This State Health Policy Monitor provides an overview of the delivery systems and payment structures states use for their State Children’s Health Insurance Programs (SCHIP). States generally choose from among:
• Contractor-based managed care delivery,
• Primary care case management (PCCM), and
• Traditional fee-for-service arrangements.
A NASHP survey in 2005 found that approximately 70 percent of all children enrolled in SCHIP were in managed care plans, and nearly 90 percent of SCHIP programs using managed care contracted with one or more plans that primarily serve the commercial market.