CYSHCN Featured

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

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

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

    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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  • EPSDT Resources to Improve Medicaid for Children and Adolescents

    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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