103 STAT. 2274 PUBLIC LAW 101-239—DEC. 19, 1989 under title XVI, to the extent medical assistance for such services is not provided under title XDC; and "(D) to provide and to promote family-centered, commu- nity-base(C coordinated care (including care coordination services, as defined in subsection (b)(3)) for children with special health care needs and to facilitate the development of community-based systems of services for such children and their families; '^ ' "(2) for the purpose of enabling the Secretary (through grants, contracts, or otherwise) to provide for special projects of re- gional and national significance, research, and training with respect to maternal and child health and children with special health care needs (including early intervention training and services development), for genetic disease testing, counseling, and information development and dissemination programs, for grants (including funding for comprehensive hemophilia diag- nostic treatment centers) relating to hemophilia without r^ard to age, and for the screening of newborns for sickle cell anemia, and otiier genetic disorders and follow-up services; and "(3) subject to section 502(b) for the purpose of enabling the Secretary (through grants, contracts, or otherwise) to provide for developing and expanding the following— "(A) maternal and infant health home visiting programs in which case management services as defined in subpara- ^ graphs (A) and (B) of subsection (b)(4), health education services, and related social support services are provided in the home to pr^nant women or families with an infant up to the age one by an appropriate health professional or by a qualified nonprofessional acting under the supervision of a health care professional, "(B) projects designed to increase the participation of obstetricians and pediatricians under the program under this title and under state plans approved under title XIX, "(O int^rated maternal and cMd health service deliv- ery systems (of the type described in section 1136 and using, once developed, the model application form developed under section 6506(a) of the Omnibus Budget Reconciliation Act of 1989), "(D) maternal and child health centers which (i) provide prenatal, delivery, and postpartum care for pregnant women and preventive and primary care services for in- fants up to age one, and (ii) operate under the direction of a not-for-profit hospital, "(E) maternal and child health projects to serve rural populations, and "(F) outpatient and community based services programs (including day care services) for children with special health care needs whose medical services are provided primarily through inpatient institutional care.", and (2) by adding at the end of subsection (b) the following new paragraphs: "(3) The term 'care coordination services* means services to promote the effective and efficient organization and utilization of resources to assure access to necessary comprehensive services for children with special health care needs and their families. "(4) The term 'case management services'means—
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