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Strengthening partnerships between state programs for children with special health care needs and managed care
M McManus1, H Fox, P Newacheck
1Maternal and Child Health Policy Research Center, McManus Health Policy, Inc., Chevy Chase, MD, USA.
Abstract:
The roles and responsibilities of state Title V Programs for Children with Special Health Care Needs (CSHCN) are changing with the rapid expansion of managed care. The authors surveyed Title V CSHCN programs to learn about critical issues and examples of collaboration with managed care organizations in the following areas: (1) defining and identifying children with special health care needs, (2) enrollment assistance and family participation, (3) pediatric provider and service requirements, (4) education and training, (5) quality of care, and (6) pediatric risk-adjusted capitation mechanisms. This article also includes recommendations developed by the federal Maternal and Child Health Bureau's Work Group on Managed Care.