Search Results: MCHLine

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 21 through 40 (456 total).

U.S. Department of Health and Human Services. 2016. 2015 annual report on the quality of care for children in Medicaid and CHIP: Chart pack. Washington, DC: U.S. Department of Health and Human Services, 75 pp.

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.

Keywords: Access to health care, Acute care, Adolescent health, Child health, Children's Health Insurance Program, 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

Centers for Medicare & Medicaid Services. 2016. State Medicaid & CHIP profiles. Baltimore, MD: Centers for Medicare & Medicaid Services, multiple items.

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.

Link

Keywords: Children's Health Insurance Program, 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

Centers for Medicare & Medicaid Services. 2016. Perinatal care in Medicaid and CHIP. Baltimore, MD: Centers for Medicare & Medicaid Services, [52 pp.].

Annotation: This report provides state-specific findings on perinatal care in Medicaid and the Children's Health Insurance Program. Contents include state-specific performance data on 5 of the 10 perinatal care measures in the Child and Adult Core Sets. The report also summarizes information on managed care quality monitoring and improvement efforts related to prenatal and postpartum care that were reported in states' external quality review technical reports. Topics include timeliness of prenatal care, frequency of ongoing prenatal care, postpartum care rate, live births weighing less than 2,500 grams (low birthweight), and central-line-associated blood stream infections in neonatal intensive care units.

Keywords: Children's Health Insurance Program, Health care utilization, Measures, Medicaid managed care, Perinatal care, Postpartum care, Prenatal care, Program improvement, Progress reports, Quality assurance, State programs, Statistical data, Utilization review

Reusch C, Alker J. 2016. Fulfilling the promise of children's dental coverage. Washington, DC: Children's Dental Health Project and Georgetown University Health Policy Institute, Center for Children and Families, 10 pp.

Annotation: This issue brief focuses on dental insurance coverage for children and adolescents and ways to improve children’s and adolescents’ oral health. The brief describes marketplace coverage under the Affordable Care Act and coverage financed through the Children’s Health Insurance Program and Medicaid. Topics include affordability and consumer protection, child-focused benefits, and data and evaluation. The brief concludes with a list of 12 recommendations for policymakers at the state and federal levels to strengthen dental coverage and ensure that children and adolescents receive needed oral health care.

Keywords: Children, Children's Health Insurance Program, Data collection, Dental insurance, Financing, Health care reform, Medicaid, Oral health, Patient Protection and Affordable Care Act, Policy development, Program evaluation, State programs

National Conference of State Legislatures. 2015. Children's oral health. Denver, CO: National Conference of State Legislatures, multiple items.

Annotation: This resource examines children’s oral health and the role that state legislators can play in improving it. Topics include the Patient Protection and Affordable Care Act, Medicaid and the Children’s Health Insurance Program, access to services, work force issues, and prevention and awareness.

Link

Keywords: Access to health care, Children, Children's Health Insurance Program, Disease prevention, Health promotion, Medicaid, Oral health, State programs, Work force

Anglin G, Hossain M. 2015. How are CHIPRA quality demonstration states using quality reports to drive health care improvements for children?. Rockville, MD: U.S. Agency for Healthcare Research and Quality, 7 pp. (National evaluation of the CHIPRA Quality Demonstration Grant Program: Evaluation highlight no. 11)

Annotation: This document describes state reports on the core set of children's health care quality measures for Medicaid and Children's Health Insurance Program and how they were used to drive quality improvement at the state and practice levels. The document also describes the policy and programmatic changes that occurred as a result. Conclusions and implications are included.

Keywords: Children, Children's Health Insurance Program, Demonstration programs, Medicaid, Medical records, Program improvement, Quality assurance, State programs

Foster L, Booth M, Reusch C. 2015. Reducing early childhood tooth decay: An overview for state policymakers. Baltimore, MD: U.S. Centers for Medicare & Medicaid Services, 4 pp. (Issue brief)

Annotation: This brief for state policymakers presents strategies for addressing the problem of early childhood caries (ECC) in participants enrolled in Medicaid and the Children's Health Insurance Program (CHIP). The brief defines ECC, describes the disproportionate impact of ECC on children ages 2–5 from families with low incomes and from minority households, and outlines ways that states can promote ECC prevention and management within Medicaid and CHIP policies. Topics include emphasizing prevention, assessing and addressing risk, educating and engaging parents, and supporting providers.

