Medical Home Portal is a tool and project that was implemented in 2001, and is utilized in Idaho, Montana, Nevada, Rhode Island, Utah, and in New Mexico that is a one-stop shop for children and youth with special health care requirements (CYSHCN) for Families, Medical Home Teams and Physicians, Caregivers and Other Professionals. They provide them with better knowledge of local resources for their care, practice-based case managers to link families and resources, and best practice guidelines for common chronic conditions in children.

The Continuum of Care project grew out of the idea that health care services should be available and delivered in a comprehensive and coordinated manner from infancy to adulthood, assuring people with disabilities access to the full array of health services from a multidisciplinary approach. 

Services Include:

• Adult Cerebral Palsy Clinic
• Ketogenic Diet Clinic
• Adult Neurology/Vagal Nerve Stimulator in Roswell
• Adult Neurology Clinic in Clovis
• Adult Special Needs Clinic in Albuquerque
• Developmental Disabilities and Mental Illnesses Clinics

Residents of New Mexico, anyone under age 21 is eligible if diagnosed with chronic medical conditions or disabilities that require surgical or medical treatment or limit activities. For CMS payment/coverage, there are also financial guidelines.

These conditions are automatically qualifying:

• Cancer
• Cardiac Disease
• Cerebral Palsy
• Cleft Lip & Palate
• Cystic Fibrosis
• Diabetes
• Epilepsy with Seizure Medications
• Juvenile Rheumatoid Arthritis
• Lupus
• Renal Failure
• Spina Bifida

Adults are eligible if they have genetic/metabolic or cystic fibrosis who are eligible for lifelong services.

CMS offers medical services through multidisciplinary pediatric specialty clinics, private providers and public agencies. Diagnostic medical services, information and referral, case management and pre-school developmental evaluations are also available, regardless of income.

Service Include:

• Medical Management- may include payment for diagnostic services, hospitalizations, physician’s services, and some therapies.
• Multidisciplinary Pediatric Specialty Clinics- including asthma, cleft palate, genetic, metabolic, nephrology, neurology, and endocrinology clinics
• Care Coordination
• Transition Planning for Youth with Special Health Care needs
  Newborn Genetic Screening and Follow-up & Newborn Hearing Screening and Follow-up

NM-ABC provides interdisciplinary, cohort-based ECHO training and professional development series with providers from around the state. They also provide a provider consultation line provides pediatric primary care providers with consultations from members of the project clinical team about care for children and adolescents with mental health concerns. NM-ABC also has an online Pediatric Behavioral Health Resource Portal containing electronic and web-based resources for pediatric primary care practices.

Specializes in improving the physical and psychosocial health and well-being of all adolescents through advocacy, clinical care, health promotion, health service delivery, professional development and research. Physician referrals are available.
Provides tool to search nationally for an adolescent health professional.

Provides an online search tool to locate pediatric plastic surgeons throughout the U.S.

Provides a free searchable database of special needs providers throughout the US. Includes parent-generated ratings on every type of autism provider ranging from dentists, speech therapists and even special needs.