The Centers for Medicare & Medicaid Services (CMS) recently released a request for information (RFI) for input from states, providers, health systems, and families to better coordinate care from out-of-state providers for children with complex health conditions enrolled in Medicaid. The deadline to submit comments is March 23, 2020. States have long addressed issues of […]
Montana recently expanded its Patient-Centered Medical Home (PCMH) program benefits to most children enrolled in Medicaid and the state’s Children’s Health Insurance Program (CHIP). Montana enhanced its PCMH program by: Expanding the pool of approved providers; Increasing the number of quality measures that must be tracked; and Adding complex care management (CCM) – a coordinated […]
Care coordination has long been a core component of state efforts to improve health outcomes, reduce caregiver and patient burden, decrease health care costs, and strengthen systems of care for children and adults with chronic and complex conditions. The National Academy for State Health Policy (NASHP), with support from the Lucile Packard Foundation for Children’s […]
State policymakers must often take action during an emerging crisis even when evidence identifying the best policy approach is not be available. This report, Evidence-Based Policymaking Is an Iterative Process: A Case Study of Antipsychotic Use among Children in the Foster Care System, explores successful state responses to dramatic increases in antipsychotic prescription rates in Medicaid-enrolled children […]
The National Standards for Systems of Care for Children and Youth with Special Health Care Needs (CYSHCN) define the core components of a comprehensive, coordinated, and family-centered system of care for CYSHCN.