Search Results: MCHLine

Annotation: This issue brief discusses legislation on Medicaid managed care that has at least passed one house of state legislatures. The summaries provided are not meant to be comprehensive, but to highlight certain issues and to give an overview of the trends that are emerging so far this year in terms of Medicaid managed care. Summaries are provided regarding creating or expanding Medicaid managed care programs, Medicaid managed care, caution on managed care for the elderly and persons with disabilities, oversight of managed care organizations and setting criteria for health maintenance organizations, protections for Medicaid managed care recipients, ensuring quality of care, Medicaid managed care fraud, and pharmaceuticals. Summaries are provided for legislation in California, Colorado, Connecticut, Florida, Hawaii, Illinois, Indiana, Kansas, Louisiana, Maryland, Michigan, Minnesota, Mississippi, Nevada, New Jersey, New Mexico, New York, North Dakota, Oklahoma, Oregon, Pennsylvania, Rhode Island, Tennessee, Texas, Virginia, and Washington. This information is current through September 25, 1997.

Keywords: California, Colorado, Connecticut, Disabilities, Disabilities, Florida, Fraud, Hawaii, Health maintenance organizations, Illinois, Indiana, Kansas, Louisiana, Managed care, Maryland, Medicaid managed care, Michigan, Minnesota, Mississippi, Nevada, New Jersey, New Mexico, New York, North Dakota, Oklahoma, Older adults, Oregon, Pennsylvania, Pharmaceuticals, Quality assurance, Rhode Island, Special health care needs, State legislation, Tennessee, Texas, Virginia, Washington

Annotation: This report is designed to help others replicate the strategies used by the Child Health Initiative, one of the 1996 Models That Work competition special honorees. The Child Health Initiative was a four-year public-private collaboration in Salem, Oregon, that provided intensive care coordination to elementary students and their younger siblings in low-income areas. In addition, the initiative provided free services, including annual health and safety fairs, immunizations, emergency dental treatment, dental sealants, a bicycle safety program with bike helmets, smoke detectors, and blankets. The report describes the project, including its collaborative model, service delivery, partnerships, infrastructure, funding, influence, and outcomes, along with lessons learned, implementation of the model program, and funding and resource development.

Contact: Maternal and Child Health Library at Georgetown University, E-mail: [email protected] Web Site: https://www.mchlibrary.org Available from the website.

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Keywords: Dental care, Awards, Collaboration, Dental sealants, Health promotion, Model programs, Models That Work, Oral health, Oregon, Poverty, Primary care, Public private partnerships, Underserved communities

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]

Contact: Maternal and Child Health Policy Research Center, 750 17th Street, N.W., Suite 1100, Washington, DC 20006-4607, Telephone: (202) 223-1500 Fax: (202) 496-9067 $40.00.

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 symposium studied organizational aspects of the states' transition to Medicaid managed care. Topics considered included how enrollment and disenrollment were handled, especially whether by private brokers or state employees; methods of outreach to new clients; client satisfaction and the handling of complaints and grievances; and client education and advocacy. A table shows how 11 states handle enrollment, whether by broker or state employees, the broker's functions, and how the broker is paid.

Contact: National Academy for State Health Policy, 10 Free Street, Second Floor, Portland, ME 04101, Telephone: (207) 874-6524 Secondary Telephone: (202) 903-0101 Fax: (207) 874-6527 E-mail: [email protected] Contact E-mail: 73512.316.compuserve.com Web Site: http://www.nashp.org Available from the website. Document Number: Publication no. MMC24.

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Keywords: Access to health care, Advocacy, Consumer education, Consumer satisfaction, Consumers, Delaware, Disenrollment, Enrollment, Indiana, Medicaid managed care, Minnesota, Missouri, New Jersey, New York, Ohio, Oregon, Quality assurance, Rhode Island, Utah, Washington

Annotation: This Intergovernmental Agreement is between (1) the Department of Human Services, Office of Medical Assistance Programs (OMAP) [T19] and (2) the Oregon Health Sciences University, Child Development and Rehabilitation Center (CDRC) [T5]. It documents the state of Oregon 's response to legislation in Title V and Title XIX of the Social Security Act requiring state Title V programs and Medicaid agencies to develop an interagency agreement to work together. The objective of this agreement is to encourage appropriate and maximum utilization of the services of the CDRC by OMAP clients who are eligible for medical assistance under Title XIX (Medicaid) and Title XXI (Children's Health Insurance Program).