Keywords: Children's Health Insurance Program, Chronic illnesses and disabilities, Disease management, Disease prevention, Early childhood caries, Health care disparities, Health promotion, Low income groups, Medicaid, Minority groups, Oral health, Policy development, State programs, Young children

Foster L, Booth M, Reusch C. 2015. Reducing early childhood tooth decay: Leading steps for state policymakers. Baltimore, MD: U.S. Centers for Medicare & Medicaid Services, 3 pp. (Issue brief)

Annotation: This issue brief for state policymakers describes the problem of early childhood caries (ECC) and the leadership needed to address the problem. Topics include the proportion of children with untreated ECC, the disproportionate impact of untreated ECC on children from families with low incomes, and the important role of state leaders (including Medicaid and Children's Health Insurance Program managers) in assessing policy and implementing next steps. Topics include emphasizing prevention, promoting risk assessments and individualized care plans for children at high risk for ECC, and educating and engaging parents.

Keywords: Children's Health Insurance Program, Chronic illnesses and disabilities, Dental caries, Disease management, Disease prevention, Early childhood caries, Health care disparities, Health promotion, Low income groups, Medicaid, Oral health, Policy development, State programs, Young children

Reusch C, Booth M, Foster M. 2015. Reducing early childhood tooth decay: Strategies for state Medicaid and CHIP dental program managers. Baltimore, MD: U.S. Centers for Medicare & Medicaid Services, 5 pp. (Issue brief)

Annotation: This issue brief for state oral health program managers presents strategies for preventing and managing early childhood caries in children enrolled in Medicaid and the Children's Health Insurance Program (CHIP). The brief also provides examples of state efforts to implement prevention, risk-assessment, care-plan, and quality-improvement strategies in Medicaid and CHIP.

Keywords: Children's Health Insurance Program, Chronic illnesses and disabilities, Disease management, Disease prevention, Early childhood caries, Health care disparities, Health promotion, Low income groups, Medicaid, Oral health, Policy development, State programs, Young children

Mahadevan R, Chazin S. 2015. Medicaid oral health performance improvement projects: A how-to-manual for states. Baltimore, MD: U.S. Centers for Medicare & Medicaid Services, 34 pp.

Annotation: This manual for state Medicaid agency staff provides guidance on developing and implementing oral-health-performance-improvement projects (PIPs). Topics include selecting the PIP topic, identifying the population, defining the PIP aim, selecting performance measures, establishing the data-collection plan, planning the intervention, implementing the intervention and improvement strategies, analyzing data to interpret PIP results, and planning for sustained improvement. A customizable template and a manual for health plans are also available.

Keywords: Children, Children's health insurance programs, Manuals, Medicaid managed care, Oral health, Program development, Program evaluation, Program improvement, Program planning, Quality assurance, State programs

Mahadevan R, Chazin S. 2015. Medicaid oral health performance improvement projects: A how-to-manual for health plans. Baltimore, MD: U.S. Centers for Medicare & Medicaid Services, 51 pp.

Annotation: This manual for health plan staff provides guidance on developing and implementing Medicaid oral-health-performance-improvement projects (PIPs). Topics include selecting the PIP topic, identifying the population, defining the PIP aim, selecting performance measures, establishing the data-collection plan, planning the intervention, implementing the intervention and improvement strategies, analyzing data to interpret PIP results, and planning for sustained improvement. A customizable template and a manual for state Medicaid agency staff are also available.

Mahadevan R, Chazin S. 2015. Medicaid oral health performance improvement projects: A template. Baltimore, MD: U.S. Centers for Medicare & Medicaid Services, 15 pp.

Annotation: This document for state Medicaid agency staff describes an approach for developing and implementing oral-health-performance-improvement projects (PIPs). Contents include a template that can be customized for the planning, implementation, and evaluation phases of an oral health PIP. The appendices contain tools for health plans and a glossary of terms. Accompanying manuals for states and health plans provide guidance on completing the template and pursuing activities in each phase.

Chazin S, Maul A. 2015. Moving from goal to impact: A quality improvement approach to advancing children's oral health in Medicaid. Hamilton, NJ: Center for Health Care Strategies, 12 pp.

Annotation: This brief for states describes a stepwise approach to meeting goals for improving use of oral health services improvement for children enrolled in Medicaid. It describes critical elements of the strategic-planning process, drawing from state experiences. A template that Medicaid and Children's Health Insurance Programs can use to create a state oral health action plan is included.

Keywords: Children, Children's Health Insurance Program, Health care utilization, Medicaid, Oral health, Program improvement, Program planning, Quality assurance, State programs, Strategic plans

Clary A, Wirth B. 2015. State strategies for defining medical necessity for children and youth with special health care needs. Portland, ME: National Academy for State Health Policy, 8 pp.

Annotation: This brief explores issues affecting state Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) and Children's Health Insurance Program officials who implement medical necessity policy, and new and emerging issues that may affect state EPSDT policy in the future. Topics include determining medical necessity, setting parameters for medical necessity, using evidence to define medical necessity, and managing medical necessity and managed care.

