United
States.
The provider tested infants born to HBsAg-positive enrollees for
Y N N/A Y N N/A Y N N/A Y N N/A Y N N/A
HBsAg and Hepatitis B surface antibodies (anti-HBs) six (6) months
after the completion of the vaccine series to monitor the success or
failure of the therapy.
Reported to the local CHD a positive HBsAg result in any child age
Y N N/A Y N N/A Y N N/A Y N N/A Y N N/A
24 months or less within twenty-four (24) hours of receipt of the
positive test results.
Y N N/A Y N N/A Y N N/A Y N N/A Y N N/A
Infants born to enrollees who were HBsAg-positive were referred to
Healthy Start regardless of their Healthy Start screening score.
Y N N/A Y N N/A Y N N/A Y N N/A Y N N/A
Managed Care Organizations Page 2
Newborn Review Tool F1_07_11
Florida Medicaid