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Strengthen the Evidence for Maternal and Child Health Programs

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Search Results: MCHLine

Items in this list may be obtained from the sources cited. Contact information reflects the most current data about the source that has been provided to the MCH Digital Library.

Displaying records 1 through 6 (6 total).

Apostolon D, McLeod C, Tranby EP, Mathews R. 2020. Alternative payment method models in dentistry: A provider prospective. Boston, MA: DentaQuest Partnership for Oral Health Advancement, 6 pp. (Research report)

Annotation: This report provides survey findings to understand oral health professionals’ knowledge about and willingness to participate in alternative payment models (APMs), in which they receive incentives to demonstrate value by preventing oral disease and keeping patients healthy. The report provides information about value-based care, APMs, health professionals’ awareness of APMs, and their interest in participating in such models.

Contact: CareQuest Institute for Oral Health, 465 Medford Street, Boston, MA 02129-1454, Telephone: (617) 886-1700 Web Site: https://www.carequest.org Available from the website.

Keywords: Fees and charges, Health promotion, Oral health, Prevention, Surveys

Medicaid and CHIP Payment and Access Commission. 2011. The Medicaid fee for service provider payment process. Washington, DC: Medicaid and CHIP Payment and Access Commission, 9 pp. (MAC basics: Medicaid and CHIP program basics)

Annotation: This document provides an overview of the typical Medicaid provider claims submission and payment process, as well as additional non-claims-based payment processes. It also briefly describes post-payment review processes and the use of payment data for administrative purposes including program analysis and program integrity. Topics include claims-based payments authorization, claim submission, adjudication, and payment. It also discusses additional payment processes such as supplemental payment, Medicaid cost-sharing, certified public expenditures, Medicaid managed care and care coordination payments. Post-payment review and use of claims and other payment data for additional purposes are outlined.

Contact: Medicaid and CHIP Payment and Access Commission, 1800 M Street, N.W., Suite 360 South, Washington, DC 20036, Telephone: (202) 350-2000 Fax: (202) 273-2452 E-mail: https://www.macpac.gov/contact-us/ Web Site: http://www.macpac.gov Available from the website.

Keywords: Fees and charges, Health care financing, Health insurance, Medicaid, Oral health, Reimbursement

Medicaid and CHIP Payment and Access Commission. 2011. Federal CHIP financing. Washington, DC: Medicaid and CHIP Payment and Access Commission, 8 pp. (MAC Basics: Medicaid and CHIP program basics)

Annotation: This document describes the state Children's Health Insurance Program (CHIP) and how the program expands on federal Medicaid funding and outlines the funding structure. Contents include an overview of federal CHIP appropriation; federal CHIP financing including federal CHIP allotments, shortfall funding, the CHIP bonus fund, and treatment of budget authority and outlays; and the future of CHIP financing in 2014 and 2016.

Contact: Medicaid and CHIP Payment and Access Commission, 1800 M Street, N.W., Suite 360 South, Washington, DC 20036, Telephone: (202) 350-2000 Fax: (202) 273-2452 E-mail: https://www.macpac.gov/contact-us/ Web Site: http://www.macpac.gov Available from the website.

Keywords: Children, Children', Fees and charges, Health care financing, Health insurance, Medicaid, Reimbursement, s Health Insurance Program

Fox HB, Wicks LB. 1993. State implementation of OBRA '89 EPSDT amendments within Medicaid managed care arrangements. Washington, DC: Fox Health Policy Consultants, 68 pp.

Annotation: This report examines how states are implementing the Omnibus Budget Reconciliation Act of 1989 (OBRA) '89 EPSDT provisions within the three most common types of Medicaid managed care programs—capitated health maintenance organization, prepaid health plan, and fee-for-service primary care case management programs. Data is presented from a telephone survey of Medicaid agency staff in all fifty states and the District of Columbia. [Funded by the Maternal and Child Health Bureau]

Contact: Maternal and Child Health Policy Research Center, 750 17th Street, N.W., Suite 1100, Washington, DC 20006-4607, Telephone: (202) 223-1500 Fax: (202) 496-9067 Price unknown.

Keywords: EPSDT, Fees and charges, Health maintenance organizations, Medicaid, Medicaid managed care, Omnibus Budget Reconciliation Act of 1989, Prepaid health plans, Reports, Surveys

Bostin MJ. 1978. Study to quantify the uniqueness of children's hospitals: Summary of major findings. Wilmington, DE: National Association of Children's Hospitals and Related Institutions, 16 pp.

Annotation: This report provides information on a study to identify and quantify the operating and capital costs of children's hospitals and identify and quantify the cost differences with general hospitals of similar size. The areas discussed are intensity of care and specialized services, occupancy, nurse staffing, support service staffing, interns and residents, education and research, community service costs, administrative and nonpayroll variable costs, payment and uncompensated care, space allocations, and construction costs.

Keywords: Fees and charges, Medical personnel, Operating costs, Pediatric care, Pediatric hospitals, Pediatric nursing, Research

Ohio State University, Department of Preventive Medicine and Center for Continuing Medical Education and Ohio Department of Health, Bureau of Maternal and Child Health-Crippled Children Services . 1976. Proceedings of a conference on the administration of maternal and child health and crippled children services program. Columbus, OH: Ohio State University, Department of Preventive Medicine and Center for Continuing Medical Education and Ohio Department of Health, Bureau of Maternal and Child Health-Crippled Children Services, 94 pp.

Annotation: These proceedings begin with a paper on the effect of organizational structure on an agency performance followed by an analysis of specific maternal and child health (MCH) and crippled children's services (CCS) organizational structures. Other topics addressed were components involved in the supervision of agency programs; local projects and the evaluation of MCH and CCS programs and local projects; the content of MCH and CCS programs; documentation of matching funds for MCH and CCS programs and local projects; fee schedules, third party payments and Title XIX and Title V working agreements; writing of state plans for MCH and CCS programs; and the relationship of professional standards review organization (PSRO) requirements and MCH and CCS program activities along with an introduction to new reporting systems. [Funded in part by the Bureau of Community Health Services]

Keywords: Child health, Children with developmental disabilities, Children with special health care needs, Conferences, Fees and charges, Maternal health, Organizations, Social Security Act, Standards, Supervision, Title V programs, Title XIX
   

The MCH Digital Library is one of six special collections at Geogetown University, the nation's oldest Jesuit institution of higher education. It is supported in part by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under award number U02MC31613, MCH Advanced Education Policy with an award of $700,000/year. The library is also supported through foundation and univerity funding. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.