SFY 2013 PUBLIC HEALTH MASTER AGREEMENT ANNEX
Program Descriptions and Reporting Requirements
PROGRAM NAME: Children 1st, Maternal Infant Early Childhood Home Visiting (MIECHV) Central
Intake for MIECHV Grantee Counties of Clarke, Crisp, Glynn, DeKalb, Houston,
Muscogee, and Whitfield
PROGRAM CODE: 522
FUNDING REQUIREMENTS: Only available for MIECHV grantee counties/public health districts
The following cost/expenses are allowable:
Staffing of the program to provide the supervision and program management for Children
1st - Central Intake Process
Staffing of the program to conduct home visits or MIECHV screenings. These funds may
not be utilized for non-Central Intake job responsibilities.
Staffing of Children 1st – Central Intake administrative or clerical support.
o Funding allocation will be evaluated at the beginning of the third quarter during each fiscal year. If
at that time 50% of the allocation is not spent the following may occur:
The District will be required to submit a detailed spending plan.
Funds may be pulled back at the discretion of the State Office and reallocated to other
Districts as needed.
The following cost/expenses are not allowable:
o The transfer of funds between Public Health Program Codes is not allowable.
o Indirect costs are not allowable for these grant funds.
o MIECHV – Central Intake funds are to be utilized only in MIECHV counties listed above.
Printing/Copying Expenditures: All outsourced printing and copying expenditures must be supported
by three (3) separate quotes in order to ensure funds are utilized to purchase only the most
Prior Approvals: Contractors must have prior approval from the State Office for equipment purchases
and lending library purchases over $1,000 and all “unspecified costs”. Requests should be submitted
using the State Office Equipment Purchase Request Form. Failure to obtain prior approval may result in
charges being disallowed.
Use of Generated Fees: Fees generated by the Children 1st Program, including Diagnostic, Screening
and Preventive Services (DSPS) billing, must be returned to and used to support the activities of the
program generating the fees. Funds shall not be diverted into other activities or programs. Contractor
shall make every effort to maximize billing to reimbursable sources to help sustain program functions
Program Specific Deliverables:
Children 1st – MIECHV Central Intake
Provide the single point of entry infrastructure, including receiving and processing of all referrals, and
ensure a coordinated service delivery system for families to access prevention-based, early
intervention, and health services for clients, birth to age five and pregnant women, according to the
guidelines as prescribed by the State Office.
Provide a front door and central intake function for all MIECHV providers and the Early Childhood
System of Care (ECSOC) to include pregnant women, all newborns, and children to age five years old.
Contact all referrals to complete the universal core screening and refer to programs, as per state
Download Electronic Birth Certificates (EBC), at least once per week, to identify children born “at-risk”
according to the Children 1st and MIECHV guidelines as prescribed by the State Office.
Refer eligible infants and toddlers to public health and community programs as appropriate. Refer
potentially eligible infants, pregnant women, or children to MIECHV programs within the assigned
counties as appropriate.
Provide developmental screenings to all eligible children, birth to age five years, who have not been
referred with an already completed developmental screening.
Utilize the ECSOC universal screening tool to determine appropriate referrals to ECSOC programs.
Collaborate with the ECSOC within the MIECHV communities.
Assure that all clients receiving services are linked to a primary healthcare provider.
Assure that all families identified as “at-risk” for Children 1st receive Maternal Child Health (MCH)
Attend state-required trainings related to the work and core functions of Children 1st – Central Intake.
Develop and maintain an updated and relevant resource directory for their District and shall provide
this directory to the State Office and Call Center upon request.
Utilize the MIECHV and Children 1st State Office data system.
Children 1st District Coordinator shall provide at least an annual training and technical assistance to
district/ county/health center staff and MIECHV community providers regarding the core functions of
Children 1st, including: completion of the MCH Integrated Assessment; developmental screens; central
intake, billing and monitoring functions and; shall participate in four coordinator meetings with State
staff per year.
Participate in all required MIECHV or ECSOC meetings as scheduled.
Contractor Performance: The Contractor shall, at all times, comply with all system and operational
performance requirements and expectations specified. If requirements and expectations are
consistently not met and performance is consistently deficient, funds may be withheld or charges may
District Coordinator: The Contractor shall identify a Children 1st District Coordinator to provide
program leadership and assure program implementation according to system and operational
performance requirements and expectations.
Coordinators Meetings: The District Coordinator shall participate in all scheduled coordinators’
meetings with State Office staff throughout the year. If unable to attend, an alternate must participate
in the meeting. Meeting attendance rosters are to be submitted via fax to the State Office.
Civil Rights Assurance: The Contractor shall assure that all families receive services without regard to
race, color, national origin or handicap (as required by Title VI of the Civil Rights Act of 1964 and
Section 504 of the Rehabilitation Act of 1973; Americans with Disabilities Act of 1990 and Federal and
Outreach and Public Awareness: The Contractor shall conduct public awareness and outreach
activities to support child find and referral to the early intervention system for children and its
component areas. These activities shall be carried out in collaboration with other public health and
community-based child health programs. The Contractor shall provide written documentation, such as
invitations and advertisements, of public awareness and outreach activities upon request.
Stakeholder Involvement: The Contractor shall involve families and other stakeholders (agencies,
organizations, and/or providers) in the development of local policies for the District’s early
intervention system and its components and in efforts to identify and correct system gaps and
duplications in the delivery of early intervention services.
Data Tracking System: The Contractor shall use the state-approved data system to track, monitor and
follow-up all infants and children referred to and served by the Program. Contractor shall ensure all
data are timely and accurate.
System Improvement Activities: The Contractor shall participate in Title V or other Public Health
planning, evaluations or assessment activities as requested.
Federal Requirements: The Contractor shall adhere to all Federal requirements regarding service
delivery and accountability for funds.
Children 1st staff shall meet Key Performance Indicators for Children 1st, including:
Identify at least 30% of “At risk” infants and children, birth to age five.
Complete at least 50% of MCH In-home Family Assessments among infants and
children identified and not directly referred to Children and Youth with Special Needs.
Link 100% of infants and children enrolled to a primary healthcare provider.
Complete ECSOC core screen on 30% of eligible families referred to Central Intake.
Complete at least 50% of ASQ:3 Developmental Screenings among eligible infants and children
identified and not directly referred to Children and Youth with Special Needs.
For the MIECHV counties, the Central Intake report will be completed and submitted quarterly on or
before the 15th of January, April, July, and October . The Central Intake Report template will be
forwarded to the Coordinator at the start of the fiscal year. Central Intake reporting will be for the
MIECHV county-level data, not district data.
Deborah C. Chosewood, Program Manager, Children 1st
Department of Public Health
2 Peachtree Street NW, Suite 11-294
Atlanta, GA 30303
404-463-0183 (office), 404-463-6729 (fax)