Public Health Home Visiting Overview
Montana state general funds support local tribal and county public health departments to provide home visiting services to high-risk pregnant women, their infants, and infants identified at risk for special health care needs. These services are part of the comprehensive Montana efforts to improve maternal child health status. Federal funding is available in SFY2013-14 to transition the existing sites to evidence based models of home visiting.
PHHV Services Eligibility
In 2009, in Montana, there were 12,280 births. For additional information about Natality in Montana see information from the Epidemiology and Scientific Support section pages 13-17.
- Are age 17 or younger
- Have medical factors, including mental illness or depression, which indicate the potential for a poor pregnancy outcome
- Abuse alcohol, tobacco or drugs
- Currently are in an abusive relationship
- Are homeless or have had multiple residences (>3 during pregnancy)
- Demonstrate an inability to obtain necessary resources and services and meet 3 of the following criteria. The woman:
- Has a history of physical or sexual abuse
- Lacks a support system
- Is not educated beyond 12th grade or does not have a GED
- Has a physical or developmental disability
- Has had no prenatal care before or during the first 20 weeks of gestation
- Has not had a dental cleaning in the past year
- Is age 18 or 19
- Is age 35 or over
- Has limited English proficiency
- Is a migrant worker or has refugee status
- Is age birth through 12 months
- Is diagnosed with special health care needs as designated by qualified
- ICD9 CM code and/or confirmed in-utero exposure to alcohol
- Is at increased risk for chronic physical, developmental, behavioral, or emotional conditions
- Is less than one year of age and was born to a woman who received public health home visiting services
In 2009, Montana Code Annotated (MCA) 50-16-103-104 was updated and creation of statute 50-16-103-104 entitled “Information on shaken baby syndrome-program” occurred. MCA 50-16-103-104 directs “service providers under the MIAMI project” to give a copy of specific information about shaken baby syndrome to a child’s parent during PHHV visits. Copies of the material to be given to parents can be ordered by contacting Robin Suzor at rsuzor@mt.gov and requesting the number of “Crying” handouts you anticipate needing.
PHHV sites record information which fulfills contract reporting requirements by entering data for each client into the Health District Information System (HDIS) software as developed by CHC of Ohio. In order to enter the data in a consistent manner, all persons entering data into HDIS should consult the
PHHV Data Dictionary. If you print the Data dictionary, it is important to print it in color so you will see which fields are discussed in red print. These are the fields which must be accurately reported to the Department of Health and Human Services PHHV program.
Public Health Home Visiting Logic Model
In 2009 a collaborative effort between local and state Public Health Home Visiting Programs concluded. During the effort, a Logic Model was developed.
Public Health Home Visiting Program Targeted Case Management
The Consolidated Omnibus Budget Reconciliation Act of 1985 (Public Law 99-272) authorizes case management services for certain recipients of Montana Medicaid. Those target groups include:
- High Risk Pregnant Women
- Adults with severe and disabling mental illness
- Youths with severe emotional disturbance
- Individuals age 16 or over with developmental disabilities
- Children with special health care needs, and
- Children at risk for abuse and neglect
Administrative Rules of Montana for Targeted Case Management
Administrative Rules of Montana for:
Case Management Services for Children with Special Health Care Needs
