Search Results: MCHLine

Annotation: This oversized chart enumerates the basic required Medicaid services and shows the optional services offered by the individual states, the District of Columbia, American Samoa, Guam, Puerto Rico, and the Virgin Islands in a tabular display. The reverse side of the poster indicates changes made in state Medicaid programs listing services added or deleted in each state.

Keywords: Health services, Medicaid, Medicaid managed care, State programs, Supplemental Security Income, Waiver 1115

Annotation: This report examines the four Medicaid demonstration Section 1115 waiver programs that were approved since 1993 and fully implemented at the time of this study, in Hawaii, Oregon, Rhode Island, and Tennessee. The study examined the impact of the waivers on children, in particular on service access issues, especially for children with special health needs. [Funded by the Maternal and Child Health Bureau]

Keywords: Access to health care, Children, Children with special health care needs, Hawaii, Medicaid managed care, Oregon, Rhode Island, State programs, Tennessee, Waiver 1115, Waiver programs

Annotation: This report considers current federal and state Medicaid expenditures as a background for considering state efforts to contain costs and expand coverage by applying for waivers to certain Medicaid requirements. The report includes a summary which highlights the principal findings in addition to detailed analyses of the topic. Implications for future federal spending and on Medicaid's future are also considered.

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Keywords: Cost containment, Costs, Economic factors, Expanded eligibility, Federal government, Medicaid, Medicaid managed care, State data, State government, State initiatives, Statistics, Waiver 1115

Annotation: This collection of fact sheets contains materials on various aspects of Medicaid managed care. They provide an introduction to Medicaid managed care, and cover the Section 1915(b) and Section 1115 health care reform waivers. Individual fact sheets review issues relating to access and utilization, cost, quality, patient satisfaction, EPSDT, children with special health needs, the public health role, planning and monitoring, and quality assurance. The fact sheets were originally prepared for the "PIC Briefing Book: Medicaid Managed Care and MCH" which was produced for the October, 1994 meeting of the MCH Partnership for Information and Communication (PIC) Interorganizational Work Group. [Funded by the Maternal and Child Health Bureau]

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Keywords: Access to health care, Cost effectiveness, Costs, Evaluation, Health care financing, Health care utilization, MCH programs, Medicaid managed care, Public health infrastructure, Quality assurance, State health care reform, Waiver 1115, Waiver 1915, Waiver programs

Annotation: This is a transcript of a presentation given at the conference Looking Forward: The Role of State Policymakers in Promoting Healthy Families held in Savannah, Georgia, on June 10, 1994. The talk outlined the five major requirements for Health Care Financing Administration (HCFA) approval of Medicaid waivers: policy relevance, duration, evaluation, budget neutrality, and streamlined process. [Funded by the Maternal and Child Health Bureau]

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Keywords: Guidelines, Medicaid managed care, State health care reform, Waiver 1115

Annotation: This paper examines legislative initiatives relating to managed care in the states during 1994. The paper contains three sections: the first is an essay which analyzes the overall trends for the year, the second is a table summarizing the legislative activities by state and subject area, and the third contains the texts of the laws organized alphabetically by state. The major trends centered on any willing provider clauses, Medicaid managed care, and comprehensive utilization reviews; other legislative initiatives included providing consumer protection, and legislation relating to Section 1115 waivers.

Keywords: Consumers, Health maintenance organizations, Managed care, Medicaid managed care, Preferred provider organizations, Provider participation, Regulations, State health care reform, State legislation, Utilization review, Waiver 1115

Annotation: This paper contains legislative summaries for states which took legislative actions during 1994 on Medicaid and health care for the poor. It reviews the primary trends represented in those laws before enumerating and describing the main features of each law. These descriptions are grouped by state. The significant subjects addressed in 1994 were: Medicaid managed care, 1115 waivers, financial issues, initiatives to control cost and utilization, eligibility and benefits changes, and initiatives in indigent care and state welfare reform.

Keywords: Medicaid, Medicaid managed care, Poverty, State legislation, Uninsured persons, Waiver 1115

Annotation: This audiocassette describes Medicaid program experiences to date in Tennessee and Oregon and indicates possibilities for future activities.

Keywords: Medicaid, Medicaid managed care, Oregon, Tennessee, Waiver 1115, Waiver programs

Annotation: This article appears in a special issue of the newsletter and comprises the majority of the issue. The article presents information on ways that state initiatives tested in Medicaid 1115 waivers can be transferred to the operations of public health services. The article focuses on lessons learned regarding quality assurance, direct access to care, and the provision of services to children with special health needs. Each topic is considered in detail, and the features of the state initiatives that can be incorporated into public health delivery systems are emphasized with regard to assessment, policy development, and quality assurance. [Funded by the Maternal and Child Health Bureau]

Keywords: Access to care, Children with special health care needs, Health care delivery, Medicaid managed care, Program development, Public health, Quality assurance, State initiatives, Waiver 1115