Service Delivery Policies: Findings from a Survey of Juvenile Justice and Medicaid Policies Affecting Children in the Juvenile Justice System
NASHP, with the support of the John D. and Catherine T. MacArthur Foundation, is working with Models for Change grantee organizations and state policymakers to address the health needs of youth in the juvenile justice system. This issue brief from NASHP is the final in a series that highlights findings from surveys of juvenile justice and Medicaid agencies in order to determine policies around health care and Medicaid for youth involved in the juvenile justice system.
Electronic Enrollment of Newborns into Medicaid: Insights from Oklahoma
This issue brief highlights the state of Oklahoma, which recently implemented an electronic enrollment system for newborn children in its hospitals. By replacing a paper-based enrollment process with an electronic system, Oklahoma has been able to improve efficiency and program analysis, streamline billing, facilitate the establishment of medical homes, and reduce administrative costs.
Managing the "T" in EPSDT Services
The Early Periodic Screening, Diagnosis, and Treatment (EPSDT) program is the child health component of Medicaid. Despite EPSDT’s broad benefits, studies and state policymakers’ experience suggest that not all children are receiving the services to which they are entitled. While many stakeholders understand the requirements that define EPSDT well child visits (commonly called screening visits) and their importance to supporting and promoting child health, the requirements that define EPSDT coverage for treatment (the “T” in EPSDT) are not as well understood.
Engaging Parents as Partners to Support Early Child Health and Development
Ensuring and coordinating services that support young children's healthy development requires strong and effective partnerships between families and health care providers.
A Tale of Two Systems: A look at State Efforts to Integrate Primary Care and Behavioral Health in Safety Net Settings
Integrated behavioral health and primary care occurs when behavioral health specialty and general medical care providers work collaboratively to address patients' physical and behavioral health needs. Federal community health centers are uniquely positioned to partner with the community mental health system to deliver integrated care, and to address behavioral health issues as part of a comprehensive medical home.
Long Term Services and Supports and Chronic Care Coordination: Policy Advances Enacted by the Patient Protection and Affordable Care Act
The Patient Protection and Affordable Care Act enacts a variety of initiatives aimed at enhancing long term services and supports (LTSS) and coordination of primary and chronic care for older persons and adults with disabilities. Many of these establish delivery systems demonstrations and Medicaid options that states could adopt to implement state reforms.
Reforming Health Care Delivery Through Payment Change And Transparency: Minnesota’s Innovations
In 2008 Minnesota passed landmark legislation containing provisions to collect and report data to achieve price and quality transparency, as well as provisions to support care redesign and payment reform. This report illustrates several key achievements and the challenges Minnesota faces in implementing these reforms. It also derives lessons from the process of passing legislation, the content and potential impact of the package, and its replicability that are useful to other states working on similar reforms as well as in national discussions on controlling costs and improving value.
Reimbursing Medical Providers for Preventive Oral Health Services: State Policy Options
Tooth decay, while highly preventable, is the most common chronic disease among children, and it disproportionately affects children from families with low incomes. Many state Medicaid agencies are working to increase children’s access to preventive oral health services by reimbursing primary care medical providers for fluoride varnish application, an oral examination or screening, and/or caregiver education about establishing good oral health habits. This report is intended to help states considering adopting similar policies; it draws from the experiences of Iowa, Minnes
Maximizing Enrollment for Kids: Results from a Diagnostic Assessment of Enrollment and Retention in Eight States
Maximizing Enrollment for Kids, a $15 million initiative of the Robert Wood Johnson Foundation (RWJF) launched in June 2008 and directed by the National Academy for State Health Policy (NASHP), aims to increase enrollment and retention of eligible children into Medicaid and CHIP programs and to establish and promote best practices among states. In this first year of the Maximizing Enrollment for Kids program NASHP collaborated with Health Management Associates (HMA) to conduct a baseline assessment of each grantee states’ policies and processes for enrolling and retaining childr
Enhancing Clinical Information in Statewide Hospital Administrative Data: Project Summary and Lessons Learned
This report, developed by Thomson Reuters and NASHP, is based on lessons from the AHRQ-sponsored Adding Clinical Data project, which awarded Pilot or Planning contracts to the Healthcare Cost and Utilization Project (HCUP) Partner organizations in Florida, Minnesota, Virginia, and Washington to explore feasible, practical solutions to adding clinical data to administrative discharge records.
