2021 Multidisciplinary Clinic Directory
Total Page：16
File Type：pdf, Size：1020Kb
Special Health Services 2021 Multidisciplinary Clinic Directory Table of Contents Special Health Services General Information ……………………………………………………………………………………..2-3 Programs for Children with Cardiac Conditions ………………...………………………………………………………………4-6 Special Health Services / Cleft Lip and Palate Clinic ………….…………………………………………………………….…….7 Financial Coverage Program ……………….……………………………………………………………………………………….…..8-10 2021 Clinic Overview …………….………………………………………………………………………………………………..…...…11-12 Multidisciplinary Clinics ………………………………………………………………………………………………………………....13-24 North Dakota Pediatric Specialists ……………………………………………………………………………………..………....25-30 North Dakota Pediatric Dentists ………………………………..………………………………………………………………......……31 North Dakota Audiologists ……………………………………………………………………………………………...…..………..32-33 Multidisciplinary clinics sponsored or supported by Special Health Services (SHS) are intended to provide access to pediatric specialty care and enable families to see many different medical providers and health care professionals in one place at one time. Families that attend the clinics are provided with: • Information, education, and reassurance • Diagnostic evaluation and/or treatment • Coordinated, comprehensive care • Follow-up and monitoring • Access to specialty medical care Please note that some of the clinics listed in this booklet are self-identified multidisciplinary clinics and may not be run in the same manner as those supported or sponsored by SHS. The listing of pediatric specialists in this booklet is obtained from other specialty agencies and does not guarantee acceptance of SHS enrolled clients. 1 Division of Special Health Services Mission The mission of the Division of Special Health Services (SHS) is to promote a system of care and services that improves the health and well-being of individuals with special health care needs and their families. Cross-cutting implementation strategies at the heart of all SHS programs include: • Care coordination • Collaboration • Data-informed decisions • Information and education Programs and Services COORDINATED SERVICES PROGRAM Provides services and resources that support coordinated management of specific chronic health conditions. Services include: • Metabolic Food – Provides formula and low-protein modified food products for individuals with Phenylketonuria (PKU) and Maple Syrup Urine Disease (MSUD). • Multidisciplinary Clinics – Services that provide access to pediatric specialty care and enable families to see many different medical providers and health care professionals in one place at one time. The seven types of clinics available through SHS include: o Asthma o Autism o Cleft Lip/Palate o Developmental Evaluation o Metabolic Disorders o Myelodysplasia o Neurodevelopmental Coordinated Care • Cardiac Care for Children – Provides an initial examination by a participating pediatric cardiologist, routine tests for children with cardiac conditions, and linkage and referral services. • School Nurse Consultation – Supports school nursing initiatives and promotes the connection between health and academic achievement by ensuring nursing care is safely and effectively delivered to schools, particularly in rural communities. 2 FINANCIAL SERVICES PROGRAM Helps families pay for medical services for eligible children, youth, and young adults who require specialty care to diagnose and treat their chronic health conditions. Services include: • Diagnostic Testing and Evaluation – Provides coverage for services that promote early diagnosis of SHS-eligible medical conditions. • Treatment – Provides coverage for services to children with chronic health conditions who meet medical and financial eligibility criteria. • Russell Silver Syndrome – Provides coverage for growth hormone treatment and medical food. NEWBORN SCREENING AND FOLLOW-UP PROGRAM The goal of this program is to identify conditions at an early age when treatment and intervention can prevent health problems, support early development, and save lives. Newborn screening consists of three simple tests: • Blood Spot – Includes laboratory screening tests and follow-up services for nearly 50 genetic/metabolic conditions to identify infants that may be at risk for disorders included in the testing panel. • Hearing – Screening tests using specialized equipment to identify newborn infants who are deaf or hard of hearing so appropriate intervention services can be started as soon as possible. • Critical Congenital Heart Disease – Screening that checks newborns oxygen levels to help identify serious heart defects. CHILDREN WITH SPECIAL HEALTH CARE NEEDS SYSTEM ENHANCEMENT PROGRAM Improves health outcomes of children with special health care needs (CSHCN) by advancing a quality, comprehensive system