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: [email protected] 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: [email protected] 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: This report provides suggestions for how states that choose to implement programs to advance prevention of oral disease in primary care for beneficiaries of Medicaid and the Children’s Health Insurance Program (CHIP) can select a family of measures to assess progress. It explains what the different measures in the family of measures are (outcome measures, process measures, and balancing measures) and provides measurement strategies for each type of measure.

Contact: U.S. Centers for Medicare & Medicaid Services, 7500 Security Boulevard, Baltimore, MD 21244, Telephone: (800) 633-4227 Secondary Telephone: (877) 267-2323 Fax: Web Site: https://www.cms.gov Available from the website.

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Keywords: Dental caries, Low income groups, Medicaid, Oral heath, Prevention, Primary care, Programs, State Children', s Health Insurance Program

Annotation: This report provides ideas for how states can use a driver diagram on oral health produced by Medicaid and the Children's Health Insurance Program (CHIP) to advance prevention of oral disease in primary care, plan a quality-improvement (QI) project, and determine how to improve outcomes. The report offers background, presents the driver diagram, explains the driver diagram, and provides ideas for activities to promote change.

Contact: U.S. Centers for Medicare & Medicaid Services, 7500 Security Boulevard, Baltimore, MD 21244, Telephone: (800) 633-4227 Secondary Telephone: (877) 267-2323 Fax: Web Site: https://www.cms.gov Available from the website.

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Keywords: Dental caries, Low income groups, Medicaid, Oral heath, Prevention, Primary care, Programs, State Children', s Health Insurance Program

Annotation: This video discusses how children who are Medicaid or Children's Health Insurance Program beneficiaries can benefit from having fluoride varnish applied to their teeth in the primary care setting. The video shares quality-improvement methods that can help states improve the provision of oral health care to these children by primary care health professionals. Topics include developing an aim statement, using a driver diagram, identifying drivers to consider for achieving the aim, starting small to test whether change ideas are working, and using the plan-do-sudy-act method.

Contact: U.S. Centers for Medicare & Medicaid Services, 7500 Security Boulevard, Baltimore, MD 21244, Telephone: (800) 633-4227 Secondary Telephone: (877) 267-2323 Fax: Web Site: https://www.cms.gov Available from the website.

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Keywords: Dental caries, Low income groups, Medicaid, Oral heath, Prevention, Primary care, Programs, State Children', s Health Insurance Program

Annotation: This interactive website presents an overview of how Medicaid and the Children's Health Insurance Program (CHIP) provide coverage across the United States. It offers state-specific fact sheets showing enrollment data, federal support, and the impact of Medicaid on different populations. The website features a color-coded map displaying Medicaid and CHIP enrollment per 1,000 state residents ages 0-64, allowing users to click on individual states to access detailed information. Key topics covered include Medicaid's role as the largest health insurer in the U.S., its coverage of various health services, evidence of improved health outcomes, and its financial importance to healthcare providers in both rural and urban areas. State fact sheets like Virginia's provide specific enrollment statistics, federal funding information, and data on how Medicaid serves children, adults, rural communities, and individuals with mental health needs.

Contact: Commonwealth Fund, One East 75th Street, New York, NY 10021, Telephone: (212) 606-3800 Fax: (212) 606-3500 E-mail: [email protected] Web Site: http://www.commonwealthfund.org

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Keywords: Child health, Data, Enrollment, Maternal health, Medicaid, State aid, State health insurance programs, Statistics

Annotation: This research report examines the potential impacts of eliminating enhanced Federal Medical Assistance Percentage (FMAP) for Medicaid expansion, focusing on state budget implications and health coverage consequences. It presents data showing that if enhanced FMAP were eliminated in 2026, the 41 expansion states would need to increase spending on acute care for the nonelderly by an average of 25.6 percent to maintain current eligibility levels. If all states dropped Medicaid expansion in response, Medicaid enrollment would decline by 15.9 million people, with 10.8 million becoming uninsured. The report describes how Medicaid expansion has benefited enrollees through improved health care access and financial security, while also providing fiscal benefits to states through additional savings and revenue. Using the Urban Institute's Health Insurance Policy Simulation Model, the analysis examines various scenarios of state responses and includes detailed data tables showing state-by-state impacts on coverage and spending.

