Friday, November 22, 2024 11/22/2024

Immunization Barriers in the United States Targeting Medicaid Partnerships -- Eliminating Barriers to Immunization through State Interagency and Community Collaboration

Award Number: NU66IP000678
ORGANIZATION: NATIONAL CENTER FOR IMMUNIZATION AND RESPIRATORY DISEASES(NCIRD)
OPDIV: CDC
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES

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Project Abstract: RFA-IP20-2001 Immunization Barriers in the United States: Targeting Medicaid Partnerships AcademyHealth and Immunize Colorado Collaborative Project: Eliminating Barriers to Immunization through State Interagency and Community Collaboration BACKGROUND. Despite enhanced coverage through Medicaid and the Vaccines for Children Program, low-income children and pregnant women continue to have lower estimated vaccination rates than those above poverty level. While this disparity is influenced by many factors, interagency and multi-stakeholder collaboration with Medicaid programs can strengthen their ability to understand and address barriers to improving immunization rates among these vulnerable populations, including immunization information systems interoperability, provider scope of practice, among others. Now, with the COVID-19 pandemic, it will be especially valuable to address the potential health implications from delayed vaccination schedules and well-child visits. PURPOSE & APPROACH. AcademyHealth (AH), in collaboration with Immunize Colorado (IC) and potential partnership with the National Academy for State Health Policy (NASHP), will build on our current funded project, Immunization Barriers in the United States: Targeting Medicaid Partnerships. This proposal aims to engage with the Medicaid Medical Directors Network (MMDN) and other Medicaid stakeholders using a multi-faceted strategy to enhance collaborative immunization efforts across pertinent state agencies and improve immunization rates for children and pregnant women with Medicaid coverage. 1. Formation of a Community of Practice. Engagement will first involve the formation of a Community of Practice (CoP) comprised of approximately 3-5 states consisting of a small group of stakeholders who share similar challenges or decisions and collaborate to address these issues through a series of virtual and face-to-face exchanges. Mirroring the original CoP team structure, the CoP will include a Medicaid Medical Director (MMD) or Medicaid agency team lead, an Immunization State Program Manager, and a State Immunization Information System (IIS) Coordinator. In addition, the new CoP team will also include a physician champion to foster additional knowledge sharing. CoP engagement will address barriers to and share promising practices for increasing immunization rates for children and pregnant women with Medicaid. Project activities will include in-person and virtual engagement opportunities such as regular conference calls, webinars, an annual CoP Immunization meeting, and technical support. 2. Engagement of the Medicaid Medical Directors Network (MMDN). Broader engagement will involve our longstanding partnership with over 40 active states participating in the MMDN to add to and disseminate CoP lessons and best practices to achieve wider outreach and impact. We will leverage various MMDN dissemination activities such as monthly newsletters, “Open Mic” conference calls, and an online web forum to communicate findings. OUTCOMES. This project will demonstrate progress related to three short-term outcomes: (1) At least two states participating in the CoP will create additional opportunities to facilitate vaccination of children living in poverty; (2) At least two states participating in the CoP will create additional opportunities to facilitate vaccination of pregnant women living in poverty; and (3) At least two states participating in the CoP will create additional opportunities to facilitate improvements in IIS. While measuring progress on intermediate or long-term outcomes as outlined in the RFA can be difficult, we have learned through our current CoP engagement that there is a direct connection between the short-term project outcomes and those longer-term goals. Through shared learnings and applied improvements in immunization policies, practices and funding, vaccination rates will increase among lower-income children and pregnant women leading to


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2024 ( Subtotal = -$203,088 )
2024	2022	ACADEMY HEALTH	1666 K ST NW STE 1100	WASHINGTON	DC	20006	DISTRICT OF COLUMBIA	USA	Immunization Cooperative Agreements	03	3	5/28/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	-$203,088
2024	2021	ACADEMY HEALTH	1666 K ST NW STE 1100	WASHINGTON	DC	20006	DISTRICT OF COLUMBIA	USA	Immunization Cooperative Agreements	03	3	5/28/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2020	ACADEMY HEALTH	1666 K ST NW STE 1100	WASHINGTON	DC	20006	DISTRICT OF COLUMBIA	USA	Immunization Cooperative Agreements	03	3	5/28/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = -$203,088

Issue Date FY: 2023 ( Subtotal = $0 )
2023	2022	ACADEMYHEALTH	1666 K ST NW STE 1100	WASHINGTON	DC	20006	DISTRICT OF COLUMBIA	USA	Immunization Cooperative Agreements	02	3	11/10/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2021	ACADEMYHEALTH	1666 K ST NW STE 1100	WASHINGTON	DC	20006	DISTRICT OF COLUMBIA	USA	Immunization Cooperative Agreements	02	3	11/10/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $0

Issue Date FY: 2022 ( Subtotal = $681,141 )
2022	2022	ACADEMYHEALTH	1666 K ST NW STE 1100	WASHINGTON	DC	20006	DISTRICT OF COLUMBIA	USA	Immunization Cooperative Agreements	01	3	9/13/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$500,000
2022	2022	Academyhealth	1666 K ST NW STE 1100	WASHINGTON	DC	20006	DISTRICT OF COLUMBIA	USA	Immunization Cooperative Agreements	00	3	6/30/2022	NON-COMPETING CONTINUATION	$181,141
2022	2021	ACADEMYHEALTH	1666 K ST NW STE 1100	WASHINGTON	DC	20006	DISTRICT OF COLUMBIA	USA	Immunization Cooperative Agreements	01	3	9/13/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2021	Academyhealth	1666 K ST NW STE 1100	WASHINGTON	DC	20006	DISTRICT OF COLUMBIA	USA	Immunization Cooperative Agreements	00	3	6/30/2022	NON-COMPETING CONTINUATION	$0
														Subtotal = $681,141

Issue Date FY: 2021 ( Subtotal = $177,793 )
2021	2021	Academyhealth	1666 K ST NW STE 1100	WASHINGTON	DC	20006	DISTRICT OF COLUMBIA	USA	Immunization Cooperative Agreements	00	2	6/21/2021	NON-COMPETING CONTINUATION	$177,793
														Subtotal = $177,793

Issue Date FY: 2020 ( Subtotal = $174,896 )
2020	2020	Academyhealth	1666 K ST NW STE 1100	WASHINGTON	DC	20006	DISTRICT OF COLUMBIA	USA	Immunization Cooperative Agreements	00	1	8/21/2020	NEW	$174,896
														Subtotal = $174,896

Grand Total All Awards = $830,742

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Immunization Barriers in the United States Targeting Medicaid Partnerships -- Eliminating Barriers to Immunization through State Interagency and Community Collaboration

Award Number: NU66IP000678

ORGANIZATION: NATIONAL CENTER FOR IMMUNIZATION AND RESPIRATORY DISEASES(NCIRD)

OPDIV: CDC

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

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