Medicaid
Coverage of Family Planning Services: Results of a National Survey
(file size not listed)
As a major
source of health coverage for low-income women of childbearing age,
the Medicaid program plays an important role financing family planning
services and supplies for millions of women. In recent years, policy
changes at both the state and federal level including the growth of
managed care, increases in the number of faith based managed care plans
and new programs such as the family planning waivers have begun to alter
the financing and delivery of family planning services under Medicaid.
To better
understand how family planning services operate under Medicaid, the
Henry J. Kaiser Family Foundation contracted with Health Systems Research,
Inc. to conduct a comprehensive survey on access to family planning
services in the 50 states and the District of Columbia.
Medicaid
Coverage of Perinatal Services: Results of a National Survey
(file size not listed)
In the
late 1980s, the states and federal government enacted a series of eligibility
and program expansions to improve access to prenatal care for low-income
women. Largely due to the success of these expansions, Medicaid has
become one of the major funders ofprenatal care and delivery services
for women in the United States, paying for approximately one-third of
all births in the nation. Shifts in the financing and delivery of care,
primarily through managed care, have implications for access to and
the delivery of perinatal services under Medicaid.
To identify
how perinatal services operate under Medicaid across the nation, the
Henry J. Kaiser Family Foundation contracted with Health Systems Research,
Inc. to conduct a national survey of state Medicaid programs to document
state policies and practices on coverage of perinatal care under a changing
Medicaid system.
Making
Child Health Coverage a Reality: Case Studies of Medicaid and CHIP Outreach
and Enrollment Strategies
612
kb file
This study
describes four States' strategies for reaching out to and enrolling
children in Medicaid and CHIP and highlights the particular issues and
challenges States face as they design these strategies. (Prepared for
The Kaiser Commission on Medicaid and the Uninsured, September 1999)
Achieving
Service Integration for Children with Special Health Care Needs: An
Assessment of Alternative Medicaid Managed Care Models: Volumes 1 and
2
Vol. 1 (149 kb file)
Vol. 2 (564 kb file)
To gain
a more complete understanding of the effects of managed care on service
delivery for CSHCN, the National Policy Center for Children with Special
Health Care Needs studies eight States with different Medicaid managed
care models and, using qualitative evaluation methods, examined the
extent to which the alternative models supported effective, cross-system
service integration for CSHCN. This report presents the results of this
analysis. Volume 1 is a synthesis of study results and Volume 2 contains
the case studies. (Prepared for MCHB, July 1999)
Maintaining
Effective MCH Systems of Care in an Era of Medicaid Reform
122
kb file
For the
State of Florida, HSR provided assistance to the Maternal and Child
Health System Redesign Workgroup, a group composed of MCH, Healthy Start,
Medicaid, and University of South Florida staff and formed to advise
Florida's Agency for Health Care Administration (AHCA) on critical MCH
policy issues in a changing health care environment. The focus of the
project was on development of policy recommendations for preserving
MCH systems of care in anticipation of Medicaid block grants and accelerated
implementation of Medicaid managed care. The report is a compendium
of the four site visit reports and the two policy reports developed
during the TA project. (Prepared for Florida Department of Health, 1996)
Adapting
MCH Systems in a Changing Health Care Environment: Summary of Technical
Assistance Provided to the State of Nebraska
140
kb file
For the
State of Nebraska, HSR provided technical assistance on broad range
of issues surrounding evolving roles for Title V in a changing health
care environment. The final project report includes an analysis of Nebraska's
evolving state health care system, as well as summaries of two workshops
conducted for Nebraska officials on such topics as maternal and child
health systems development and providing high quality care to children
with special health care needs enrolled in Medicaid managed care arrangements.
(Prepared for Nebraska Department of Health, 1996)
Coordinating
Adolescent Health Centers and Managed Care: State Experiences and Lessons
Learned
131
kb file
For the
State of Michigan, HSR analyzed 13 States' policies and systems designs
for coordinating Medicaid managed care plans and school-based health
centers. The report describes the implementation of contracts between
school-based clinics and managed care plans, discusses the types of
efforts that State agencies have undertaken to encourage the development
of these contracts, and summarizes the lessons learned in the 13 States
regarding successful coordination between school-based health centers
and managed care organizations. (Prepared for Michigan Department of
Public Health, November 1995)
A
Consolidated Contract between the South Carolina Maternal and Child
Health and Medicaid Programs for the Provision of Family Support Services
under the Palmetto Health Initiative
139
kb file
For the
State of South Carolina, HSR facilitated the initial integration of
Maternal and Child Health (MCH) services within the South Carolina Department
of Health and Environmental Control (DHEC) and Medicaid managed care.
The report presents a draft contract between Medicaid and MCH defining
a package of "wrap around" Family Support Services-including
outreach, risk assessment, case management, health education, nutritional
services, social work services, and caregiver training-that could continue
to be provided by DHEC providers and reimbursed by Medicaid within a
managed care environment. (Prepared for South Carolina Department of
Health and Environmental Control, 1995)
Delivering
and Financing Services for Children with Special Health Care Needs Under
Managed Care: Design Options for Vermont Officials
75
kb file
https://www.hsrnet.net/pdf/vt-rpt.pdf
http://mchneighborhood.ichp.edu/hsr/905178214.html
http://mchneighborhood.ichp.edu/hsr/media/808_VT_01.PDF
For the
State of Vermont, HSR analyzed coverage and financing options for serving
children with special health care needs (CSHCN) under Medicaid managed
care initiatives. The report includes a detailed discussion of how 14
states are designing and implementing service delivery and financing
systems for CSHCN under Medicaid managed care, as well as the provisions
for quality assurance these states have employed. (Prepared for Vermont
Department of Health, 1995)
Improving
the Quality and Coordination of Care for Indiana's Children with Special
Health Care Needs
242
kb file
This report
includes two proposals: the first presents strategies for developing
a Medicaid-financed care coordination system for CSHCN, and the second
presents both quality standards for CSHCN served under risk-based managed
care arrangements, as well as a draft Medicaid and public health interagency
agreement outlining possible public health roles under primary care
case management arrangements. (Prepared for The Indiana State Department
of Health, October 1994)
Monitoring
the Impact of Managed Care on Mothers and Children in Seattle/King County
196
kb file
For Washington
State, HSR and the Health Policy Analysis Program at the University
of Washington (HPAP) designed a system to measure the impact of managed
care on public health clients, providers, and systems. Using a baseline
set of health and system indicators collected by HPAP, the report outlines
a data system that program managers, plan administrators and policy
makers can use to monitor changes in access and quality in King County's
Medicaid managed care program over time. (Prepared for Washington State
Department of Health, 1994)