Link

Keywords: Access to health care, Barriers, Children, Children's Health Insurance Program, EPSDT, Medicaid managed care, Needs assessment, Policy development, Special health care needs, State legislation, Utilization review

Cousart C, Snyder A, Mention N. 2015. Dental benefits in health insurance marketplaces: An update on policy considerations. Portland, ME: National Academy for State Health Policy, 7 pp.

Annotation: This brief examines the way the Affordable Care Act structures dental coverage and related implementation challenges. Topics include the impact of decisions to offer pediatric dental coverage through medical plans or stand-alone dental products on affordability and implementation of marketplace systems; state interest in offering optional adult dental coverage; enhancing data and reporting on access to and purchase of dental coverage; improving outreach, enrollment, and dental plan quality; and the impact of future state and federal decisions about coverage programs on dental coverage through marketplaces, including decisions about federal funding for the Children’s Health Insurance Program.

Link

Keywords: Adults, Barriers, Children, Children's Health Insurance Program, Health care reform, Health insurance, Oral health, Patient Protection and Affordable Care Act, Program development, State programs

Centers for Medicare & Medicaid Services. [2014]. State oral health action plans. Baltimore, MD: Centers for Medicare & Medicaid Services, multiple items.

Annotation: These documents describe state plans for achieving the goals of the Centers for Medicare & Medicaid Services' Oral Health Initiative. Topics include type of delivery system, participating providers, activities, other oral-health-improvement initiatives, data measurement, reimbursement strategies, efforts related to dental sealants, collaboration with dental schools or dental hygiene schools and plans to expand dental school or dental hygiene program collaboration, electronic dental records, technical assistance, and materials and websites. A template to assist state programs in developing action plans is also available.

Dental Care Page Listing The Plans

Keywords: Children's Health Insurance Program, Community action, Federal initiatives, Medicaid, Oral health, State programs, Statewide planning

Kaiser Commission on Medicaid and the Uninsured. 2014. An introduction to Medicaid and CHIP eligibility and enrollment performance measures. Washington, DC: Kaiser Commission on Medicaid and the Uninsured, 9 pp. (Issue brief)

Annotation: This issue brief provides an overview of new performance indicators that the Centers for Medicare & Medicaid established for Medicaid and Children's Health Insurance Program eligibility and enrollment performance indicators for states to report beginning in October 2013. The brief also discusses the initial data and the opportunities and challenges associated with reporting, analyzing, and interpreting the data. Background information is provided, as well as key findings.

Keywords: Children's Health Insurance Program, Eligibility, Enrollment, Medicaid, State programs, Statistical data

Petersen D, Ireys H, Ferry G, Foster L. 2014. How are CHIPRA quality demonstration states working together to improve the quality of health care for children?. Rockville, MD: U.S. Agency for Healthcare Research and Quality, 6 pp. (National evaluation of the CHIPRA Quality Demonstration Grant Program: Evaluation highlight no. 6)

Annotation: This document is sixth in a series that presents descriptive and analytic findings from the national evaluation of the Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA) Quality Demonstration Grant Program. It illustrates how states are using partnerships to improve the quality of children’s health care. Topics include strategies that states are using to create and maintain cross-state relationships and the benefits and challenges of partnering.

Keywords: Children's Health Insurance Program, Demonstration programs, Health care systems, Program evaluation, Program improvement, Quality assurance, State programs

Ferry G, Ireys H, Peterson D, Zickafoose J. 2014. How are CHIPRA quality demonstration states designing and implementing caregiver peer support programs?. Rockville, MD: U.S. Agency for Healthcare Research and Quality, 6 pp., suppl. (1 p.). (National evaluation of the CHIPRA Quality Demonstration Grant Program: Evaluation highlight no. 7)

Keywords: Children's Health Insurance Program, Demonstration programs, Peer support programs, Program development, Program evaluation, Quality assurance, State programs

Cardwell A, Jee J, Hess C, Touschner J, Heberlein M, Alker J. 2014. Benefits and cost sharing in separate CHIP programs. Portland, ME: National Academy for State Health Policy; Washington, DC: Georgetown University Health Policy Institute, Center for Children and Families, 127 pp.

Annotation: This report examines covered benefits, limitations, and premium and cost-sharing provisions in 2013 for 42 separate Children's Health Insurance Programs (CHIP) in 38 states. Contents include an overview of findings on separate CHIP benefits and cost-sharing policies and state-level summary tables of selected benefits and cost-sharing. Topics include benchmark choices and comparison to Medicaid benefits; outpatient and inpatient mental health and substance abuse services; physical, occupational, and speech/language therapies; dental services; and vision and hearing services.

Keywords: Benchmarking, Child health services, Children's Health Insurance Program, Cost sharing, State programs

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