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Strengthen the Evidence for Maternal and Child Health Programs

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2018. Tips for health plans on implementing the national standards. Washington, DC: Association of Maternal and Child Health Programs; [Portland, ME; Washington, DC]: National Academy for State Health Policy, 2 pp. (A Critical Tool to Improve Systems of Care for Children and Youth with Special Health Care Needs)

Annotation: This tip sheet provides guidance for health plans on implementing the National Standards for Systems of Care for Children and Youth with Special Health Care Needs (CYSHCN). It explains that these standards offer a framework for ensuring comprehensive, coordinated, family-centered care, noting that while one in five U.S. children has special health care needs, four out of five CYSHCN families report not receiving care in a well-functioning system. The tip sheet outlines specific ways health plans can use the standards, including developing managed care programs to meet unique needs, coordinating with all entities providing care, improving enrollment and transition processes, and creating appropriate benefit plans. The second page highlights successful implementation examples from Delaware, Massachusetts, and Virginia, and describes available resources for health plans including assessment tools, a NCQA crosswalk, Medicaid managed care contracting tools, and quality measurement resources. The document directs readers to online toolkits and a mobile-friendly site for accessing these materials.

Keywords: Standards, State CHSCN programs, Delaware, Massachusetts, Virginia, Assessment Tools, Medicaid
   

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