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Tri-State Child Health Improvement Consortium (T-CHIC)


Complete a demonstration project to help improve the quality of health care for low income children


The Alaska Department of Health and Social Services (DHSS) is collaborating with Oregon and West Virginia on the Children’s Health Insurance Program Reauthorization Act (CHIPRA) Quality Demonstration Project. This tri-state project is funded by the U.S. Department of Health and Human Services Centers for Medicare and Medicaid Services (CMS).


Under a federal grant, the Tri-State Child Health Improvement Consortium (T-CHIC) will work on the following:

  • Test measures of quality of children’s care that have been proposed by the federal government;
  • Promote the use of Health Information Technology (HIT) in reporting on and improving children’s health care delivery; and
  • Demonstrate effectiveness of practice based models for improved care for children.

DHSS has chosen the term “medical home,” to describe the type of practice transformation it will support under the pilot. A medical home is “home” in the sense that in addition to addressing primary care needs, it also coordinates Early Periodic Screening, Diagnosis and Treatment (EPSDT) services (including dental, behavioral, and other needs) when serving children enrolled in Medicaid and Denali Kid Care.

DHSS is conducting a medical home pilot initiative to identify and evaluate methods for expanding access to EPSDT services for children and adolescents enrolled in Alaska Medicaid and Denali Kid Care. Successful pilot project proposals will address all three of the following areas:

  • Developing, adopting and implementing quality measurement tools;
  • Developing, adopting and/or improving Health Information Technology, Electronic Health Records (EHR), and participation in Health Information Exchanges (HIE); and
  • Developing, adopting and/or improving medical home approaches to child.


Measures will comply with the 24 Recommended Core Set of Children’s Health care Quality Measures for Voluntary use by Medicaid and CHIP Programs.