Children and Youth with Special Health Care Needs

Success Spurs Growth of Medicaid Managed Care for Children with Special Health Care Needs

Two decades ago, the majority of state Medicaid programs that served children and youth with special health care needs (CYSHCN) relied on a traditional, fee-for-service model to pay for the complex mix of health care services that this group of children often need. But as states became more adept at designing new health care delivery […]

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  • State Medicaid Managed Care Program Design for Children and with Special Health Care Needs
    Maps

    State Medicaid agencies increasingly are providing services to children and youth with special health care needs (CYSHCN) through Medicaid managed care (MMC) delivery systems, such as risk-based managed care, primary care case management, and prepaid health plans. This map and table illustrate key characteristics of states’ MMC program design for CYSHCN, including enrollment, whether states […]

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  • Publications

    In light of Mental Health Awareness month, it is important to highlight that a significant number of children and youth experience mental health issues. According to research, half of all lifetime cases of mental illness begin by age 14 and depression is the second most prevalent behavioral health disorder among Medicaid-enrolled children. State Medicaid programs […]

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  • NASHP in collaboration with the National Center for Medical Home Implementation developed a new fact sheet addressing challenges and opportunities to provision of care for children and youth with special health care needs (CYSHCN) enrolled in Medicaid managed care. The fact sheet identifies states that leverage Medicaid managed care to advance the pediatric medical home […]

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  • Treatment for Children with Autism Spectrum Disorders and the EPSDT Benefit
    Publications

    State Medicaid agencies are working to provide comprehensive health care services for children with autism spectrum disorder (ASD), currently the fastest growing developmental disability in the United States for individuals under age 21. This brief highlights information from the 2014 CMS Informational Bulletin providing clarification on services to be provided to Medicaid-eligible children with ASD […]

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  • State Health Policy Blog

    Nearly one in five Americans has some type of diagnosable mental health disorder. With these disorders costing $201 billion in 2013, behavioral health is a critical issue for state health policymakers. Children, including very young children, can experience mental health problems, and addressing these issues early can improve outcomes and lessen costs. Approximately 15 percent […]

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  • State Health Policy Blog

    Last week the Centers for Medicare and Medicaid Services (CMS) released its long-awaited final rule outlining requirements for managed care organizations in Medicaid and Children’s Health Insurance Programs (CHIP). Preliminary NASHP analyses indicate that the final rule provides states with significant flexibility in making changes designed to modernize these federal programs as part of health […]

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  • Publications

    Medicaid programs nationwide are mandated to use the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit to improve the health of low-income children with special physical, emotional, and developmental health care needs. This benefit supports children and youth with special health care needs (CYSHCN) by ensuring they receive individualized health care when they need it—provided those services are deemed medically […]

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  • Webinars

    Tuesday, March 3, 2015: Multiple state agencies and organizations are working to identify and support children with special physical, emotional and developmental disabilities. Coordination and collaboration across systems, including the sharing of data, increases the ability for states to identify children at risk and ensure they are receiving the appropriate health, mental health and developmental services. This webinar features three states discussing collaborations across state programs that impact the identification and treatment of children in need of specific services.

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  • State Health Policy Blog

    Improving care for children and youth with special health care needs, also known as CYSHCN, brought together a select group of Early Periodic Screening, Diagnosis, and Treatment (EPSDT) Coordinators and Title V children and CYSHCN directors this October as part of NASHP’s 2014 Annual State Health Policy Conference. These state leaders, who are responsible for […]

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