Many states are developing and implementing strategies for integrating behavioral health with primary care. Integrated care improves patients’ access to behavioral health services, attendance at scheduled appointments, satisfaction with care, and adherence to treatment. Minority populations in particular are more likely to seek mental health treatment from primary care practitioners than from mental health specialists. Medicaid payment policies, including reimbursement for behavioral health screenings, management, and referrals in primary care settings, can facilitate this integration.
State Medicaid programs are pioneering innovative strategies for reaching adolescents, both to increase the rate of adolescent well-care visits and to strengthen the provider-adolescent relationship. While adolescents are a challenging population to reach—well-care visit rates decline as children age into adolescence—they are a particularly critical group to target under the Medicaid benefit because adolescence is a time of dramatic physical, cognitive, social, and emotional change.
This NASHP webinar offers a federal perspective from the Centers for Medicare & Medicaid Services on opportunities and promising strategies for states to leverage the Medicaid benefit for children and adolescents to better engage and meet the needs of adolescents. This is followed by a conversation with presenters from two states about initiatives they have launched to better serve adolescents using the Medicaid benefit for children. Participants learn about these states’ strategies for getting Medicaid-enrolled adolescents the services they need, and key lessons learned in implementing them.
This webinar is the second in a series on the Medicaid benefit for children and adolescents: future webinars will delve more deeply into additional topics on health services for children. In conjunction with this webinar series, NASHP recently launched a Resource Map to disseminate state-specific resources and information about strategies that state policymakers and Medicaid officials can use to deliver the Medicaid benefit for children and adolescents.
- Elizabeth Hill, Centers for Medicare & Medicaid Services
- Marian Earls, Lead Pediatric Consultant for Community Care of North Carolina and lead on state CHIPRA quality demonstration
- Sarah Nickels, Co-Director, School-Based Health Center Improvement Project, Colorado Department of Public Health and Environment
In May 2006, the National Research Council/Institute of Medicine’s (NRC/IOM’s) Board on Children, Youth and Families (BCYF) convened the Committee on Adolescent Health Care Services and Models of Care for Treatment, Prevention, and Healthy Development. With funding from The Atlantic Philanthropies, the committee conducted a study of health services for adolescents ages 10-19 in the United States and issued a report, Adolescent Health Services: Missing Opportunities. The National Academy for State Health Policy has written this paper based upon that report to highlight aspects of the publication most relevant for and applicable to state policymakers, who play an important role in improving adolescent health.
The adolescent health care system suffers from problems similar to the rest of the U.S. health care system, including a heightened focus on acute and episodic care, and fragmentation that causes specialty services to be unaffordable or inaccessible. States, in their roles as purchasers, regulators, and coordinators, have the opportunity to improve the adolescent health care system in a variety of ways to better meet the unique needs of this population.
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Published in October 2008, this State Health Policy Briefing looks at key aspects of the outreach effort undertaken by Illinois to reach and enroll uninsured children and adolescents in its All Kids program. Although the state employed a breadth of strategies to reach and enroll the state’s uninsured children and youth, administrators believe that a key component of the program’s success was the simplicity of it being available to all uninsured children and adolescents
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Over the past decade, the State Children’s Health Insurance Program (SCHIP) has made great strides in increasing health care coverage among youth under age 19. However, this overall success masks an important disparity – adolescents are more likely to be uninsured than younger children. As state policy makers and program administrators seek to build on their successes to reach more of those eligible for SCHIP, special attention should be paid to adolescents. SCHIP coverage can not only improve teens’ health, but can reduce the burdens of chronic disease in adulthood.
Adolescents have distinct service utilization and developmental health care needs, which should be addressed in the design of each state’s SCHIP program. Outreach, benefits, service providers, and quality measurement and improvement are all program elements that can be examined and tailored to meet adolescents’ needs.
This State Health Policy Briefing provides an overview of adolescents’ characteristics and health care needs and offers guidance on how to tailor state SCHIP programs to better target the health care needs of low-income adolescents.
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