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To help you get ready for the upcoming Influenza
Season, CDC will host two conference calls. The calls
will provide you with the most up-to-date information
on the influenza vaccine supply and CDC
recommendations for influenza vaccination. On each
call, a short presentation of key influenza information
will be given with time for your questions. To make
the most of your time, the conference calls are
scheduled to last no longer than 45 minutes.
Two calls are planned, each with a specific focus as
listed below. Callers are advised to begin dialing in 15
minutes in advance of the calls as these will be
operated assisted calls. After the presentations are
completed, operators will open the lines to take
questions from callers.
Below are the dates and audiences for each call.
Please join CDC for the call that is appropriate to
your practice, or if you see both children and adults,
for both calls.
September 7, 2006, 2:00 PM ET
Issues in Vaccinating Adults Against Influenza Audio Participant Access: USA Toll Free Number: 888-459-3220 PASSCODE: 2823163 September 11, 2006, 2:00 PM
ET
Issues in Vaccinating Children Against Influenza Audio Participant Access: USA Toll Free Number: 888-989-4612 PASSCODE: 2823163 For more information about the calls. Please
note: this website will be updated with additional
information, and slides for the calls, two days prior to
the calls. If you have any questions, feel free to
contact nipinfo@cdc.gov.
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#1 This resource list was complied by the Orange
County Children
and Weight Management workgroup to help
healthcare providers refer children to needed
services and will be revised on a routine basis to
include additional resources and updated information.
Please send Dawn Robinson, RD (County of Orange
Health Care Agency - Nutrition Services) any
corrections, suggestions or updated information for
the next version. Fax number 714/834-8028.
#2 CHILDHOOD OBESITY: Kaiser Permanente, the University of California, San Francisco and the University of California, Los Angeles have partnered to produce this 24-page supplement. It is full of tips to help kids reach and stay at a healthy weight. |
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PE4ME is a health and fitness program offered by the
CA4-AAP to improve the health and well-being of
children in the county. The specific mission of
PE4ME is to promote fitness and nutrition among
overweight students in the 7th to 12th grades.
The schools for 2006-07 are:
If you have an overweight child in the right
school
district, please feel free to contact Mike Weiss
(mweiss3@cox.net) for referral information.
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The latest issue of
California Asthma Facts, titled "Asthma and
Obesity: Results from the California Healthy Kids
Survey, 2001-2003" contains analysis of
data from a school based survey of 7th, 9th and
11th grade students around the state. This 4-page
report is intended for public health agencies and
organizations, health care providers, school health
program planners, and health education programs.
Our newest publication, California Asthma Quick
Facts is complementary to California
Asthma
Facts. This 2-page fact sheet contains less
detailed analysis of asthma and obesity data and
instead focuses on interventions and policy
implications. The fact sheet is a great resource for
parents, school staff, community based
organizations, and others working with students with
asthma.
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On July 12, the Centers for Medicare and Medicaid
Services (CMS) released an interim final rule on the
new Medicaid citizenship and identity documentation
requirements of the Deficit Reduction Act of 2005
(DRA). This is an interim final rule and therefore it is
in immediate effect. The new interim final rule largely
mirrors the previous CMS guidance on citizenship and
identity documentation (see the June 21 AAP Memo
to AAP chapters at
http://www.aap.org/securemoc/statelegislation/DRA_
Citizenship.pdf with login) that requires states to
seek documentation from descending tiers of
acceptable forms, however there are a number of
new provisions in the interim final rule.
The new regulation clarifies the following:
Additional Declaration of Citizenship: The
interim final rule has added a new requirement that
applicants for Medicaid declare, under penalty of
perjury, that the applicant is a citizen, national, or
alien in satisfactory immigration status when
applying. This declaration must be signed.
Documentation then must be provided to verify the
declaration.
Original Documents Required: All documents
must be either originals or copies certified by the
issuing agency. Copies of documents, even
notarized copies, may not be accepted. States need
not require that applicants or recipients present
documentation in person. Documentation of identity
and citizenship is a one-time event.
Special Rule for Declaration of Identity of Children
Under 16: Recognizing that most children under
age 16 do not have identification documents with
photographs and that a childís appearance changes
significantly over time, CMS is permitting
parents/guardians to submit a signed affidavit
establishing the identity of a child. This is not to be
confused with an affidavit establishing citizenship,
which is considered ěFourth Tierî documentation for
purposes of establishing citizenship.
Newborns: Infants born to categorically
needy eligible mothers are considered eligible for
Medicaid and do not need to provide documentation
until their first redetermination of eligibility, which is
one year after birth.
Individuals with Disabilities and Seniors:
States that provide Medicaid to Supplemental
Security Income (SSI) recipients will not have to
obtain documentation citizenship from SSI recipients,
including children, as the Social Security
Administration already obtains such information for
SSI purposes. Similarly, seniors enrolled in Medicare
and Medicaid will not have to provide proof of
citizenship for Medicaid.
Foster Care Children: Children in foster care
continue to be required to provide citizenship
documentation.
Presumptive Eligibility: The regulation
maintains presumptive eligibility for states that
choose to offer it in Medicaid. Applicants will not be
required to provide documentation under presumptive
eligibility until they apply for Medicaid.
ěReasonable Opportunityî: CMS clarifies that
individuals who are currently Medicaid recipients will
continue to remain eligible as long as they make a
good faith effort to provide required documentation.
