Key Components of a System for Publicly Financed Care of CSHCN in California

A System for Publicly Financed Care of CSHCN in California attempts to present a coherent plan for a system for California’s Children with Special Health Care Needs while identifying the key issues and decisions that might arise as the system is developed. Some of the items represent current approaches, while others suggest alternative ones. Some are more easily implemented than others. Disagreement with the content of the document is anticipated and encouraged, as its purpose is to foster productive discussion. The paper outlines principles and goals, and discusses issues related to system structure, administration, providers, benefits and services, quality assurance and incentives.