Contact: Urban Institute, 500 L'Enfant Plaza, SW, Washington, DC 20024, E-mail: https://www.urban.org/about/contact-us Web Site: http://www.urban.org

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Keywords: Financing, Health care reform, Health insurance, Health policy, Medicaid, State aid

Annotation: This brief highlights ten key things about Medicaid. It provides information on the number of Medicaid beneficiaries, coverage, and financing; Medicaid’s share of all health care and long-term care spending and how Medicaid spending is divided among children vs. those who qualify based on age or disability; and the effect of state Medicaid spending on cost per beneficiary across states. Also discussed are the share of beneficiaries who receive care through managed care organizations, how Medicaid coverage impacts beneficiaries, section 1115 demonstration waivers, and public views on Medicaid.

Contact: Henry J. Kaiser Family Foundation, 2400 Sand Hill Road, Menlo Park, CA 94025, Telephone: (650) 854-9400 Secondary Telephone: (202) 347-5270 Fax: (650) 854-4800 Web Site: http://www.kff.org Available from the website.

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Keywords: Costs, Health insurance, Long term care, Low income groups, Managed care, Medicaid

Annotation: This brief estimates the fiscal impact on states of removing adult Medicaid dental benefits for the 41 states and District of Columbia that offer benefits at the limited or enhanced level. It analyzes medical care costs incurred for emergency department visits, for those with conditions such as diabetes or heart disease, and for pregnant women. The brief also provides a review of previous policy changes to several states' Medicaid dental benefits and examines the impact of these changes.

Contact: American Dental Association, Health Policy Institute, 211 East Chicago Avenue, Chicago, IL 60611-2678, Telephone: (312) 440-2500 Web Site: http://www.ada.org/en/science-research/health-policy-institute Available from the website.

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Keywords: Costs, Dental insurance, Emergency rooms, Low income groups, Medicaid, Oral health, Pregnant women

Annotation: This report presents findings on the state of women's and family health benefits in the workplace based on two surveys conducted in October-November 2024. It addresses challenges facing employees and employers, including rising healthcare costs, burnout among working parents, and increased anxiety around reproductive health. The report highlights how companies are responding through expanded benefits, with 69% planning to increase family health benefits vendors in the coming years. It discusses the benefits of offering comprehensive women's and family health support, including improved employee retention and reduced healthcare costs. The report includes specific statistics on employer and employee priorities, testimonials from benefits leaders, and guidance for designing effective family benefits programs. Sections cover topics such as fertility support, parenting challenges, men's reproductive health, and the role of digital health solutions in improving outcomes.

Contact: Maven Clinic , , New York, NY 10013, E-mail: https://www.mavenclinic.com/contact Web Site: https://www.mavenclinic.com/

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Keywords: Employer health costs, Family support services, Health Benefits Plans, Employee, Insurance benefits, Maternal health, Perinatal care, Reproductive health services, Statistics, Surveys, Trends, Women', Workplace health promotion, s health

Annotation: This data book presents data on Medicaid and the Children's Health Insurance Program (CHIP). Contents include an overview with key statistics on Medicaid and CHIP; trends in Medicaid; Medicaid and CHIP enrollment and spending with information on benefits, managed care, and program administration; Medicaid and CHIP eligibility; and measures of beneficiary health, use of services, and access to care. The final section of the data book contains a technical guide that describes the data sources used, the methods used to analyze the data, and guidance in interpreting how specific data may differ from each other or from those published elsewhere.

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.

• 2024

Keywords: Children', Eligibility, Medicaid, Statistical data, Trends, s health insurance program

Annotation: This report describes the framework that the 2023 Medicaid and CHIP Oral Health Initiative (OHI) Workgroup used to set priorities for improving oral health care access, quality, and outcomes and advancing health equity in Medicaid and the Children’s Health Insurance Program. The report also summarizes workgroup input for the following focus areas: strategic priorities, strategies, and measures for monitoring progress for the next phase of the OHI. It provides background on why good oral health is important and about what the Centers for Medicare & Medicaid Services has done to achieve the goal of improving oral health care for Americans, as well as about the workgroup’s charge.

