Gateway Call Research Dataset

The Medicaid Technical Assistance and Policy Program (MEDTAPP) Gateway Call Research Dataset (GCRD) will provide a snapshot of Franklin County’s child welfare recipients’ healthcare utilization and Medicaid expenditures. Research on child welfare recipients has shown that while this population represents approximately three percent of the Medicaid population nationally, it accounts for 15 percent of behavioral health services utilization. The analysis will identify key barriers and potential solutions to improve the quality of care and health outcomes of this population, thereby supporting the development of healthcare strategies to better monitor, coordinate, and deliver health services across state agencies that provide services to child welfare recipients.

The dataset will initially support Franklin County Children Services’ (FCCS) Gateway Call project, a five year system demonstration project conducted by FCCS through The Ohio State University College of Social Work and funded through the Children’s Bureau (Administration for Children and Families; USDHHS). The long term goal of Gateway Call is to improve access to needs-driven behavioral health services for youth served by child welfare systems. The major objectives involve changes to five areas of practice within FCCS and the behavioral health provider community to evaluate client outcomes and service delivery outcomes. The evaluation component of this project is to:

  • Examine the extent to which each of the project components were implemented
  • Test the impact of the project on safety, permanency, and well-being outcomes for children and youth involved in FCCS
  • Estimate the direct and indirect costs associated with the Gateway Call project and its implementation.

Health Outcomes Analysis

The evaluation of the Gateway Call Research Dataset project will employ health outcomes analysis to determine the impact on Medicaid expenditures and child welfare recipients including:

  • Receipt of any mental health care;
  • Number of service units received;
  • Mental health outcomes;
  • Psychotropic drug use;
  • Percent of youth who screened positive for behavioral health need;
  • Development and mental health evaluation;
  • Increased access to behavioral and mental health services for children; and
  • Expanded access to medical homes for children.

The identification of patterns and trends in health utilization and Medicaid expenditures from this study will inform and support initiatives to improve the quality of care for Ohio Medicaid’s foster care population.

The Ohio Department of Medicaid sponsores the Gateway Call Research Dataset.