Contact: Maternal and Child Health Library at Georgetown University, E-mail: [email protected] Web Site: https://www.mchlibrary.org Document Number: OR.1.1.

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Keywords: Cooperative agreements, Interagency cooperation, Medicaid, Oregon, State MCH programs, State agencies

Annotation: This paper examines the experiences of seven states that have launched initiatives to improve financing of education and other children's services: California, Kentucky, Michigan, North Carolina, Oregon, Vermont, Wisconsin. Four themes are discussed: (1) state efforts being made to restructure education and human services delivery systems to be carried out closer to the service delivery point; (2) states' attempts to increase the focus on education and children's services outcomes; (3) states responses to property tax/public revenue cuts on education and other children's services; and (4) ballot initiatives and referendums as an important factor in the governing process. Each state section consists of a summary, a table of state statistics at a glance, and a narrative of state-specific programs. Three appendices are provided: the state site visit schedule, data sources for states at a glance tables, and a resource list by state.

Contact: Finance Project, 1401 New York Avenue, Suite 800, Washington, DC 20005, Telephone: (202) 628-4200 Fax: (202) 628-1293 E-mail: [email protected] Available in libraries.

Keywords: California, Case studies, Child health services, Family centered services, Financing, Kentucky, Michigan, North Carolina, Oregon, Program descriptions, Public education, State programs, Statewide planning, Vermont, Wisconsin

Annotation: The purpose of this report is to examine the likely impact of Medicaid programs on children with special health care needs by looking at four states that have had waiver applications approved and are currently implementing demonstration programs—Hawaii, Oregon, Rhode Island, and Tennessee. It also considers the likely impact of waiver programs on the major publicly funded programs with responsibility for special needs children—state programs for children with special health care needs (CSHN). Following an introduction on the concept of waivers and demonstration programs, the report is divided into three other chapters. Chapter 2 describes demonstrations of waiver programs in the four states and assesses the impact of the programs on children with special health care needs. Chapter 3 contains an analysis of the ways in which the four programs have affected, or are likely to affect, the CSHN programs in those states. Chapter 4 provides a summary of the findings and offers suggestions regarding the issues that states might want to consider in planning future waiver programs and the new roles and responsibilities that CSHN programs adopt in waiver program states. [Funded by the Maternal and Child Health Bureau]

Contact: Maternal and Child Health Policy Research Center, 750 17th Street, N.W., Suite 1100, Washington, DC 20006-4607, Telephone: (202) 223-1500 Fax: (202) 496-9067 Available from the website.

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Keywords: Access to health care, Children with special health care needs, Demonstration programs, Hawaii, Health care financing, Health care reform, Medicaid managed care, Oregon, Rhode Island, Service delivery systems, State CSHCN programs, Tennessee, Waivers

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

Contact: National Academy for State Health Policy, 10 Free Street, Second Floor, Portland, ME 04101, Telephone: (207) 874-6524 Secondary Telephone: (202) 903-0101 Fax: (207) 874-6527 E-mail: [email protected] Contact E-mail: 73512.316.compuserve.com Web Site: http://www.nashp.org Price unknown. Document Number: 94-13.

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

Annotation: This report studies the factors that enable communities to change their health and welfare systems to care better for children and adolescents with mental health problems. It studies several state systems of mental health care delivery in order to ascertain their strategies for development, and rates them on core elements, including shared vision, leadership, financial restructuring, state-local synergy, and interagency cooperation.

Contact: National Technical Assistance Center for Children's Mental Health, Georgetown University Center for Child and Human Development, 3300 Whitehaven Street, NW, Suite 3300, Washington, DC 20007, Telephone: (202) 687-5000 Fax: (202) 687-8899 E-mail: [email protected] Web Site: http://gucchdtacenter.georgetown.edu/index.html Available from the website.

