Search Results: MCHLine

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.

• Link
• Program Website

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.

• Link
• Program Website

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.

• Link
• Program Website

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

Annotation: This issue brief examines the implementation of Medicaid/CHIP postpartum coverage extensions from 60 days to 12 months after pregnancy in five states. Based on interviews with 37 maternal health stakeholders, the authors identify key challenges and opportunities to maximize the impact of these extensions on maternal health outcomes. The report finds that while eligibility systems are functioning, limited communication about extended coverage and barriers to accessing care may reduce effectiveness. The authors recommend specific actions to improve implementation, including expanding education about extended coverage, improving quality of postpartum care, supporting continuity of care with a focus on equity, strengthening managed care organization accountability, and monitoring implementation progress. This policy analysis emphasizes that while extending coverage is necessary for improving maternal health outcomes, additional delivery system reforms are needed to address persistent racial and ethnic disparities and ensure coverage translates into access to quality care throughout the postpartum year.

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

• PDF

Keywords: Barriers, Children', Health care delivery, Health care reform, Health equity, Maternal health, Medicaid, New Jersey, New Mexico, Ohio, Policy development, Postpartum care, Quality Assurance, Quality improvement, South Carolina, State initiatives, and Virginia, s Health Insurance Program

Annotation: This fact sheet provides information on efforts made by the Medicaid and Children’s Health CHIP Affinity Group to prevent and reduce tooth decay in children and adolescents from July 2021 through December 2022. The fact sheet describes the purpose of the group and its activities and goals, offers background on tooth decay among children and adolescents from families with low incomes, and provides the group’s draft aim statement. Baseline data on fluoride varnish application is also included.

Contact: Oregon Health Authority, Oral Health Program, 800 N.E. Oregon Street, Suite 850, Portland, OR 97232, Telephone: (971) 673-0348 Secondary Telephone: (971) 673-0372 Fax: (971) 673-0240 E-mail: oral.health@state.or.us Web Site: https://public.health.oregon.gov/PreventionWellness/oralhealth/Pages/index.aspx Available from the website.

• PDF

Keywords: Dental caries, Low income groups, Medicaid, Oral health, Oregon, Prevention, State Children', State information, s Health Insurance Program

Annotation: This tool library provides links to resources for promoting oral health and encouraging families to enroll children who are eligible for Medicaid or the Children’s Health Insurance Program (CHIP). Resources include videos, social media messages and images, web banners, web buttons, 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 on a 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.

• Link

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 provides information on how the Advancing Prevention and Reducing Childhood Caries in Medicaid and CHIP Affinity Group, launched by the Center for Medicaid and CHIP Services, will provide technical assistance to state Medicaid and State Children's Health Insurance Program agencies and their partners as they design, test, implement, and assess strategies to improve pediatric oral health. The purpose of the group is to help states improve oral health outcomes through the delivery of preventive oral health care. The fact sheet discusses oral health, provides an overview of the group, and presents state team learning objectives.

Contact: South Dakota Department of Social Services, 700 Governors Drive, Pierre, SD 57501, Telephone: (605) 773-3165 Web Site: https://dss.sd.gov Available from the website.

• PDF

Keywords: Children, Dental caries, Medicaid, Oral health, Prevention, Quality improvement, State Children', s Health Insurance Program

Annotation: Recorded on October 7, 2022, this webinar discusses the unwinding of the COVID-19 public health emergency. Participants include representatives from AMCHP, the Maternal and Child Health Bureau, the Centers for Medicare and Medicaid Services, and the Kentucky Division of Maternal and Child Health (Medicaid and Title V Services). They discuss how registration for Medicaid and CHIP (Children's Health Insurance Program) increased during the pandemic, and what states have to look forward to when federal funding ends, including increased applications to state health programs. The Kentucky representatives present their plans for dealing with the change in funding and how they will meet the demands, including increased caseloads and the renewal process. Also incuded is a list of resources available for Maternal and Child Advocates from AMCHP.

