Integrated Services Program

Office of Children with Special Health Care Needs

What we do

ISP Care Coordination

Individualized Care Coordination for families with children who have special needs, ages 0-22 years.

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Transition to Adulthood Services

Care coordination to guide the needs of youth transitioning into the adult world.

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0-8 Care Coordination

Care Coordination helping parents with children ages 0 to 8 who are seeking information, resources, and referrals for early childhood services.

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Our mission

The Integrated Services Program assists families of children and youth who have special health care needs by facilitating direct clinical services, care coordination, transition to adulthood, and advocating for primary care and comprehensive health care.

Care Coordination

Raising a child is a joy and has its challenges. If your child has special health care needs, that job is even more complex. Navigating the system to ensure your child’s and family’s needs are met can be frustrating and overwhelming.

We are here to partner with families of children and youth with special health care needs to connect and coordinate services which may assist your child's development.

Our services include:

Referral to resources and support services
Connecting families to Medicaid, CHIP, Supplemental Security Income and/or health insurance
Assisting families with organizational needs:
- Establishing a Care Notebook of the child’s specific needs by organizing doctor’s appointments, medications, school plans and resources; and community resources.
Helping families to complete the Ages and Stages Questionnaires.
- Reviewing results with parents and assisting with concerns as well as highlighting successes.
- Making referrals to appropriate developmental resources as applicable.
Working with families to understand the transition to adulthood process:
- Providing transition-related information, resources, and referral for children with special needs ideally beginning around 12-14 years of age.
- Working with youth throughout the transition period, regardless of age.
Exploring housing and financial issues and solutions.
Working through behavioral health issues.
Helping families understand and work through educational needs, concerns, and plans.
Helping families create realistic care plans that include:
- Health care goals
- Life goals
- Family self-sufficiency goals
- Educational developmental goals
- Behavioral/Mental health components
- Transition to adulthood activities
- Evaluating progress toward completing those goals.
Follow up and monitoring of care plans

Your values and beliefs are important to us. You determine what, when, and how we help you. Some families may only need a few tips or resources. Other families may need more intensive coordination for an extended period of time.

Privacy and confidentiality are paramount as we work together.

Medical Home

Children with special health care needs benefit from a medical home: a source of ongoing routine health care in their community where providers and families work as partners to meet the needs of children and families. A medical home assists in the early identification of special health care needs; provides ongoing primary care; and coordinates with a broad range of other specialty, ancillary, and related services.

Every child should have an opportunity for a medical home. A medical home, in simple terms, is the center of a child’s medical and non-medical care. Ideally, the medical home “…is a cultivated partnership between the patient, family, and primary provider in cooperation with specialists and support from the community.” “The patient/family is the focal point….and the medical home is built around this center.” It provides “accessible, continuous, comprehensive, family centered, coordinated, compassionate and culturally effective care.” (HRSA; AAP)

Utah Medical Home Portal

National Center for Medical Home Implementation

SPARK for Autism

For Providers

Our multidisciplinary care coordination team offers a variety of services to help patients and families navigate care for children with special needs. We serve patients from birth to young adulthood. Our focus is to partner with these families and promote a patient and family driven care plan that is closely aligned with the patient’s primary care provider or Medical Home. Once the family is referred to us, we are happy to assist them over the phone and, when possible, meet with them in person to:

Assist with Medicaid eligibility, benefits and services and SSI eligibilty and determination.
Coordinate medical, educational, social, behavioral health, specialty and support services and resources.

Services are provided at no cost to the patient/family and the health care provider

Our team of care coordinators would be happy to meet with you to discuss ways we can partner with your office to expand your ability to provide comprehensive care management to children with special health care needs in your practice. While we do not arrange prior authorization for services and/or provide medication management, we are able to ensure ongoing and consistent care management and follow-up for the special needs population within your practice.

Please call us at (801) 273-2988 to discuss ways we can help you..

To make a referral to our program please use one of the following methods:

Call us at (801) 273-2988
Email us at integrated.services@utah.gov
Fax referral to (801) 272-3502 - Care Coordination Referral Form

Integrated Services Program Care Coordination

Integrated Services Program provides 1:1 care coordination for families throughout Utah with children with special needs. Care coordinators can assist families to navigate systems and ensure the child's and family's needs are being met. We have a multidisciplinary team of care coordinators ready to discuss concerns, refer to applicable programs, and connect to services. We strive to empower parents and meet the developmental needs of their children.
Privacy and confidentiality are foremost with our services.

Integrated Services Flyer (PDF)

CONTACT INFORMATION:

integrated.services@utah.gov
Phone: (801) 273-2988

Transition to Adulthood

It is important to address needs pertaining to your youth transitioning into the adult world. This can include issues such as independence,
education, employment, housing, and health care. Planning can start as early as 12-14 years of age. Our care coordination team can help you
with navigating this process.

Transition to Adulthood

CONTACT INFORMATION:

Phone: (801) 273-2988

Integrated Services Program Birth through age 8 Care Coordination

The Care Coordinator will act as a central point of contact for parents with children ages 0 to 8 who are seeking information, resources, and referrals for early childhood services that may be an option for them. A care coordinator will provide support through a process that helps families identify and address the needs of young children residing in the home.

0-8 Care Coordination (PDF) | Asistencia Coordinada 0-8 (PDF)

CONTACT INFORMATION:

care.coordination@utah.gov
Phone: (801) 273-2804

Contact us

Address:

Utah Department of Health and Human services
Office of Children with Special Health Care Needs
Integrated Services Program
195 North 1950 West
Salt Lake City, Utah 84116

Email:

email integrated.services@utah.gov

Phone:

Monday thru Friday - 8 am to 5 pm
phone number (801) 273-2988