Frequently Asked Questions
Below are some frequently asked questions from
KIDMED RECIPIENTS. KIDMED PROVIDERS CLICK
HERE.
KIDMED Recipient FAQs
What is
KIDMED?
How does KIDMED work?
Will I lose the medical card if my children get KIDMED?
If my children get LaCHIP, do they get KIDMED?
My case worker filled out a KIDMED form when I applied
for Medicaid. Do I still have to do anything to have my children in KIDMED?
My child is very healthy. Why does he need another
KIDMED exam?
Can all my children have KIDMED medical and dental
checkups?
How often should my child get a KIDMED exam?
How do I know if my childs doctor is in the
KIDMED program?
I took my sick child to my KIDMED doctor and he didnt
give my baby his shots. Why?
What do I do if we move away from my childs
KIDMED clinic?
What if my child no longer wants to go to a pediatrician?
Can I change to another KIDMED provider?
Q. What is KIDMED?
A. KIDMED is a program of Louisiana Medicaid that provides preventive
health care for Medicaid-covered children under the age of 21. The goal
of KIDMED is to find and treat health problems early and to ensure that
healthy children stay that way. KIDMED gives children medical exams every
so often, including hearing and vision checks after age 4. KIDMED gives
immunizations at the appropriate ages and includes lab tests to look for
certain common problems.
Q. How does KIDMED work?
A. Each child is linked to a KIDMED provider chosen by the parent
or guardian. That provider will see the child for KIDMED screenings at
certain ages, making sure the child is seen for further care if any problems
are found. That provider will also remind the parent when the child is
due to come into the office for the next KIDMED screening.
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Q. Will I lose the medical card if my children get
KIDMED?
A. No KIDMED services are part of the Medicaid services
available with the medical card. And there are no extra eligibility requirements
to meet for children under 21 to have KIDMED services.
Q. If my children get LaCHIP,
do they get KIDMED?
A. Children who are certified through LaCHIP may receive the full
range of Medicaid services, including KIDMED services.
Q. My case worker filled out
a KIDMED form when I applied for Medicaid.
Do I still have to do anything to have my children in KIDMED?
A. If you have not been called
or contacted by a KIDMED representative, you may contact the KIDMED office
at 1-800-259-4444 to let a KIDMED representative know who you want your
childrens KIDMED provider to be.
Q. My child is very healthy.
Why does he need another KIDMED exam?
A. KIDMED helps your child stay healthy by looking for problems
before your child gets sick. These screening exams help to find things
in the very beginning, while they may be easier to take care of. KIDMED
exams can help keep your child healthy!
Q. Can all my children have KIDMED medical and dental
checkups?
A. Yes - all Medicaid-covered children and youth under age 21 are
eligible for KIDMED services, which include medical and dental checkups.
Q. How often should my child
get a KIDMED exam?
A. This depends on the age of your child. KIDMED recommends screenings
at the following ages: newborn, 2 months, 4 months, 6 months, 9 months,
12 months, 15 months, 18 months, 2 years, 3 years, 4 years, 5 years, 6
years, and every two years after age 6. Dental checkups are recommended
yearly.
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Q. How do I know if my childs doctor is in the
KIDMED program?
A. KIDMED representatives at 1-800-259-4444 can tell you if your childs
doctor is a KIDMED provider and can tell you who the KIDMED providers
are in your area.
Q. I took my sick child to my KIDMED doctor and he
didnt give my baby his shots. Why?
A. First of all, it is good that you recognize the need for vaccines. Complications from vaccine preventable illnesses include:
Pain
Time missed from school or work
Hospitalization
Long term disabilities such as blindness or deafness
Death
Vaccines protect the health of your children and the emotional and financial well-being of your family and community. Vaccines can be given to your child, even when he or she has a mild illness. For more information about vaccines for you and your child, you can go to: http://www.cdc.gov/nip/publications/Parents-Guide/default.htm
Secondly, the person that can answer your question is your doctor. Ask questions. If you don’t understand what your doctor is doing or not doing, ask for an explanation. Otherwise, your doctor will think you have all of the information that you want or need. Make a list before you go to the doctor. If you forget something, call the doctors office. They are there to help you and your child stay healthy.