of care that promotes the healthy development and well-being of children and their families. Six core outcomes that describe the system of services for CSHCN include: • Family Professional Partnership • Medical Home • Adequate Health Insurance • Early and Continuous Screening and Surveillance • Easy to Use Services and Supports • Transition to Adult Health Care 3 Programs for Children with Cardiac Conditions Cardiac Care for Children Program Provides an initial examination by a board-certified pediatric cardiologist and routine tests for children with cardiac conditions. Clinic locations include Bismarck, Fargo, Grand Forks, and Minot. The program ensures comprehensive and coordinated care through linkage and referral to other services and programs, and through care coordination as needed. Any child, birth to twenty-one years of age, who lives in North Dakota, may participate in this program. Third party payers, such as private insurance and Medicaid, are billed when available. The Cardiac Care for Children program covers an initial examination by a board-certified pediatric cardiologist and routine tests to support the cardiac assessment, such as: • Chest X-Ray • Electrocardiogram (EKG) • Echocardiogram (echo) • Select Laboratory Tests (CBC, Liver Function, Lipid Profile, Electrolytes, Iron Testing) If an echo or EKG is completed within 45 days of the initial cardiac office visit, and was ordered by the pediatric cardiologist, this can be billed under the Cardiac Care for Children program as part of the initial visit. If more extensive diagnostic services or treatments are needed, contact SHS to discuss the Financial Coverage program. This two-part program provides further coverage for diagnostic and treatment services. See below for further information. It is preferred that children be screened by their primary care physician (PCP) before being referred. Medicaid and some insurance plans require a referral from the child’s PCP. 4 Appointment Site: For Appointment Call: BISMARCK Sanford Children’s Cardiology Clinic 701-323-8011 or 900-932-8758 756 West Interstate Avenue ext. 8011 Bismarck, ND 58501 CHI St. Alexius Heart & Lung Clinic 701-530-7500 310 North 10th Street Bismarck, ND 58501 FARGO Sanford Children’s Clinic 701-234-2568 or 800-437-4010 737 Broadway North ext. 2568 Fargo, ND 58103 Essentia Health 701-364-8900 3000 32nd Avenue South Fargo, ND 58103 GRAND FORKS Altru Health System, Pediatrics 701-780-6110 or 800-342-4286 1000 South Columbia Road ext. 6110 Grand Forks, ND 58201 MINOT Sanford Clinic 701-234-2568 or 800-437-4010 801 21st Avenue SE ext. 2568 Minot, ND 58702 5 Diagnostic Testing and Evaluation Program To confirm or rule out a diagnosis, this program pays for more extensive cardiac tests in addition to the above service. An application through the State Office is necessary. No financial eligibility is required. Third party payers such as, private insurance and Medicaid, are billed when available. Covered tests may include: • Diagnostic Heart Catheterization • Ambulatory Electrocardiogram Monitoring (Holter Monitor) • Stress Test Treatment Program Payment for treatment of cardiac conditions for children is available for families who meet financial eligibility guidelines. An application through the State Office is necessary. Third party payers, such as private insurance and Medicaid, are billed when available. Covered services may include: • Periodic Electronic Monitoring of Cardiac Pacemaker • Surgery Cardiologist Office Visits • Hospitalization • Medication • Laboratory Tests (INR) For more information, call SHS at 701-328-2436 or toll-free at 800-755-2714. You may also visit their website at https://www.health.nd.gov/Youth/special-health-services 6 Cleft Lip and Palate Clinic For many children with cleft lip and palate, evaluation by an experienced team of professionals is necessary for an accurate diagnosis and optimal treatment planning. Families are an essential partner to the team as they are the principle caregiver and the center of strength and support for the child. To access resources that provide guidelines for the care of children with cleft lip and palate, visit: https://www.health.nd.gov/sites/www/files/documents/Files/HSC/SHS/Booklets/Cleft_Resource_Bookl et.pdf. Cleft Lip and Palate Clinics SHS provides cleft lip and palate clinics in Bismarck, Fargo, Grand Forks, and Minot. Cleft lip and palate clinics supported by SHS provide multidisciplinary team evaluations where families have an opportunity to see many different providers in one place at one time. Reports generated from the clinic visit include recommendations to help direct care for the coming year. All children who might benefit are eligible to attend with no direct cost to the family. More information can be found at: https://www.health.nd.gov/pediatric-specialty-clinics.