Search Results: MCHLine

Annotation: This booklet provides information and forms to help families work with their health insurance companies. It includes questions to ask the insurance company and billing office, tips for keeping records of bills and claims, and who to talk with for assistance. A glossary of terms and list of publications on health insurance are included. Resource organizations in Cuyahoga County and the state of Ohio are also listed. [Funded by the Maternal and Child Health Bureau]

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Keywords: Children with special health care needs, Family centered, community based care, Health care financing, Insurance, Medical records

Annotation: This report presents the results of a 1989 survey of state Title V maternal and child health (MCH) programs and children with special health needs (CSHN) programs with respect to their roles in serving adolescents. The publication brings together the results of adolescent health initiatives from both MCH and CSHN perspectives in order to examine how these programs might be better coordinated and strengthened. The survey revealed that most Title V-supported programs routinely bill Medicaid (and, to a lesser extent, private insurance) for some services. Limited revenues are received from insurance due to inadequate billing capacity, the type of services offered by Title V programs, and low reimbursement from Medicaid. [Funded by the Maternal and Child Health Bureau]

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Keywords: Access to health care, Adolescents, Child health, Insurance, Maternal health, Medicaid, Social Security Act, Special health care needs, Title V

Annotation: This videotape describes the Caring Program for Children and the Children's Health Insurance Program (Blue Cross/Blue Shield's BlueCHIP program) in Pennsylvania. It depicts the health care needs of children living in poverty and children of the uninsured working poor who do not qualify for Medicaid assistance, and explains the unique funding of this collaborative program. Appearances by Fred Rogers of "Mr. Rogers' Neighborhood" and by local medical and government officials underscore the need for this type of program, the reasons for its success, and the ways that public and private resources can join together to help ensure access to primary health care for children. The videotape concludes with a television clip describing the program on NBC's "America Close Up." [Funded by the Maternal and Child Health Bureau]

Keywords: Access to health care, Audiovisual materials, Child health, Corporate programs, Insurance, Local MCH programs, Medical assistance, Pennsylvania, Primary care, Public private partnerships, Videotapes

Annotation: The goals of this project were to: (1) Heighten awareness of adolescent health insurance problems and potential solutions among policymakers, health care professionals, educators, business groups, and parents; (2) strengthen State-level capacity to plan and implement strategies for improving financing of health services for adolescents; and (3) update and expand our knowledge base concerning the financing of health services for adolescents. Activities included conducting workshops, providing technical assistance, and publishing reports and educational materials. [Funded by the Maternal and Child Health Bureau]

Contact: National Technical Information Service, O.S. Department of Commerce, 5301 Shawnee Road, Alexandria, VA 22312, Telephone: (703) 605-6050 Secondary Telephone: (888) 584-8332 E-mail: customerservice@ntis.gov Web Site: http://www.ntis.gov Document Number: NTIS PB94-161536.

Keywords: Adolescents, Data Collection, Education of Health Professionals, Financing Health Care for Adolescents, Health Insurance, Medicaid, Minorities

Annotation: The goal of this project was to assist in the formation of a collaborative effort involving the government, providers, private payers, and families in order to reconcile the operational difficulties of achieving health care cost containment while retaining quality, access, and family-centeredness. The project sought to: develop approaches to health care financing that are sensitive to the needs of families with children who have special health care needs; assist families with special health care needs in dealing with financial problems which pose barriers to obtaining appropriate health services; and disseminate information regarding financing of care for children with special health care needs. Family health benefits counselors assisted approximately 1600 over the course of the project by conducting intake interviews, informing families about health care financing options, assisting in completing applications and/or filing appeals or denials of public or private benefits and facilitating negotiations with medical creditors. Consultation with legal backup and referral for legal intervention were distinguishing aspects of the project. Benefits counselors and project attorney worked with state and county administrative and regulatory agencies, private insurers and health care providers and associations to resolve systemic problems. [Funded by the Maternal and Child Health Bureau]

Contact: National Technical Information Service, O.S. Department of Commerce, 5301 Shawnee Road, Alexandria, VA 22312, Telephone: (703) 605-6050 Secondary Telephone: (888) 584-8332 E-mail: customerservice@ntis.gov Web Site: http://www.ntis.gov Document Number: NTIS PB93-199156.