Contact: Mathematica , P.O. Box 2393, Princeton, NJ 08543-2393, Telephone: (609) 799-3535 Fax: (609) 799-0005 E-mail: [email protected] Web Site: http://www.mathematica-mpr.com Available from the website.

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Keywords: Access to oral health care, Medicaid: Children', Oral health, Quality improvement, s Health Insurance Program

Annotation: This guide presents an overview of inequities in access to health care and insurance coverage in the U.S. and highlights policy and accountability levers that advocates and other change-makers can use to advance equity. Among the topics addressed are providers and service delivery, financing, barriers to obtaining health insurance, barriers to accessing health care, disparities in coverage, accountability and oversight, and policies and actions that could lesson barriers. Links to additional sources of information are included.

Contact: Urban Institute, 500 L'Enfant Plaza, SW, Washington, DC 20024, E-mail: https://www.urban.org/about/contact-us Web Site: http://www.urban.org

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Keywords: Access to care, Barriers, Health care disparities, Health equity, Health insurance, Initiatives, Policy, Uninsured persons

Annotation: This guide presents an overview of the Children's Health Insurance Program (CHIP), including system inequities, and highlights policy and accountability levers that advocates and other change-makers can use to advance equity. Among the topics addressed are financing, providers and service delivery, barriers to accessing and maintaining CHIP coverage, barriers to accessing health care services in CHIP, accountability and oversight, and policies and actions that could lesson barriers. Links to additional sources of information are included.

Contact: Urban Institute, 500 L'Enfant Plaza, SW, Washington, DC 20024, E-mail: https://www.urban.org/about/contact-us Web Site: http://www.urban.org

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Keywords: Access to care, Barriers, Children', Health care disparities, Health equity, Initiatives, Policy, s Health Insurance Program

Annotation: This brief provides key findings from the State of Oral Health Equity in America 2024 Survey, a nationally representative survey of over 9,000 adults’ attitudes, experiences, and behaviors related to oral health. Information is included about dental visits in the past year by home-ownership status, planned dental visits in the coming year by income level, emergency department visits for oral health care by educational attainment, having a dental home by health insurance status, self-rated oral health by sexual orientation, importance attached to cultural humility in oral health care by race, and importance attached to diversity in oral health care by income level.

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: Behavior, Cultural competence, Dental care, Educational attainment, Emergency medical services, Health equity, Health insurance, Income factors, Oral health, Sexual identity, Surveys

Annotation: This brief provides an overview of state-level policies that can support community-level actions to help ensure that communities have access to comprehensive oral health care, as well as federal policies that support the availability of minimally invasive care (MIC). State-level policy considerations discussed include maximizing Medicaid coverage for MIC (coverage of fluoride treatments, reimbursement for teledentistry, and risk management and individualized care); improving private coverage of MIC; and workforce considerations. Federal-level policy considerations discussed include mandatory Medicaid adult benefits, federal standardization of essential health benefits, and comprehensive Medicare dental benefits.

Contact: Community Catalyst, Dental Access Project, 30 Winter Street, 10th Floor, Boston, MA 02108, Telephone: (617) 338-6035 Fax: (617) 451-5838 E-mail: [email protected] Web Site: https://communitycatalyst.org/work/projects/dental-access-project/ Available from the website.

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Keywords: Access to health care, Community health, Dental insurance, Medicaid, Medicare, Oral health, Public policy

Annotation: This report provides information about Medicaid coverage for specific groups as of December 2023. It includes the 2023 Rubric for Assessing Extensiveness of State Medicaid Adult Dental Benefits, which assesses coverage within eight service categories, by state. Also included is a map showing states offering Medicaid dental coverage to certain groups of beneficiaries that differs from coverage offered to other adult beneficiaries ages 21–64, along with a breakdown of which states offer specific types of coverage.

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: Adults, Health insurance, Medicaid, Older adults, Oral health, State information