Utah Children's Care Coordination Network

The Utah Children’s Care Coordination Network (UCCCN) was formed in late 2014 to be a source of information, resources, tools, expert advice, and peer learning and support for pediatric and family practice staff members who help coordinate the care of patients. The UCCCN evolved from a Medical Home Demonstration project*, led by the Utah Pediatric Partnership to Improve Healthcare Quality (UPIQ) and the Medical Home Portal, and is a partnership with the Utah Utah Maternal and Child Health Bureau (UDHHS) and Utah Family Voices at the Utah Parent Center** with support from the Department of Pediatrics at the University of Utah.

The UCCCN is facilitated by Athena Parker, MPH, CHES (Services Support Manager for the Medical Home Portal) and supported by Eric Christentsen, MPH, (Program Manager, Integrated Service Program at the UT DoH), Gabi Baraghoshi, MPH, RN and Heidi Bates, MHL, RN (UPIQ Practice Coaches). Each of us will be available to provide advice and support to your care coordination staff and your practice.

UCCCN Meetings

UCCCN meetings are held every 3rd Wednesday of the month from 8:30 to 10:00 am. Meetings are currently all online using Zoom. To participate, contact Athena Parker (athena.parker@hsc.utah.edu).

Meetings engage Network members in:

  • Education about coordinating care for children, with an emphasis on those with chronic conditions and special health care needs and the family- and patient-centered Medical Home approach
  • Learning about local specialty and other service providers and other health-related resources for children and their families
  • Sharing challenging cases, great ideas, unique resources, and lessons learned
  • Using tools and techniques that will help your practice care for patients with special needs more efficiently and effectively, including new features that will soon be available on the Medical Home Portal.

The UCCCN also offers its members an email listserv to seek answers to questions, share ideas, and find support between meetings. For practices, the UCCCN can assist with job descriptions, guidelines related to care coordination, and finding tools and other resources. There are no charges for participation.

Meeting Recordings

Meeting recordings can be found on the UCCCN YouTube Channel.

Support for UCCCN

Noel Taxin, Bureau Chief, CSHCN, Utah DOH: "UCCCN is a well coordinated community who works to coordinate care and share resources. In Utah, the UCCCN has filled a void which was present over the years. The group meets regularly, they share challenges, successes and learn new ways to be more effective. This group is much needed and feedback received from participants is it helps them be better care coordinators in serving individuals throughout Utah. UCCCN is an effective forum to support HRSA Block Grant NPM 11 and 12 medical home and transition efforts."


* funded by a CHIPRA Quality Demonstrations grant from the U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services, awarded to the Utah Medicaid Program

** funded by a State Implementation Grant for Enhancing the System of Services for Children and Youth with Special Health Care Needs from the Health Resources and Services Administration, Maternal and Child Health Bureau


Information & Support

For Professionals

Chronic Care Management Services Billing (PDF Document 84 KB)
A scenario to bill for CPT 99490 - Chronic Care Management (care coordination) services.

2022 Coding and Payment Tip Sheet for Transition from Pediatric to Adult Health Care (PDF Document 509 KB)
Thirty-two page booklet of CPT coding options for the provision of transition-related services; from Got Transition and the American Academy of Pediatrics.


Authors & Reviewers

Initial publication: September 2015; last update/revision: December 2023
Current Authors and Reviewers:
Author: Medical Home Team
Reviewer: Athena Parker, MPH, CHES