George Washington University, Center for Health Services Research and Policy. 2000. Sample purchasing specifications for Medicaid pediatric dental and oral health services. [Washington, DC]: George Washington University, Center for Health Services Research and Policy, 26 pp.
Annotation: This manual provides sample specifications for use by state agencies purchasing health care services for children eligible for Medicaid and other programs. It provides examples of agreements with managed care organizations that arrange for the delivery of comprehensive health care, including pediatric oral health services, through a network of participating providers. Part 1 addresses pediatric oral health service benefits in general, and the following specific topics: scope of benefit; preventive services; treatment and restorative services; radiographic, laboratory, and other diagnostic services; prescription drugs; guidelines; coverage determinations; and compliance measures. A set of definitions of terms used in the document is included. Part 2 covers pediatric oral health service delivery and quality, including enrollee access to oral health care providers, enrollment and disenrollment, provider network requirements, data collection and reporting, quality measurement and improvement, and compliance measures.
Contact: George Washington University, Center for Health Policy Research, 2021 K Street, N.W., Suite 800, Washington, DC 20006, Telephone: (202) 994-4100 Fax: (202) 994-4040 E-mail: firstname.lastname@example.org Web Site: http://publichealth.gwu.edu/projects/center-health-policy-research Available from the website.
Keywords: Access to health care, Child health, Child health services, Dentists, Health care financing, Managed care, Manuals, Medicaid, Medicaid managed care, Oral health, Purchasing, Specifications, State Children's Health Insurance Program