Coverage and Continuity of Care

How States Can Improve Access to Care for Children Under the Medicaid Managed Care Rule

Next month, states face new federal requirements for establishing and maintaining Medicaid managed care provider networks. As they work to comply with these new rules, states have an opportunity to strengthen access to care for children and youth with special health care needs (CYSHCN). Medicaid and requirements, which address how enrollees access care and the […]

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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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  • 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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  • EPSDT Resources to Improve Medicaid for Children and Adolescents
    Maps,Toolkits

    About This Map Beyond the screening and preventive health services covered under EPSDT, the Medicaid benefit for children and adolescents, diagnostic and treatment services are also covered to correct or ameliorate a child’s physical or mental condition(s). In general, states must ensure the provision of, and pay for, any services, including treatment, in accordance with […]

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  • Publications

    This tutorial on the basics of Medicaid and CHIP is a collaboration of NASHP and the Catalyst Center: Improving Financing of Care for Children and Youth with Special Health Care Needs (CSHCN). The tutorial gives a broad overview of Medicaid and CHIP, the many different populations these programs serve, the changes they are undergoing as […]

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  • Webinars

    This state-only webinar presented by NASHP with support from the Commonwealth Fund and the David and Lucile Packard Foundation for EPSDT and CHIP program administrators provided participants with an opportunity to learn more about the concept and legal definitions of pediatric medical necessity and to talk with their peers about implementation of pediatric necessity within […]

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