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 […]
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 […]
States have made great strides in enrolling and retaining children in health coverage over the past several years. However, once enrolled, children do not always access screenings and preventive services. A missed well-child visit or a skipped developmental screening can result in undiagnosed and untreated medical issues that when discovered can be costly to treat. […]
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.
Thursday, February 26, 2015: The webinar focused on the value of developmental screenings for children and the Developmental Screening measure of the Core Set of Children’s Health Care Quality Measures for Medicaid and CHIP. Participants heard about Illinois’ efforts to use policy levers to engage providers in developmental screening, and how the measure is used within the State; and federal efforts to promote the performance and measurement of developmental screenings, and upcoming opportunities for technical assistance.
In Rhode Island: As of July 1, 2011, there were 197,248 individuals enrolled in the state’s Medicaid program, known as Medical Assistance; 135,253 of these individuals were receiving physical or behavioral health benefits through a commercial or Medicaid-only managed care organization under the state’s managed care program, RIte Care. Dental services are provided through a […]
In Missouri: As of July 1, 2011, there were 895,998 beneficiaries enrolled in the state’s Medicaid program, known as MO HealthNet; 406,796 of these individuals were enrolled in managed care. Medicaid beneficiaries who receive supplemental security income (SSI), meet the medical definition for SSI, or are eligible for adoption subsidy benefits are not required to […]
In Oklahoma : As of July 1, 2011, there were 684,387 individuals enrolled in the state’s Medicaid program, SoonerCare; 591,850 of these individuals were enrolled in a prepaid ambulatory health plan (PAHP) that provides transportation benefits. 439,228 Medicaid enrollees receive physical, behavioral, and dental services through the state’s primary care case management (PCCM) program, known […]
In Vermont: The family of publicly funded health insurance programs is known as Green Mountain Care. The Medicaid program for children under the age of 19 and pregnant woman is referred to as Dr. Dynasaur. As of July 1, 2011, there were 177,108 beneficiaries enrolled in the state’s Medicaid program. 103,529 of these beneficiaries were […]