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["CCO System-Level Social-Emotional Health Measure: Asset Map Submission Instructions"]
["Social Emotional Services within Patient Centered Primary Care Homes who Attested to PCPCH Standard 3.C.3 as Having Integrated Behavioral Health"]
["As part of the CCO system-level social emotional health measure specifications, within the measurement year the CCO needs to develop an Asset Map to capture services and resources in the CCO region. To receive credit, the CCO must submit a completed Asset Map to attest to the completion of this task, using either the standardized form provided here or ensuring that all components of the standardized form are addressed. The asset map must be completed for all contracted Patient Centered Primary Care Homes who have attested to the PCPCH standards with Standard 3.C.3 to indicate that they provide integrated behavioral health services, including population-based, same-day consultations by behavioral health providers. The required components are:\n\n - Location of Clinic or Program Site(s) Served by Provider(s) - Cities\n - Provider(s) Average Capacity Serving Birth to Five\n          - Numerator: # of open (available for booking) appointment slots in the LAST two months that were filled by patients age birth to five\n          - Denominator: # of total appointment slots in the LAST two months\n - Provider(s) Identified Race, Ethnicity\n - Language(s) the Provider(s) are able to Use to Provide Services\n - Screenings and Assessments Conducted by Provider(s)\n - Issue-Focused Brief Intervention Services the Provider(s) Offer (What brief interventions address social-emotional health for patients birth to five does this provider offer that are, or could be, submitted through claims?)\n - Issue-Focused Intervention/Treatment Services and Modalities the Provider(s) Offer (What behavioral health services does this provider offer?)\n - Other Social Emotional Services the Provider(s) Offer\n\nThe CCO must provide information for each component noted above to pass this required item. For Measurement Years 2 (2023) and 3 (2024), the CCO must complete the Asset Map for all Patient Centered Primary Care Homes to which CCO members birth to five are attributed and who have attested to PCPCH Standard 3.C.3 to indicate that they provide integrated behavioral health (IBH) services."]
["If the CCO chooses to use the provided standardized form, please follow the instructions below.\n          1. Provider information for all PCPCHs who have attested to PCPCH Standard 3.C.3 should be entered on separate rows.There is a filter available on the PCPCH column in order to filter provider information by PCPCH once all provider information has been entered. Please be sure to check the spelling of your PCPCH, as a typo will affect this filter.\n          2. Each provider's information should be entered on separate rows. To enter a provider's information, click the button in the far left column of each row. This will open a form to enter the provider's information. Please fill out all sections of the form, following the instructions given for each individual section on the form. When the form is complete, please review the entered information for accuracy. Once submitted, you will not be able to edit your responses. After confirming that all entered information is accurate, click the Submit button. This will populate all entered information in the provider's row and in the gray CCO Summary box at the top of the asset map. Click the Close button to exit the form.\n          3. Continue to enter information for each provider in the subsequent rows.\n          4. Once all PCPCHs have entered their provider information, the CCO should fill out the CCO Name, Contact Email, and Number of Providers boxes in the top left on the Summary tab. The gray box at the top of the Summary tab will aggregate information across all PCPCHs.\n          5. CCOs have the option to submit additional written reflections. These reflections can be submitted in the tab named \"Additional Reflections OPTIONAL\"."]

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["CCO Name:",null,null,null,"Total Providers:",{"$f":"C7","v":0},null,"Clinic Locations:",{"$f":"RemoveDupeWords(Options!F2,\",\")","v":""},null,null,null,null,null,"Screenings and Assessments:",{"$f":"_xlfn.TEXTJOIN(\", \",TRUE,Counts!AO17,Summary!P14:P263)","v":""}]
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["Contact Email: ",null,null,null,"Capacity Numerator:",{"$f":"SUM(G14:G263)","v":0},null,"Counties Served:",{"$f":"Counts!A37","v":""}]
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["Number of IBH Providers Who Currently Serve Birth to Five:",null,null,null,"Capacity Denominator:",{"$f":"SUM(F14:F263)","v":0},null,"Race/Ethnicities:",{"$f":"_xlfn.TEXTJOIN(\", \",TRUE,Counts!C42,Summary!J14:J263)","v":""}]
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[]
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{"sheet":"Additional Reflections OPTIONAL","index":2,"n_rows":4,"n_cols":2,"rows_kept":4,"cut":false,"hidden":false,"merged":[[2,0,2,19],[4,1,49,18]]}
["Optional Response: Key Considerations and Reflections From the Asset Mapping Process"]
[]
["Instructions\nUse the Social-Emotional Reach Metric findings and the specific findings around children birth to five to consider how many children would potentially benefit from these services, and are not getting them, compared with the number of available new referrals.\n\nEach “row” of the map reflects an area for where there may be a gap in access as compared to the need. Please address the following in your response:\n\n               - For each characteristic (geography, provider availability for new referrals, provider race or ethnicity, languages spoken by the provider, modalities offered) consider where there are opportunities for discussion and reflection in Attestation Component #3 when engaging community based providers.\n                - Consider community based organizations and advocacy groups that represent children and families in your community and consider community-based educational opportunities for enhanced understanding of what services do exist and how they can address the factors in the data. Engage these communities potentially impacted by gaps and consider how they can be engaged on solutions."]
[null,"Please use the space below for your reflections."]