Keywords: Advocacy, Case Management, Chronic illnesses and disabilities, Families, Family health, Financial Counseling, Financing Health Care, Health Insurance, Health Maintenance Organizations (HMOs), Medicaid, Reimbursement

Annotation: These resources are designed to help health professionals promote oral health coverage in Medicaid and the Children’s Health Insurance Program (CHIP) and educate pregnant women and parents and other caregivers about good oral health habits. Contents include links to Medicaid and CHIP benefits for children by state and a tool to help families find a dentist. Additional contents include a fact sheet, a flyer, a poster, tear pads, web banners and buttons, social media messages, images for Facebook and Twitter, and newsletter templates in English and Spanish.

Contact: Insure Kids Now, Centers for Medicare and Medicaid Services, 7500 Security Boulevard, Baltimore, MD 21244, Web Site: https://www.insurekidsnow.gov Available from the website.

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Keywords: Children with special health care needs, Children', Consumer education materials, Medicaid, Oral health, Pregnant women, Public awareness campaigns, Resources for professionals, Spanish language materials, Young children, s Health Insurance Program

Annotation: This website provides strategies and materials from a national outreach and enrollment initiative. The purpose of the initiative is to raise awareness about health coverage available under Medicaid and the Children's Health Insurance Program; create opportunities for families to get their eligible children and adolescents signed up for coverage; motivate parents to enroll their children and adolescents and renew their coverage; and help states, community organizations, schools, health professionals, and others organize and conduct successful outreach activities. Contents include customizable fact sheets, palmcards, posters, public service announcements, webinars, and a newsletter. Links to campaign partners; a video library; tools for using technology to facilitate outreach; and strategies for businesses, community health centers, schools, and youth sports are also included. Some materials are available in Spanish.

Contact: U.S. Centers for Medicare & Medicaid Services, 7500 Security Boulevard, Baltimore, MD 21244, Telephone: (877) 267-2323 Secondary Telephone: (410) 786-3000 Fax: Web Site: https://www.cms.gov Available from the website.

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Keywords: Adolescents, Children, Children', Enrollment, Federal initiatives, Health insurance, Medicaid, Multimedia, Outreach, Public awareness campaigns, Spanish language materials, s Health Insurance Program

Annotation: This tool library provides links to resources for promoting oral health and encouraging families to enroll their eligible children in Medicaid or the Children's Health Insurance Program (CHIP). Resources include videos, social media messages and images, banners, button, print materials, a Find a Dentist widget, posters, flyers, tear pads, templates, and fact sheets. A list of each state's dental benefits for children is also available, along with information about Centers for Medicare & Medicaid oral health initiative to help states ensure that children enrolled in Medicaid and CHIP have access to oral health care.

Contact: Insure Kids Now, Centers for Medicare and Medicaid Services, 7500 Security Boulevard, Baltimore, MD 21244, Web Site: https://www.insurekidsnow.gov Available from the website.

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Keywords: Access to health care, Health promotion, Medicaid, Oral health, Outreach, State Children', State health insurance programs, s Health Insurance Program

Annotation: This fact sheet for families explains when and how to enroll in the Health Insurance Marketplace to receive affordable coverage. It explains how Affordable Care Act (ACA) Open Enrollment is a critical time to promote the opportunity for affordable health care coverage; describes what is included in the marketplace plans and what they cost; and offers step-by-step enrollment instructions. A companion document describes the ways in which Title V maternal and child health programs can promote enrollment during the ACA open season (see unique #39525)

Contact: Association of Maternal and Child Health Programs, 1825 K Street, N.W., Suite 250, Washington, DC 20006-1202, Telephone: (202) 775-0436 Fax: (202) 478-5120 E-mail: info@amchp.org Web Site: http://www.amchp.org Available from the website.

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Keywords: Access to health care, Children', Enrollment, Families, Health Insurance, Medicaid, Outreach, s Health Insurance Program

Annotation: This report focuses on aspects of Medicaid's mission to ensure access to high-quality health services and the program's future as a major health care payer driving health system change toward value. The report focuses on topics of interest to Congress, including Medicaid’s responsiveness during economic downturns; concerns about high rates of maternal morbidity and mortality; improving hospital payment policy for the nation's safetynet hospitals, and the integration of care for people who are dually eligible for Medicaid and Medicare.

