Integrating
Case Management Services in a Managed Care Environment
209 kb file
This project
final report includes a proposal for the State of Texas to improve standardization
across case management programs and recommendations for ensuring that
individuals being served through both primary care case management and
risk-based managed care arrangements receive levels of case management
appropriate to their needs. (Prepared for Bureau of Women and Children,
Texas Department of Health, 1996)
Assessing
the Risk of Women and Children Enrolled in Managed Care: Design Options
for South Carolina Officials
60 kb file
For the
State of South Carolina, HSR analyzed how 13 States are designing and
implementing risk assessment systems under Medicaid managed care for
three populations of critical concern: pregnant women, children with
special health care needs, and children with mental health needs. (Prepared
for the South Carolina Department of Health and Environmental Control,
August 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)
