Medicaid Managed Care: Challenges and Opportunities for Pediatric Medical Home Implementation and Children and Youth with Special Health Care Needs
Children and youth with special health care needs (CYSHCN) who
have or are at risk for physical, developmental, behavioral, or emotional
chronic conditions have increased needs for health-related services. In an
effort to reduce health care costs and potentially improve quality of care, states
are expanding managed care programs for Medicaid beneficiaries with complex
conditions, including some CYSHCN.
National Center for Medical Home Implementation, in collaboration with the
National Academy for State Health Policy, created a fact sheet that discusses
challenges and opportunities to provision of care for CYSHCN enrolled in Medicaid managed care. The fact
sheet identifies states that leverage Medicaid managed care to advance the
pediatric medical home model through payment incentives, technical assistance,
and care coordination services.
Download and view the fact sheet here.