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: macpac@macpac.gov Web Site: http://www.macpac.gov Available from the website.

• 2022
• 2021

Keywords: Access to health care, Adolescents, Children, Children', Costs, Financing, Health care reform, Health services delivery, Medicaid, Medications, Mental health, Oral health, Organizational change, Pregnant women, Reimbursement, Systems development, s Health Insurance Program

Annotation: This report provides information from a study that examined Arizona Health Care Cost Containment System health claims data to determine patterns of use of well-child medical visits and dental services in Arizona children enrolled in Medicaid from April 2016 to March 2020. The report introduces the issue and discusses methods. Results are presented on the following topics: demographic data of the study sample, days since the last dental or well child visit benefit was used, distance traveled to health care visit, procedure groupings by age group, access points to dental care by race, and a care-utilization model with presence of 1+ claims as the outcome variable.

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.

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Keywords: Access to health care, Age factors, Arizona, Health insurance, Low income groups, Medicaid, Oral health, Racial factors, State information, Statistical data

Annotation: This resource provides an overview of the three oral health care measures in the 2022 Core Set of Children’s Health Care Quality Measures for Medicaid and the Children’s Health Insurance Program (Child Core Set) and highlights differences in the measure specifications. The three measures are sealant receipt on permanent first molars; oral evaluation, dental services; and topical fluoride for children. Links to resources to help states calculate the dental and oral health services measures for Child Core Set reporting are included.

Contact: U.S. Centers for Medicare & Medicaid Services, 7500 Security Boulevard, Baltimore, MD 21244, Telephone: (877) 267-2323 Secondary Telephone: (410) 786-3000 Fax: Web Site: https://www.cms.gov Available from the website.

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Keywords: Children', Dental sealants, Fluoride, Health services, Medicaid, Oral health, s Health Insurance Program

Annotation: This report describes a study to inform policy decisions to improve access to and use of oral health care in Arkansas and to establish baseline measures for coverage and use indicators. Topics include data sources, key findings, study demographics and dental insurance coverage profile, use of care, fluoride varnish applications, dental sealant applications, use of oral health care in medical care settings, hospital emergency department use among uninsured individuals, population-to-active-dentist ratio profile, tooth-extraction-related opioid-prescribing profile, and future research.

Contact: Arkansas Center for Health Improvement, 1401 W. Capitol Avenue, Suite 300 (Victory Building), Little Rock, AR 72201, Telephone: (501) 526-2244 Web Site: https://achi.net/ Available from the website.

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Keywords: Access to health care, Arkansas, Data, Dental sealants, Fluoride, Health care utilization, Health insurance, Oral health, Public policy, State information, Uninsured persons

Annotation: This fact sheet describes the ways in which Title V maternal and child health programs can promote enrollment during the Affordable Care Act (ACA) open season. A companion fact sheet for families explains when and how to enroll in the Health Insurance Marketplace to receive affordable coverage (see unique #39524).

Contact: Association of Maternal and Child Health Programs, 1825 K Street, N.W., Suite 250, Washington, DC 20006-1202, Telephone: (202) 775-0436 Fax: (202) 478-5120 E-mail: info@amchp.org Web Site: http://www.amchp.org Available from the website.

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Keywords: Access to health care, Enrollment, Health insurance: Children', Health promotion , Title V programs, s Health Insurance Program

Annotation: This fact sheet explains how Title V maternal and child health (MCH) programs can actively engage state Medicaid agencies and work with state and local partners to ensure that Medicaid-eligible recipients continue to receive adequate health coverage once the COVID-19 federal public health emergency (PHE) funding ceases. The fact sheet focuses on the challenges posed by the required redetermination of Medicaid eligibility; the staff-intensive enrollment process; and the number of at-risk recipients whose job status changed during the pandemic.

Contact: Association of Maternal and Child Health Programs, 1825 K Street, N.W., Suite 250, Washington, DC 20006-1202, Telephone: (202) 775-0436 Fax: (202) 478-5120 E-mail: info@amchp.org Web Site: http://www.amchp.org Available from the website.