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Keywords: Adolescent mental health, California, Child mental health, Health care delivery, Health care financing, Health care systems, Idaho, Interagency cooperation, Iowa, Mental health services, Minnesota, Missouri, Nevada, Oregon, Pennsylvania, Virginia

Annotation: This is an assessment of Oregon's proposed demonstration program, with Federal funding, that would change the State's existing Medicaid program in three ways. The changes would be: to expand coverage to include all persons with incomes up to 100 percent of the Federal poverty level; to enroll all covered persons in some form of managed care; and to determine acute and primary health care benefits according to a ranked list of services. The assessment was prompted by concern about the effects of Oregon's Medicaid proposal on program recipients and the potential ramifications of the proposal in light of the national health care debate.

Contact: U.S. Government Publishing Office, 732 North Capitol Street, N.W., Washington, DC 20401, Telephone: (202) 512-1800 Secondary Telephone: (866) 512-1800 Fax: (202) 512-2104 E-mail: [email protected] Web Site: http://www.gpo.gov Available from the website. Document Number: GPO 052-003-01297-9.

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Keywords: Access to health care, Health care financing, Medicaid managed care, Oregon, Program evaluation

Annotation: This newsletter is designed to help professionals find community-based, public health solutions to problems affecting the health of children and their families and communities in Alaska, Idaho, Oregon, and Washington. Contents include information about maternal and child health (MCH) research and its application to practice, innovative and effective MCH programs, current MCH topics, experiences of people personally affected by an MCH topic, and updates from state MCH programs. [Funded by the Maternal and Child Health Bureau]

Contact: University of Washington, School of Public Health, Box 357230, Seattle, WA 98195-3813, Telephone: (206) 543-1144 Contact Phone: 206-543-8819 Fax: (206) 543-3813 E-mail: [email protected] Contact E-mail: [email protected] Web Site: http://sph.washington.edu/index.asp Fall 1998 to present available from the website; contact for earlier issues.

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Keywords: Alaska, Child health, Family health, Idaho, MCH programs, MCH services, Newsletters, Northwestern United States, Oregon, Public health, Washington

Annotation: The purpose of this book is to provide a brief chronology of existing federal laws and programs which provide and fund health services to mothers and children. With this foundation, the book looks at six states -- California, Florida, Massachusetts, Michigan, Oregon and Tennessee -- to provide insight on the legislative strategy, coalition building, and politics which combined for success in creating new state based maternity programs for the medically indigent women of their state. The book aims to report the political realities which brought about state action and state monies for maternity care.

Contact: American Hospital Association, 155 N. Wacker Drive, Chicago, IL 60606, Telephone: (312) 422-3000 Secondary Telephone: Contact Phone: (800) 242-2626 Fax: (312) 422-4796 E-mail: Web Site: http://www.aha.org

Keywords: California, Coalitions, Federal MCH programs, Florida, History, Massachusetts, Michigan, Obstetrical care, Oregon, Political processes, Poverty, State MCH programs, State legislation, Tennessee, Women

Annotation: This book describes the Birth to Three parent support groups in the Eugene, Oregon, area and gives information how how to set up such a program. Also included is a discussion outline for eight group meetings for these educational groups.

Keywords: Manuals, Oregon, Parent education programs, Peer support programs, Young children

Annotation: This report contains descriptions of state collaborative projects for children with developmental disabilities in Connecticut, Hawaii, Iowa, Louisiana, Oregon, and Utah.

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Keywords: Children with developmental disabilities, Children with special health care needs, Collaboration, Connecticut, Hawaii, Interagency cooperation, Iowa, Louisiana, Oregon, Utah

Annotation: A publication of the U.S. Department of Labor, Children's Bureau.

Contact: Maternal and Child Health Library at Georgetown University, E-mail: [email protected] Web Site: https://www.mchlibrary.org Available from the website.

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Keywords: Child labor, Farm workers, Oregon, Reports, Washington