CYSHCN and Medicaid Managed Care

How States Use Medicaid Managed Care to Deliver Long-Term Services and Supports to Children with Special Health Care Needs

An increasing number of state Medicaid agencies are using managed care to provide long-term services and supports to children and youth with special health care needs (CYSHCN). This new NASHP issue brief explores the strategies and critical contract language and policies that states are using to implement these Medicaid managed care programs to provide long-term […]

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  • Success Spurs Growth of Medicaid Managed Care for Children with Special Health Care Needs
    State Health Policy Blog

    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 Youth with Special Health Care Needs
    Maps

    The three maps below are interactive. Click on each state for details.

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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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  • 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

    Increasingly, states are relying on managed care delivery systems to serve Medicaid enrollees that have historically been exempt from enrollment in managed care, such as children and youth with special health care needs (CYSHCN). The federal Medicaid managed care regulations establish the broad requirements for states to identify and assess individuals with special health care […]

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  • State Health Policy Blog

    by Joanne Jee February 2014 Where some may see opportunities for improved delivery and coordination of care and cost savings, others may wonder about possible disincentives for providing the full array of needed services. For more vulnerable populations, such as children and youth with special health care needs (CYSHCN), the concerns can be heightened.  

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  • Publications

    In an effort to identify key issues in Medicaid managed care for children with special health care needs and examine the ways that states have addressed those issues, the National Academy for State Health Policy (NASHP) convened a symposium in June of 1999 of state Medicaid officials and representatives of managed care organizations (MCOs), provider […]

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