Resources for Medical Homes

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Funded by the Health Resources and Services Administration (HRSA), authorized by the Patient Protection and Affordable Care Act of 2010 (pages 216-225), the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program is a partnership of federal, state, and local government agencies, and community-based organizations.  The main goals of the Illinois MIECHV program are to expand or enhance one or more evidence-based models of home visiting; ensure that the home visiting programs are effectively connected to community based services; establish a system of universal screening and coordinated intake in target areas; and enhance or establish an early childhood collaborative in target areas.

Below are resources, including important forms, designed specifically to meet the needs of medical homes.

MIECHV Referral and Care Coordination Process

This flowchart outlines the referral and care coordination process between the medical home, the MIECHV Coordinated Intake office and the home visitor.

Coordinated Intake Office Contact Information

To initiate the process for referring a family to a home visiting program, please contact the Coordinated Intake office in your community. Click on the above link to view Coordinated Intake contact information in each of the 6 target communities, including name, phone number, and email.

Coordinated Intake offices serve as the hub for intake for new families. There are several different models for coordinated intake: in most cases, coordinated intake workers conduct outreach to families and complete the Coordinated Intake Assessment Tool (CIAT), which collects program eligibility information before referring families to an appropriate home visiting program, or other community services.

Medical Home Referral Form to MIECHV Coordinated Intake Office

The Medical Home Referral Form should be used by the medical home when referring a patient or family to a MIECHV Coordinated Intake Office for home visiting services eligibility determination.

Medical Home Referral Form to MIECHV Coordinated Intake Office SPANISH

Coordinating Care Between Home Visiting and Primary Care Medical Home: An Interprofessional Approach

Care Coordination Protocol: A Toolkit for Providers (coming soon)

This toolkit is designed to assist providers (i.e. child care, early intervention service providers, education providers, home visitors, primary care providers, those serving homeless children and families, and others) who serve families with young children (birth-5) in providing effective and sustainable practices for referral and follow-up processes to ensure that these children are linked to appropriate services that best fit their developmental needs. In addition, the toolkit provides care coordination procedures and protocol examples to enable the same audience to share important information with medical homes and participate in the development of  an anticipatory/proactive plan for appropriate services for the child and family, integrating the recommendations of multiple professionals and service systems.


For more information about the MIECHV Project please contact:


Elise Groenewegen, 
Manager, Child Development Initiatives
P: 312/733-1026, ext 204
F: 312/733-1791