Automated Health Systems was founded in 1979 with the initial goal of providing states with the systems and manpower necessary to meet the requirements of the Federally mandated Early and Periodic Screening, Diagnosis and Treatment Program. Within a little less than a year and a half of its founding, AHS was administering EPSDT Programs in Maryland and Pennsylvania. As our reputation and expertise grew, we expanded our EPSDT purview to Indiana and began to assist states with other health care related activities such as childhood lead poisoning prevention projects, and projects designed to provide health care through Title V initiatives.
Expansion
As technology improved and more demands were made on program administrators, AHS expanded its EPSDT activities in 1987 to include statewide toll-free helplines for both consumers and providers. Using this proven model, we also developed and administered EPSDT Projects for Connecticut, Michigan, and Georgia. As Medicaid became more involved with managed care at the state level, AHS directed its expertise into Primary Care Case Management (PCCM) and Enrollment Broker services. As a result, we have developed systems to assist states as they transition into and then maintain ongoing systems of managed care for their Medicaid constituents. The AHS blend of technology and cultural sensitivity has proven to be an outstanding solution for states involved with Medicaid Managed Care.
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HMOs
Recognizing the need Medicaid managed care plans had to provide and report on the broad range of services and activities required by the EPSDT Program, we have developed EPSDT systems for individual HMOs as well. As states continue to ratchet down their Medicaid managed care payments, utilizing AHS to administer EPSDT for health plans has become a cost effective option. Our tracking and consumer service systems are just the answer for HMOs that are hard pressed to provide the data and reports that document EPSDT participation and activity required by states and CMS.
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SCHIP Our flexible systems have also been instrumental in the successful development of SCHIP enrollment and education projects in four states. Additionally, as Welfare Reform continues to evolve, AHS has recognized the need of government to provide training not just for consumers, but also for agencies in each community, and so we have developed training programs for these groups targeted at both CHIP and Medicaid enrollment. Today, more families are learning about and enrolling in both SCHIP and Medicaid, because of our ability to meet the needs of this diverse population.
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Vaccines for Children
New Jersey Department of Health and Senior Services (NJDHSS) began the Vaccines for Children (VFC) Program in 1994 for public providers. Late in 1998, NJDHSS contracted AHS to implement VFC for private providers starting January 1999. AHS' primary responsibility is to receive, review and process vaccine orders by phone, fax, mail and Internet. Customer service support and vaccine accountability are integral parts of our vaccine order processing systems.
AHS supplies VFC providers with materials at the time of their order and processes providers' Eligibility/Vaccine Encounter Records, a form completed each time a child receives a VFC vaccine. Other AHS tasks are mail services, vaccine recall procedures, database support and report generation. NJ VFC is the 10th largest State VFC Program in the nation with over 1,000 provider sites and 1,935 physicians enrolled (as of April 2001).
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