Current through Register Vol.. 38, No. 17, April 11, 2022
A. Mission. The
Care Connection for Children network promotes the optimal health and
development of children and youth living in the Commonwealth with special
health care needs by working in partnership with families, service providers,
services. The Care Connection for Children network provides the following
1. Assistance in accessing
specialty medical services and a medical home.
2. Care coordination.
3. Medical insurance benefits evaluation and
coordination that may include services that promote the access to and the
understanding of the use of private health insurance and state and federal
medical assistance programs.
Information and referral.
Collaboration with the Virginia Department of Education and its Education in
Hospitals Program to provide consultation for families, educators and school
6. Transition from
child to adult-oriented health care system.
7. Family-to-family support.
8. Training and technical assistance for
of a family-centered, community-based, and culturally-competent service
delivery system through advisory councils.
Based on community need, the Care Connection for Children
network may provide direct health care services.
Criteria to receive services from Care
Connection for Children. Children and youth are eligible to receive services
from Care Connection for Children if they are:
1. Residents of the Commonwealth.
2. Between the ages of birth and their
with a disorder that:
a. Has a physical
b. Has lasted, or is
expected to last, at least 12 months; and
Produces one of more of the following
(1) Need for health care and
ancillary services over and above the usual for the child's age, or for special
ongoing treatments, interventions, or accommodation at home or
(2) Limitation in function,
activities, or social role in comparison with healthy age peers in the general
areas of physical, cognitive, emotional, and social growth and
Dependency on one
of the following to compensate for, or minimize limitation of, function,
activities, or social role: medications, special diet, medical technology,
assistive devices or personal assistance.
No financial eligibility criteria are required for clients to
receive the enabling services. However, clients who meet the above criteria
must also meet the financial requirements for eligibility for access to a pool
of funds for payment of their direct health care services.
The Title V national performance measures, as required by the federal
Government Performance and Results Act (GPRA-
), are used to establish the program goals.
The following goals shall change as needed to be consistent with the Title V
national performance measures:
1. Families of
children with special health care needs will partner in decision making at all
levels and will be satisfied with the services they receive.
2. All children with special health care
needs will receive coordinated, ongoing, comprehensive care within a medical
3. All families of children
with special health care needs will have adequate private or public insurance
or both to pay for the services they need.
4. All children will be screened early and
continuously for special health care needs.
5. Community-based service systems will be
organized so families can use them easily.
6. All youth with special health care needs
will receive the services necessary to make transitions to all aspects of adult
life, including adult health care, work, and independence.