1. MaryLynn Donnelly, Nurse Consultant Childrens Special Health Services Mt Dept of Public Health and Human Services

2. Children and Youth with Special Health Care Needs are: Children with developmental delays or disabilities, such as learning disabilities, sensory impairment, and mental retardation Children with ongoing medical conditions, such as diabetes, asthma, chronic renal disease, CF, congenital heart disease Children with emotional or behavioral problems such as autism and psychiatric disorders Serving children with special health care for many years….

3. Coordinate and contract for specialty clinics to reduce out of state travel and care Provide financial assistance for treatment and prescription drugs Provides resource, referral, and training opportunities for families and providers Coordinate statewide and local programs to prevent service gaps or overlap CSHS Activities

4. Limited Financial Assistance Covered conditions include: Asthma Cystic Fibrosis Diabetes Epilepsy Spina bifida

5. Cerebral Palsy/Spasticity Management Cleft/Craniofacial Clinic Diabetes Clinic Endocrine Clinic Gastrointestinal Clinic Genetic Evaluation & Outreach Services Genitourinary Clinic Ensure a broad range of Pediatric Specialty Clinics:

6. Juvenile Arthritis Metabolic Clinic Muscular Dystrophy Neural Tube Defects /Spina Bifida Clinic Neonatal Intensive Care Follow Up Clinic Neurology Outreach Clinics Pulmonary Clinics Rehabilitation Clinic Clinics continued..

7. Partnerships with local communities provided regional pediatric specialty clinic access for 3437 Montana children & youth with special health care needs, a 10% increase from 2008. In 2009, 754 of those visits were to pulmonary clinics held in Missoula, Great Falls, and Helena for asthma and other respiratory conditions. 70% of visits were for asthma disorders During Calendar Year 2009

8. Jerrold Eichner MD 1400 29 th Street S Great Falls MT 59405-5363 (W) 454-2171 (W) 800-421-1649 (F) 771-3009 jerrold.eichner@gfclinic.com Pediatric Pulmonologist

9. Joline Hartze, RN, Clinic Coordinator Terry Halls, RN, Clinic Coordinator Community Medical Center 2618 South Avenue West Missoula MT 59804-6406 Phone: 327-4329 (toll free) 888-506-9366 Fax: 327-5199 Western Region Pediatric Specialty Clinic

10. Krystal Tweet, RN, Clinic Coordinator Julie LaRoque, RN, Clinic Coordinator Great Falls Clinic 1400 29 th Street South, Great Falls MT 59406-5353 (W) 406-771-3360 (toll free) 800-421-1649 (F) 406-771-3009 krystal.tweet@gfclinic.com North Central Region Pediatric Specialty Clinics

11. Cyndi Leaphart, RN, Clinic Coordinator Stacy Smith, RN, Clinic Coordinator Medical Arts South Ste 200 1230 N 30 th Street Billings MT 59101-0128 (W) 237-8199 (toll free) 866-822-1411 (F) 237-4285 Eastern Region Pediatric Specialty Clinics

12. Jerimiah Lysinger, MD Billings Clinic-Pediatric Specialties Clinic 2800 Tenth Ave. North Billings, MT 59107 Phone: 406 238-5137 or 406 238-5097 Fax: 406 438-2278 jlysinger@billingsclinic.org Pediatric Pulmonologist Pediatric patients in Billings, with outreach clinics in Bozeman and Miles City