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Strengthen the Evidence for Maternal and Child Health Programs

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Items in this list may be obtained from the sources cited. Contact information reflects the most current data about the source that has been provided to the MCH Digital Library.

Displaying records 1 through 2 (2 total).

Honsberger K. 2018. Crosswalk to National Committee for Quality Assurance primary care medical home recognition. Washington, DC: Association of Maternal and Child Health Programs; [Portland, ME; Washington, DC]: National Academy for State Health Policy, 24 pp.

Annotation: This comprehensive guide, authored by Kate Honsberger, MPH, examines the complex landscape of healthcare delivery for Children and Youth with Special Health Care Needs (CYSHCN) in the context of evolving Medicaid managed care systems. The text addresses several key aspects of the issue, including the prevalence of CYSHCN (approximately 14 million U.S. children), their unique challenges in accessing coordinated care across multiple sectors, and significant disparities in healthcare access particularly affecting low-income and minority populations. The guide outlines two major frameworks - the National Standards for Systems of Care for CYSHCN and the NCQA Primary Care Medical Home Recognition program - and describes a crosswalk tool developed to align these standards within Medicaid managed care systems. The document emphasizes the critical importance of integrating CYSHCN-specific needs into healthcare policy and practice, highlighting how states and health plans can utilize the crosswalk tool to enhance care quality while maintaining compliance with NCQA standards, ultimately promoting more effective healthcare delivery for this vulnerable population.

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: [email protected] Web Site: http://www.amchp.org

Keywords: Title V programs, CHSCN programs, Medical home, Medicaid, Managed care, Children', s Health

Honsberger K, VanLandeghem K. 2018. Serving children and youth with special health care needs in Medicaid managed care: Contracting language and the contracting process. Washington, DC: Association of Maternal and Child Health Programs; [Portland, ME; Washington, DC]: National Academy for State Health Policy, 21 pp.

Annotation: This report discusses the role of Medicaid managed care in serving children and youth with special health care needs (CYSHCN), highlighting the fact that over 40 states now enroll at least some CYSHCN in managed care plans as they seek to control costs and improve care quality. The document examines how four states (Texas, Virginia, Michigan, and Maryland) use specific contract language and management strategies to ensure managed care organizations (MCOs) effectively serve CYSHCN populations. Also discussed are key provisions around identification/assessment, access to care, medical homes, care coordination, and quality assurance, with detailed examples from each state's contracts. The document emphasizes that both strong contract language and active contract management are essential for ensuring MCOs meet the unique needs of CYSHCN, who comprise about 15% of U.S. children and require more frequent provider access, increased hospitalizations, and multiple medications compared to typical children.

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: [email protected] Web Site: http://www.amchp.org

Keywords: Title V programs, CHSCN programs, Medical home, Medicaid, Managed care, Children', s Health, Regulations, Texas, Maryland, Virginia, Michigan
   

The MCH Digital Library is one of six special collections at Geogetown University, the nation's oldest Jesuit institution of higher education. It is supported in part by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under award number U02MC31613, MCH Advanced Education Policy with an award of $700,000/year. The library is also supported through foundation and univerity funding. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.