South Carolina MIECHV Aligns Sustainability and Systems Integration with One Another
The Childrens Trust of South Carolina is South Carolinas Maternal, Infant, and Early Childhood Home Visiting (MIECHV) grantee.
They are a state legislated public/private nonprofit committed to prevention that provides financial support and technical assistance, and conducts research to enhance the health and well-being of children in the state. South Carolina MIECHV makes multiple home visiting models available to families based on their needs and characteristics. In order to support infrastructure efforts, the Childrens Trust partnered with the South Carolina Early Childhood Comprehensive Systems (ECCS) initiative.
Together, ECCS and MIECHV identified three strategies for collaborative efforts:
- Increasing the integration of home visitation, behavioral health, and other interventions into medical homes;
- Workforce development partnerships targeting improved service to underserved populations; and
- Targeting increased social-emotional competencies across disciplines, including home visitation.
Aligning sustainability with systems integration ensures that MIECHV services can be sustained long-term, even if federal funding were to no longer be available. As a result, South Carolina MIECHV developed three sustainability strategies: 1. Pay-for-Success (or Social Impact Bonds); 2. Medicaid Reimbursement; and 3. Pediatric Medical Homes. Pay-for-Success finances programs to scale in order to expand home visiting services to at-risk families in the Medicaid program. Medicaid Reimbursement is an ongoing process to identify home visiting services that may qualify for Medicaid reimbursement. Pediatric Medical Homes makes use of South Carolinas MIECHV partnership with The Childrens Center, which is a part of Carolina Health Centers, Inc., in order to integrate home visitation, care coordination and behavioral health in one primary care setting.
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