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Where mission
and heart meet behavioral health, from the very start. |
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Welcome to the December 2024 issue of Prenatal - 5: Grow & Thrive - HCA’s monthly newsletter about our behavioral health work in the early years of life. We hope that this newsletter helps build shared awareness of HCA’s efforts in this area and provides a centralized place to stay up to date on what’s new and happening. |
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The survey will help HCA to develop behavioral health comparison payment rates, which will provide transparent benchmarks for Medicaid-funded behavioral health services. Providers who deliver services under Section 13d Rehabilitative Services of Washington’s Medicaid State Plan should complete the survey.
These providers include:
- Mental health and substance use disorder outpatient and inpatient provider
- WISE providers
- PACT providers
- New Journeys providers
While this survey is not specific to behavioral health services for the prenatal – five population, your participation is important. This survey will inform HCA's minimum fee schedule for certain services in CY 2026. Survey responses are due January 10, 2025.
Additional questions? Please email AppleHealth.Info@Milliman.com.
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The MHAYC Provider Spotlight series supports providers implement MHAYC at their organizations. Each spotlight will focus on different part of MHAYC process and highlight organizations using it.
January 23, 2025 | 11 a.m. to noon: In this session, providers will share about screening tools they use as part of the assessment process, as well as how they work with other providers, like pediatricians and early childhood educators, to facilitate referrals and gather collateral information
Want to learn more? Visit HCA’s IECMH webpage to view recordings and slides from past Spotlights, including our October spotlight on Structuring Assessment Sessions and Cultural Considerations.
January 23, 2025 | Noon – 1 p.m.: Attended a DC:0-5 Clinical Training, but still have questions? DC:0-5 trainers host regular office hours to answer questions and provide technical assistance around the use of the DC:0-5, for mental health providers who have participated in a DC:0-5 Clinical Training. Registration is not required.
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In Washington state, between about newborns per 1000 births are affected by substance exposure, and this rate has been increasing over time.
For many of these newborns, non-pharmacologic, supportive care is considered a best practice. This model, also commonly known as Eat-Sleep-Console, is centered around core infant functions, including how well an infant can eat, sleep, and be consoled. It prioritizes increased family presence and holding, swaddling, and rocking in low-stimulus environments as first-line treatment. In other words, “the parent is the best medicine”. Research has shown that the “Eat, Sleep, Console” model reduces hospital stays and the need for medication among opioid-exposed infants (Devlin et al., 2024; Young et al., 2023).
To support hospitals in implementing the Eat-Sleep-Console model, Apple Health (Medicaid) began covering a Newborn Administrative Day Rate or NADR in October 2022. The NADR is a daily rate paid to hospitals to allow eligible birth parents, who would normally be discharged from the hospital, to stay with their baby and provide continuous, supportive care. Birth parents also receive medication for opiate use disorder (MOUD) and may receive other supportive services like lactation counselling, nursing assessments, and discharge planning.
Not all birth parents are able to participate in the Eat-Sleep-Console model. Birth parents with withdrawal and stabilization needs may face barriers in providing continuous care to their infant in the early days post-birth. Fentanyl and polysubstance use can complicate withdrawal, stabilization, and recovery for many individuals, and so care plans must be individualized for both newborns and birth parents to support the best dyadic outcomes.
The Washington State Hospital Association has developed several resources about the Newborn Administrative Day Rate, including FAQs, sample hospital policy documents and guidelines, and webinars. To learn more, visit their Perinatal Substance Use Disorder Learning Collaborative webpage, and scroll down to ‘Newborn with Intrauterine Opioid Exposure.’
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You can find earlier editions of this newsletter on our IECMH webpage, under IECMH updates.
Prenatal – 5: Grow & Thrive is also 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.
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Did someone forward you this email? Subscribe to get the Prenatal – 5: Grow and Thrive e-newsletter each month.
If you have any questions about this newsletter, please email us.
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