However, new applicants for Medicaid must provide
required documentation before being made eligible for
the program. The ěreasonable opportunity periodî for
applicants or recipients to provide such
documentation will be the same as those required
for ětimely determination of eligibilityî (at 42 CFR
435.911), which are 90 days for those eligible on the
basis of disability, 45 days for all others.
Social Security Number Verification: States
are required to additionally verify that an applicantís
name and Social Security number (SSN) match,
using ěcurrently available automated capabilities.î
Birth Records: Birth records are
considered ěSecond Tierî documentation. Birth
records must be recorded by the state,
commonwealth, territory, or local jurisdiction, and
must be recorded before the child is five (5) years of
age. Amended birth records after age five (5) are
considered ěFourth Tierî documentation.
Federal Match: CMS will provide Federal
Financial Participation (FFP) at 50%, the normal
matching rate for administrative expenses, for state
costs related to carry out the documentation
requirements of the DRA.
The AAP has provided comments on this rule citing
the onerous burden it places on children and their
families. As it is an interim final rule, however, it is in
effect. States are now implementing the provisions
of this rule to come into compliance with the
documentation requirements of the DRA, which went
into effect July 1, 2006.
AAP chapters are encouraged to document problems
families are facing obtaining Medicaid coverage due
to the citizenship and identity documentation
requirements of the DRA. Please share any
aggregate examples with Dan Walter or Bob Hall at
the AAP.
If you have any questions, need information,
strategy, or consultation on the DRA or other state
Medicaid advocacy, please contact Dan Walter at
800/433-9016 ext. 4086 or dwalter@aap.org. If you
have questions or need additional information or
strategy on federal Medicaid efforts, please contact
Bob Hall in the Department of Federal Affairs at (202)
347-8600, x. 3009 or rhall@aap.org.
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This is to invite the chapter and its members to
participate in the activities of a Regional Genetics
and Newborn Screening Collaborative. Your
participation will help to strengthen the link between
primary care and genetic services.
The purpose of the Regional Genetics and Newborn
Screening Collaboratives is to enhance and support
the genetics and newborn screening capacity of
States across the nation by undertaking a regional
approach to determine and resolve the needs and
maldistribution of genetic resources. These grants
are expected to improve the health of children and
their families by moving genetic medicine into public
health and health care services. This approach is
powerful in that it allows regions of the country to
identify gaps in genetic services and use regional
resources to address the identified needs. As a
pediatrician, your input is very important in the
collaborative because pediatricians often make the
first referral for genetic services for their patients.
Your region is the Western States Genetics Services
Collaborative and its main activities include:
There are many ways a pediatrician can participate
in the regional collaborative activities. Examples
include attending the regionís annual meeting,
participating in work group activities, and sharing
information on regional collaborative activities with
other state chapter members. All of these actions
will help to provide a stronger voice to the primary
care pediatricianís perspective when it comes to
regional genetics and newborn screening services.
For more information on activities in your region or to
get involved, please contact:
Kerry Silvey, MA, CGC (PI)
Public Health Genetics Specialist Center for Children and Youth with Special Health Needs Oregon Health and Sciences University CDRC - Clinical Services Building 901 East 18th Avenue Eugene, OR 97403-5254 Ph: 541-346-2610 E-mail: ksilvey@uoregon.edu Sylvia Au, MS, CGC (PI)
State of Hawaii Department of Health Family Health Services Division 741 Sunset Ave. Honolulu, HI 96816-2311 Ph: (808) 733-9063 E-mail: Sylvia@hawaiigentics.org If you have any questions, please feel free to
contact me at agramiak@aap.org or at 847-434-
4311. Thank you.
Anne Gramiak, MPH, CHES Manager, Screening Programs Division of Children with Special Needs American Academy of Pediatrics (847) 434-4311 or (800) 433-9016 x 4311 |
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PLEASE JOIN the California Chapter 4, American Academy of Pediatrics in their new ADOPT A RESIDENT Program. The Chapter would like to appeal to the generosity of our chapter membership to request assistance in shouldering part of the financial cost for the annual AAP Resident dues. As you all know, the Chapter has always paid for the annual resident dues of the almost 100 CHOC and UCI Pediatric Residents. We firmly believe that if we involve and engage the residents as Chapter members, they would be more likely to participate in AAP-sponsored advocacy and community activities during their future practice. However, recently the dues have increased this academic year from $55 to $88 per resident. This has brought about some hardship on the chapter being a not-for-profit organization, and relying mainly on membership dues and grant-sponsored activities for its finances. We, therefore, invite you to donate $44 per resident (tax deductible), which is half of the annual dues, for this academic year (July 06 to June 07). You may sponsor one or more of our residents, whom we will assign randomly as your adoptee/s. We hope this will be an exciting venture for you to establish a relationship with this resident/s especially during our CME activities and possibly be his/her mentor. We hope to acknowledge and thank you for your contribution in our monthly E-Newsletter. Please contact the Chapter Executive Director, Debbie Monfea at 714-971-0695 for any questions. Chapter 4 members who have contributed thus far: Phyllis Agran, MD, FAAP (sponsored 2 residents), Quynh Kieu, MD, FAAP (sponsored 1 resident), and Maria Minon, MD, FAAP (sponsored 3 residents).
Deborah Monfea
California Chapter 4, American Academy of Pediatrics
email:
ca4aap@sbcglobal.net
phone:
714/971-0695
website:
http://www.aapca4.org
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