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Keywords: Access to care, Communicable diseases, Emergencies, Enrollment, Federal programs, Health Insurance, Medicaid, Public health, Title V, Virus diseases

Annotation: This report presents statistics on health insurance coverage in the United States based on information collected in the Current Population Survey Annual Social and Economic Supplement and the American Community Survey (ACS). The report presents an overall estimate of the year-to-year change in the health insurance coverage rates based on the ACS. Reports from prior years of the survey (1994 to 2020) are also available from the website. (Note: Due to the redesign of the health insurance section of the CPS ASEC, its estimates of health insurance coverage are not directly comparable to estimates from earlier years of the survey.)

Contact: U.S. Census Bureau, 4600 Silver Hill Road, Washington, DC 20233, Telephone: (301) 763-4748 E-mail: webmaster@census.gov Web Site: http://www.census.gov Available from the website.

• 2021 Report
• Reports From 1994 To Present

Keywords: Health insurance, Statistics

Annotation: This brief evaluates Medicaid coverage for a select group of dental insurance codes that address barriers to optimal oral health care for children. The goal of the brief, which explains how these codes are created and why they are important, is to raise awareness of the codes and of the benefits of advocating for their inclusion in state fee schedules. For each code, the brief offers a rationale, a recommendation, and a list of states that reimburse for the code.

Contact: American Academy of Pediatric Dentistry, 211 East Chicago Avenue, Suite 1600, Chicago, IL 60611-2637, Telephone: (312) 337-2169 Fax: (312) 337-6329 Web Site: http://www.aapd.org Available from the website.

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Keywords: Dental caries, Disease prevention, Insurance, Medicaid, Oral health

Annotation: This Medicaid Policy Cheat Sheet explores what states are doing to improve maternal health outcomes and what additional opportunities exist. Some strategies suggested include: extending postpartum coverage; enhancing benefits to cover evidence-based models, such as home visiting programs; developing value-based payment models that reward health outcomes and close racial and ethnic disparity gaps; and enhancing data collection on maternal mortality and morbidity. The document also provides examples of notable policies that have been implemented by states, such as payment reforms, models of care delivery, managed care organization data reporting requirements, midwifery-led care, doula services, postpartum coverage expansion, use of telemedicine, and provider bias training.

Contact: Center for Health Care Strategies, 200 American Metro Boulevard, Suite 119, Hamilton, NJ 08619, Telephone: (609) 528-8400 Fax: (609) 586-3679 Web Site: http://www.chcs.org

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Keywords: Federal health insurance programs, Maternal health, Medicaid, Policy analysis, Public policy, State health insurance programs

Annotation: This Medicaid Policy Cheat Sheet details the importance of family caregivers and reviews legislation that supports this unpaid workforce. The document defines family caregivers and their tasks and lists hardships that family caregivers face as a result of providing care. Recent enacted federal legislation aimed at supporting family caregivers include the Recognize, Assist, Support and Engage (RAISE) Family Caregivers Act (2018) and the American Rescue Plan (2021). Proposed legislation includes the American Families Plan and the American Jobs Plan.

Contact: Center for Health Care Strategies, 200 American Metro Boulevard, Suite 119, Hamilton, NJ 08619, Telephone: (609) 528-8400 Fax: (609) 586-3679 Web Site: http://www.chcs.org

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Keywords: Caregivers, Elder care, Family centered care, Family economics, Federal health insurance programs, Federal legislation, Home care, Medicaid

Annotation: This fact sheet explains what is silver diamine fluoride (SDF) and discusses its effectiveness, safety, and advantages and disadvantages; whether it is cost effective; and potential cost savings for health care systems resulting from SDF use. Also addressed are when, where, and why to use SDF; who is a good candidate for SDF; who should apply SDF; reimbursement for SDF application; coverage for SDF use; and the insurance code for SDF.

Contact: American Academy of Pediatric Dentistry, 211 East Chicago Avenue, Suite 1600, Chicago, IL 60611-2637, Telephone: (312) 337-2169 Fax: (312) 337-6329 Web Site: http://www.aapd.org Available from the website.

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Keywords: Costs, Fluoride, Health insurance, Oral health, Prevention, Safety