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

• Link

Keywords: Telemedicine, Covid-19, Kentucky, Medicaid, MCH programs, State Children', s Health Insurance Program, Disaster planning, Title V programs,

Annotation: This fact sheet explores Medicaid policy options for states to meet the needs of children and youth with special health care eneds (CYSHCN) during the COVID-19 public health emergency (PHE) and discusses how future rollbacks of PHE modifications may affect CYSHCN populations.

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.

• Link

Keywords: Adolescents with special health care needs, Children with special health care needs, Children', Communicable diseases, Emergencies, Medicaid, Policy development, State health insurance programs, Virus diseases, Youth, s health insurance program

Annotation: This issue brief assesses the current coverage landscape for pregnant and postpartum women and shows how a postpartum Medicaid/CHIP extension could benefit uninsured new mothers. The brief 1) provides an overview of existing publicly subsidized coverage options for pregnancy and the postpartum period, including covered benefits and cost-sharing requirements; 2) reviews recent state and federal legislative proposals to extend postpartum coverage options and examines how such reforms could expand the coverage landscape for new mothers; and 3) estimates how many postpartum individuals would likely benefit from a 12-month postpartum Medicaid/CHIP extension, based on analysis of 2016–18 American Community Survey (ACS) data using the Urban Institute Health Policy Center’s Medicaid/CHIP Eligibility Simulation Model.

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

• Link

Keywords: Insurance, Medicaid, Postpartum care, Pregnant women, State Children', s Health Insurance Program

Annotation: This report presents metrics to provide insights into the oral health status of Indiana’s population. Metrics for children from families with low incomes eligible for Medicaid/the Children’s Health Insurance Program (CHIP) are also presented. In addition, the report provides information about dental caries, periodontal disease, cancers of the oral cavity and pharynx, orofacial clefts, disparities and socioeconomic factors, oral health and general health, and oral health data and community health in Indiana.

Contact: Indiana Department of Health, 2 North Meridian Street, Indianapolis, IN 46204, Telephone: (317) 233-1325 Web Site: https://www.in.gov/health/ Available from the website.

• PDF

Keywords: Children', Cleft lip, Cleft palate, Indiana, Low income groups, Medicaid, Oral cancer, Oral health, Periodontal diseases, Socioeconomic factors, State materials, Statistical data, s Health Insurance Program

Annotation: This issue brief describes payment strategies and state model programs aimed at improving postpartum care in Medicaid and the Children's Health Insurance Program (CHIP). Included are state examples of fee-for-service programs and alternate payment models linked to quality metrics.

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

• PDF

Keywords: Children', Health insurance, Medicaid, Models, State initiatives, s Health Insurance Program

Annotation: This report is intended to help advocates capitalize on information presented in a 2018 Centers for Medicare & Medicaid Services information bulletin that explains how state agencies administering Medicaid and the Children’s Health Insurance Program can better address children’s oral health needs. The report discusses why the bulletin is important and presents opportunities to improve oral health care for children. Strategies for implementing change are discussed, and a checklist for advocates is provided.

• PDF

Keywords: Access to health care, Advocacy, Low income groups, Medicaid, Oral health, Public policy, State Children', State agencies, s Health Insurance Program

Annotation: This report describes efforts to measure and address Children's Health Insurance Program (CHIP) "crowd-out," when families who apply for public CHIP benefits have access to private health insurance. For the report, the Centers for Medicare & Medicaid Services (CMS) asked 42 states that have separate CHIP programs to report on two separate crowd-out indicators: (1) the percent of individuals who are enrolled in CHIP that have access to private health insurance and (2) the percent of CHIP applicants who cannot be enrolled because they have private health insurance. Included is a description of procedures that CMS and states use to address crowd-out, together with statistics on income eligibility, enrollment in public vs. private insurance, and other relevant data extracted from the American Community Survey (ACS) and the Medical Expenditure Panel Survey (MEPS).

Contact: U.S. Government Accountability Office, 441 G Street, N.W., Washington, DC 20548, Telephone: (202) 512-3000 E-mail: contact@gao.gov Web Site: http://www.gao.gov Available from the website.