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["Race/Ethnicity","Modalities","Languages","Counties","Location list and PCPCH list with duplications:",null,"Screening and Assessment Tools","Brief Intervention Services"]
["Hispanic and Latino/a/x - Central American","Attachment and Biobehavioral Catch-up","English","Baker","Location",{"$f":"_xlfn.TEXTJOIN(\",\",TRUE,Summary!D14:D263)","v":""},"Ages and Stages Questionnaire-Social-Emotional (ASQ-SE)","Health Behavior Intervention (CPT Codes: 96158-96159, 96164-96165, 96167-96168, 96170-96171)"]
["Hispanic and Latino/a/x - Mexican","Child Parent Psychotherapy","Spanish","Benton","PCPCH",{"$f":"_xlfn.TEXTJOIN(\",\",TRUE,Summary!C14:C263)","v":""},"Survey of Well-being of Young Children (SWYC)","Preventive Medicine Counseling (CPT Codes: 99401-99404, 99411-99412)"]
["Hispanic and Latino/a/x - South American","Attachment Regulation and Competency","American Sign Language","Clackamas",null,null,"Devereux Early Childhood Assessment (DECA)","Education & Training for Patient Self-Management (CPT Code: 98960)"]
["Hispanic and Latino/a/x - Other","Collaborative Problem Solving","Arabic","Clatsop",null,null,"Pediatric Symptom of Checklist (PSC)","Behavioral Health Counseling and Therapy (CPT Code: H0004)"]
["Native Hawaiian and Pacific Islander - Chamoru (Chamorro)","Family Check-Up","Chinese","Columbia",null,null,"Behavioral Assessment System for Children (BASC)","Home Visiting (Codes 99341-99345, 99347-99350, 99501, 99502, 99510)"]
["Native Hawaiian and Pacific Islander - Marshallese","Eye Movement Desensitization and Reprocessing","Filipino","Coos",null,null,"Child Behavior Checklist (CBCL)","Parent Management and Generalized Evidence-Informed Therapies (CPT Codes: 90832-90838 (except 90835), 90846-90847, 90849, 90853, 90857)"]
["Native Hawaiian and Pacific Islander - Communities of the Micronesian Region","Generation-PMTO","French","Crook",null,null,"Devereux Early Childhood Assessment for Infants (1-18 months) Record Form (DECA)","Other"]
["Native Hawaiian and Pacific Islander - Native Hawaiian","Helping the Non-Compliant Child","German","Curry",null,null,"DECA for Toddlers (18-36 months) Record Form"]
["Native Hawaiian and Pacific Islander - Samoan","Incredible Years","Hindi","Deschutes",null,null,"Strengths and Difficulties Questionnaire (SDQ)"]
["Native Hawaiian and Pacific Islander - Other","Marriage and Family Therapist or Child Counseling","Hmong","Douglas",null,null,"Thinking Skills Inventory"]
["White - Eastern European","Parent Child Interaction Therapy","Italian","Gilliam",null,null,"Eyberg Child Behavior Inventory (ECBI)"]
["White - Slavic","Play Therapy","Japanese","Grant",null,null,"McMaster Family Assessment Device "]
["White - Western European","Theraplay","Khmer","Harney",null,null,"SCAS Anxiety Scale for Preschool"]
["White - Other","Trauma Focused CBT","Korean","Hood River",null,null,"Beck's Depression Inventory"]
["American Indian and Alaska Native - American Indian","Triple P Positive Parenting Program","Lao","Jackson",null,null,"Multidimensional Assessment of Parenting Scale (MAPS) "]
["American Indian and Alaska Native - Alaska Native","Promoting First Relationships","Mandarin Chinese","Jefferson",null,null,"Other "]
["American Indian and Alaska Native - Canadian Inuit or Metis or First Nation","Other","Persian","Josephine"]
["American Indian and Alaska Native - Indigenous Mexican or Central American or South American",null,"Portuguese","Klamath"]
["Black and African American - African American",null,"Romanian","Lake"]
["Black and African American - Afro-Caribbean",null,"Russian","Lane"]
["Black and African American - Ethiopian",null,"Somali","Lincoln"]
["Black and African American - Somali",null,"Tagalog","Linn"]
["Black and African American - Other African (Black)",null,"Tamil","Malheur"]
["Black and African American - Other Black",null,"Telugu","Marion"]
["Middle Eastern/Northern African - Middle Eastern",null,"Thai","Morrow"]
["Middle Eastern/Northern African - Northern African",null,"Ukrainian","Multnomah"]
["Asian - Asian Indian",null,"Vietnamese","Polk"]
["Asian - Cambodian",null,"Yue Chinese","Sherman"]
["Asian - Chinese",null,"Other","Tillamook"]
["Asian - Communities of Myanmar",null,null,"Umatilla"]
["Asian - Filipino/a",null,null,"Union"]
["Asian - Hmong",null,null,"Wallowa"]
["Asian - Japanese",null,null,"Wasco"]
["Asian - Korean",null,null,"Washington"]
["Asian - Laotian",null,null,"Wheeler"]
["Asian - South Asian",null,null,"Yamhill"]
["Asian - Vietnamese"]
["Asian - Other Asian"]
["Other"]
["Don't know/Unknown"]
["Don't want to answer/Decline"]

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