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Health Care Plans
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Resources for Insurers/ Health Care Plans
Toolkit on Enhancing Child Development Services in Medicaid Managed Care
Enhancing Child Development Services in Medicaid Managed Care, a toolkit from the Center for Health Care Strategies (CHCS), offers practical strategies to help health plans and states identify and treat developmental delays in children, age 0 to 3, at the earliest stage possible. The toolkit is based on the experiences of 10 health plans and one primary care case management organization that participated in a Best Clinical and Administrative Practices (BCAP) workgroup, which was made possible by The Commonwealth Fund. Strategies outlined in the toolkit include increasing the use of standardized developmental screening tools, improving outreach to members, enhancing provider partnerships, and linking reimbursement to developmental screening. Case studies illustrate how plans applied the BCAP Quality Framework to improve child development services in Medicaid managed care.
Visit www.chcs.org to download the toolkit or request a free print copy. The website also includes practical tools for organizations interested in designing programs to improve child development services.
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Center for Health Care Strategies
The Center funds many learning collaboratives and other research to help health care plans and state agencies improve services for children receiving services through Medicaid and for people with disabilities and chronic conditions. The website has practical toolkits and reports on lessons learned from their different initiatives. You can also look up activities by state.
www.chcs.org
Mathematica Policy Research - Data Updates on CSHCN In Commercial Managed Care Plans
Children with special health care needs who are enrolled in commercial,
employer-based health insurance plans may be at high risk for inadequate access
to needed health services. Although several studies have examined health
services for publicly insured children with special health care needs,
information on similar children in private plans is generally unavailable. With
support from the Maternal and Child Health Bureau of the Health Resources and
Services Administration, Mathematica Policy Research (MPR) examined service use and costs of care for
approximately 30,000 children with special health care needs who were enrolled
in private managed care plans in 1999-2001. MPR built on this research and developed a series of data updates for
commercial managed care plans to keep them abreast of critical issues in caring
for children with chronic illnesses and disabilities. These updates covered a
range of issues, including identification of children with special health care
needs, costs of prescription drugs, and mental health.
http://www.mathematica-mpr.com/health/chilspechealth.asp
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