• PDF

Keywords: Children, Children', Data, Eligibility, Enrollment expansion, Federal programs, National surveys, State Health insurance programs, s Health insurance Program

Annotation: This bulletin discusses the importance of state Medicaid programs and Children’s Health Insurance Programs (CHIPs) properly implementing dental periodicity schedules to ensure children’s access to dental coverage. Topics include background on tooth decay in children, dental coverage for children enrolled in Medicaid or CHIP, proper implementation of dental periodicity schedules, and state action to ensure dental periodicity and fee schedule alignment and flexibility.

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.

• PDF

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

Annotation: This report provides data on Medicaid and Children's Health Insurance Program (CHIP) eligibility, enrollment, renewal, and cost sharing policies as of January 2017, and identifies changes in these policies in the past year. It documents the role Medicaid and CHIP play for children and families with low incomes and the evolution of these programs under the Affordable Care Act. Topics include Medicaid and CHIP eligibility, Medicaid and CHIP enrollment and renewal processes, and premiums and cost sharing. Trend and state-by-state tables are included.

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.

• Link
• Link

Keywords: Children', Health care reform, Health insurance, Health policy, Medicaid, Patient Protection and Affordable Care Act, State programs, State surveys, Trends, s Health Insurance Program

Annotation: This report shows the progress made by the U.S. Department of Health and Human Services and states to systematically measure and report on the quality of care that children enrolled in Medicaid and the Children's Health Insurance Program (CHIP) receive. Contents include information about state-specific findings on quality and access in Medicaid and CHIP and monitoring and improving care for children enrolled in managed care. Topics include primary care access and preventive care, management of acute and chronic conditions, childhood obesity, oral health care, prenatal and postpartum care, and adolescent well care.

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.

• Current Report
• Earlier Editions

Keywords: Access to health care, Adolescent health, Child health, Children', Federal programs, High risk children, Managed care, Measures, Medicaid, Nutrition, Oral health, Perinatal health, Preventive health services, Primary care, Program improvement, Progress reports, Quality assurance, State programs, s Health Insurance Program

Annotation: This report provides state-specific findings on children's use of dental services in Medicaid and the Children's Health Insurance Program. It includes state-specific performance data for two measures: preventive dental services and dental treatment services. The report also summarizes information on managed care quality-monitoring and qaulity-improvement efforts related to oral health care that were reported in states' external quality review technical reports.

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.

• Link

Keywords: Children, Children’s Health Insurance Program, Health care utilization, Managed care, Medicaid, Oral health, Preventive health services, Program improvement, Quality assurance, State programs, Statistical data, Trends

Annotation: This document summarizes state reporting on the quality of health care service for children covered by Medicaid and the Children's Health Insurance Program (CHIP) during the fiscal year. which generally covers care delivered during the calendar year. Contents include detailed analyses of state performance on publicly reported measures. Topics include the child core set, primary care access and preventive care, perinatal care, care of acute and chronic conditions, behavioral health care, oral health services, and trends in state performance. Reference tables and additional resources are also included. The information presented is abstracted from the Annual Secretary's Report on the Quality of Care for Children in Medicaid and CHIP.

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.

• Current Edition
• Earlier Editions

Keywords: Access to health care, Acute care, Adolescent health, Child health, Children', Chronic illnesses and disabilities, High risk children, Measures, Medicaid, Mental health, Oral health, Perinatal care, Perinatal health, Preventive health services, Primary care, Program improvement, Progress reports, Quality assurance, State programs, Statistical data, Trends, s Health Insurance Program

Annotation: These resources highlight changes and improvements in state Medicaid and Children's Health Insurance Programs to improve access to and quality of health care for individuals and families with low incomes. Topics include expanded coverage for adults; innovation in eligibility, enrollment, and renewal processes and systems; coordination of application and enrollment processes; and messaging and policies to ensure no wrong door to coverage.

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.

• Link

Keywords: Children', Eligibility, Enrollment, Health care reform, Health insurance, Information dissemination, Life course, Low income groups, Medicaid, Organizational change, Outcome and process assessment, Patient Protection and Affordable Care Act, Policy development, Service coordination, State programs, Systems development, Trends, s Health Insurance Program