Q. What do I do if we move away from my childs
KIDMED clinic?
A. You can contact the Louisiana KIDMED hotline at 1-800-259-4444.
A KIDMED representative will help you select a provider in your area who
will perform KIDMED services for your child.
Q. What if my child no longer wants to go to a pediatrician?
Can I change to another KIDMED provider?
A. Yes, you may choose another KIDMED provider for your child by calling
the Louisiana KIDMED hotline at 1-800-259-4444.
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KIDMED Provider FAQs
How does KIDMED fit into the EPSDT program?
What support services do I receive from the KIDMED
program?
I have recently been approved as a KIDMED provider
and would like to distribute flyers advertising our clinic. May I do this?
In addition, our clinic has health education brochures that would be beneficial
to parents. Can I distribute these?
How can I tell which KIDMED patients are linked to
me?
If a child is not linked to me, can I screen the
child?
If I need to refer a child with a suspected condition
but cannot find a specialist to see the child, what can I do?
I am a KIDMED provider in an area that will become a CommunityCARE parish. I will not be a CommunityCARE Primary Care Provider (PCP). Will I lose all my KIDMED patients?
Q. How does
KIDMED fit into the EPSDT program?
A. KIDMED
is the screening component of EPSDT and includes medical, hearing, and
vision screenings. The general term "EPSDT" refers to all Medicaid
services available to recipients under age 21.
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Q. What support services do I receive from the KIDMED
program?
A. The KIDMED office staff is available to assist you with many
aspects of the program:
Each provider receives a monthly report listing linked children
and their screening due dates.
A regional nurse is assigned to each KIDMED provider and can
answer questions and provide training on clinical issues and compliance
with KIDMED program guidelines.
KIDMED staff conduct education outreach to Medicaid recipients.
Toll free telephone support is available at 1-800-259-8000 for
additional assistance.
For non-CommunityCARE providers, KIDMED staff can assist with
scheduling patients and reminding them of upcoming appointments.
Q. I have recently been approved
as a KIDMED provider and would like to distribute flyers advertising our
clinic. May I do this? In addition, our clinic has health education brochures
that would be beneficial to parents. Can I distribute these?
A. KIDMED providers are encouraged to develop and use health education
materials. However, all materials that directly reference KIDMED or Louisiana
Medicaid must be approved by the Louisiana KIDMED office prior to distribution,
including marketing materials such as flyers, posters, KIDMED screening
reminders, etc.
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Q. How can I tell which KIDMED
patients are linked to me?
A. You should receive the RS-0-07 report each month that lists your
KIDMED patients, along with the next screening due date for each patient.
You may also receive the EP-0-10, generated on a weekly basis, to notify
you that a recipient has just been linked to you.
Q. If a child is not linked
to me, can I screen the child?
A. If you know the child is not linked to you, call the toll free
KIDMED hotline at 1-800-259-8000 to see if the child is linked to another
provider. If the child is linked to another provider and is not out of
periodicity, you may not screen the child. If the child is not linked
to anyone, you may screen the child, and the parent may request that the
child be linked to you at that time.
Q. If I need to refer a child
with a suspected condition but cannot find a specialist to see the child,
what can I do?
A. The KIDMED referral administrators can assist you in locating Medicaid
providers, including specialists. The Specialty Care Resource Line number
is 1-877-455-9955.
Q. I am a KIDMED provider
in an area that will become a CommunityCARE parish. I will not be a CommunityCARE
Primary Care Provider (PCP). Will I lose all my KIDMED patients?
A. Community CARE PCPs are responsible for KIDMED services for their Community CARE patients under age 21. However, they may choose to subcontract out the actual KIDMED services to a KIDMED provider. Providing these subcontracted services for Community CARE PCPs would allow you to continue providing KIDMED services. You may also provide services to recipients that are exempt from the Community CARE program but are still eligible for KIDMED.
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