Prenatal - 5 Grow & thrive | January 2024

Washington State Health Care Authority sent this bulletin at 01/30/2024 09:05 AM PST

Where mission
and heart meet behavioral health, from the very start.

January, 2024

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Welcome to the January 2024 issue of Prenatal - 5: Grow & Thrive - Health Care Authority's (HCA) monthly newsletter about our behavioral health work in the early years of life.

We welcome you to keep reading to find out more of what’s happening in the P-5 behavioral health world, including updates to the DC:0-5 Crosswalk and Infant-Early Childhood Mental Health (IECMH) Toolkit, a survey about mental health screening in preconception health care, and a special Spotlight on perinatal mental health screening. If you’ve missed earlier editions of this newsletter, you can find them on our IECMH webpage, under IECMH updates.

Note: Prenatal – 5: Grow & Thrive is a spin-off newsletter of HCA’s Prenatal – 25: Thrive newsletter, which focuses on behavioral health for the entire age span of pregnancy to early adulthood. If you missed it, check out the most recent edition of the P-25 Thrive newsletter.

Announcements

2024 Apple Health DC:0-5 Crosswalk published

The 2024 Community-Informed Apple Health DC:0-5™ Crosswalk became effective January 1, 2024. Updates to the 2024 crosswalk include

Additional DSM-5 and ICD-10 codes for Other Mood Disorder of Early Childhood, Posttraumatic Stress Disorder, and Relationship Specific Disorder of Infancy/ Early Childhood, to align with 2024 ICD-10 codes and best clinical practice.
Addition of a downloadable tabular version of the crosswalk to support electronic health record configuration, in response to feedback from providers.

Start using the 2024 crosswalk today!

Updated Apple Health IECMH Service Models Toolkit released

An updated version of the Apple Health Service Models IECMH toolkit is now available. The toolkit is intended to support those interested in receiving reimbursement for Apple Health infant-early childhood mental health services, and the latest update describes foundational components of IECMH treatment services, highlighting best practices for providers and agencies.

Check out the updated toolkit

Survey on mental health screenings within sexual and reproductive health visits

Providers who offer sexual and reproductive health services/family planning services are invited to complete a survey about how they currently support mental health screening in preconception health care. This survey will aid the Health Care Authority’s understanding of provider interest and capacity to better support potential changes to reimbursement in the Family Planning Only (FPO) policy and program.

Want to learn more about the intent of the project and take the survey in real-time? Learn more about the FPO Survey Presentation on January 30th in the Events section below!

Take the survey

Changes to the WISe CANS B-5

Are you a WISe provider? Starting January 1, WISe providers conducting the CANS (Child & Adolescent Strengths and Needs) for a child younger than six must use the CANS Ages Birth - 5. Previously, WISe providers had the option to use either the CANS Birth – 5 or the CANS 6-21 for children who were five years of age. These changes have gone into effect in BHAS (Behavioral Health Assessment Solution), the data entry platform for the CANS.

To learn more about this change and other BHAS updates, view a recording of the 2024 BHAS Updates webinar on The Bridge, or reach out to Paul Davis.

Events

Professional development on mental health assessment for young children

Still haven’t attended a DC:0-5 training or have new staff that need DC:0-5 training? Attended a DC:0-5 training and want to learn more? The following professional development opportunities are provided at no-cost by the IECMH-WC, and they are open to providers who serve children and families enrolled in Apple Health.

DC:0-5 Clinical Training Office Hour: February 26, 12 to 1 p.m. (virtual) | During Office Hours, DC:0-5 trainers are available to answer questions around the use of the DC:0-5 for those who have attended DC:0-5 Clinical Training. This Office Hour will be facilitated by Haruko Watanabe, MA, LMHC, IMH-E.

Register for the February Office Hour

DC: 0 – 5 Clinical Training: March 4-6, 9 a.m. to 1 p.m. each day (virtual) | This training is designed to support mental health professionals in developing in-depth knowledge of the approach and content of DC:0-5. This training will be facilitated by Nucha Isarowong, PhD, LICSW, IMH-E and Haruko Watanabe, MA, LMHC, IMH-E. Can’t attend on these dates? See below for another opportunity to attend DC:0-5 Clinical Training in March!

Register for the March 4-6 training

DC: 0 – 5 Clinical Training: March 26-28, 9 a.m. to 1 p.m. each day (virtual) | This training is designed to support mental health professionals in developing in-depth knowledge of the approach and content of DC:0-5. This training will be facilitated by Kathryn McCormick, MA, LMFT, CMHS, EMMHS and Meyleen Velasquez, DSW, LICSW, RPT-S, PMH-C.

Register for the March 26-28 training

Family Planning Only (FPO) Preconception Mental Health Screening Survey Presentation

January 30, Noon to 12:45 p.m. (virtual) | Join Jillian King (Doctor of Nursing Practice intern), Andrea Estes, and Beth Tinker to learn about the intent of Family Planning Only survey project (see more in Announcements above) and take the survey in real-time.

Join Teams meeting (no registration required)

Spotlight on Perinatal Mental Health Screening

Did you know that 1 in 5 new parents experience a mental health related issue during the perinatal period (pregnancy through the year after birth or the end of a pregnancy)? By screening at various times, providers can support patients in identifying any possible onset of mental health conditions, during pregnancy and after birth. It is important for providers to understand and identify risk factors of perinatal mental health needs and the screening resources available to support access to appropriate resources.

Professional organizations, like the American College of Obstetricians and Gynecologists (ACOG) and the American Academy of Pediatrics , encourage the administration of screening at the following health visits:

The first obstetric visit
At 24-28 weeks during pregnancy
At the 4th trimester visit
At all pediatric well child visits during the first year postpartum

There are several frequently used screening tools that are available for medical, support workers and behavioral health professionals to utilize:

Edinburgh screening tool (EPDS) used for identifying anxiety, depression, and suicidality.
Patient Health Questionnaire–9 (PHQ-9) used for identifying depression.
General Anxiety Disorder 7 Screen (GAD-7) used for anxiety.

Health Care Authority (HCA) pays for screening to all clients enrolled in Apple Health (Medicaid), including those participating in managed care. Any positive screening can be referred to mental health services. Mental health services are available to members during pregnancy and also through the 12 months post end of pregnancy through After Pregnancy Coverage (ACP)..

Provider screening for symptoms is important during the perinatal period. Screening can identify mental health needs early, resulting in recovery and positive perinatal outcomes. Resources are readily available and easily accessible making screening a valuable addition to care for the perinatal population.

To learn more about screening tools and providers specializing in perinatal therapy and support services visit:

Postpartum Support International or Perinatal support Washington.

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Learn more by visiting the IECMH webpage for recent project updates.

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If you have any questions about this newsletter, please email us.

Contact

About the Health Care Authority (HCA)

The Washington State Health Care Authority (HCA) is committed to whole-person care, integrating physical health and behavioral health services for better results and healthier residents.

HCA purchases health care for more than 2.5 million Washington residents through Apple Health (Medicaid), the Public Employees Benefits Board (PEBB) Program, the School Employees Benefits Board (SEBB) Program, and the COFA Islander Health Care Program. As the largest health care purchaser in the state, we lead the effort to transform health care, helping ensure Washington residents have access to better health and better care at a lower cost.

Please do not reply directly to this message. For more information, visit the HCA website, where you'll also find contact information.

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The Washington State Health Care Authority (HCA) complies with all applicable federal and Washington state civil rights laws and is committed to providing equal access to our services. Visit HCA’s website to view complete nondiscrimination statements.