Skip to content
See all Grants Awarded

How State Medicaid Managed Care Programs Are Addressing the Unique Needs of Children with Chronic and Complex Health Conditions

Organization: National Academy for State Health Policy

Primary Contact: Karen VanLandeghem, MPH

Grant Amount: $140,142 for 16 months

Date Awarded:

Date Completed:

Purpose

Several states already have transferred children with special health care needs into Medicaid managed care systems. NASHP researchers will identify best practices and commonly encountered problems from these states, and will offer recommendations for states contemplating such a change, which includes California.

Outcome

Most states are coming to rely on Medicaid managed care health plans to meet the sometimes-unique needs of children and youth with chronic and complex health conditions. Since few states have extensive experience treating these children as a separate population, it is not surprising that there is substantial variation among states in their programs and the data they collect. Building on a federally funded 50-state scan, this project assessed system approaches that states are taking to serve children and youth with special health care needs (CYSHCN) and described in greater detail how seven states are restructuring, integrating, and financing the care of these children through Medicaid managed care. Issues briefs, blogs and a webinar describing the results of this project are available.

Other Grants to the Same Organization

Supporting State Innovations for Equitable Systems of Care for CYSHCN

Many states are just beginning the work of creating equitable systems of care for CYSHCN, often in challenging political climates. In this grant, NASHP will host roundtable events and a national summit to foster cross-state sharing of successful strategies and provide states with support for adapting and implementing strategies. 

Supporting States to Improve Equitable Systems of Care for Children and Youth with Special Health Care Needs

Many states are eager to address health care inequities in their programs serving CYSHCN. To promote this work the foundation has over the past decade...

Advancing National Standards for Children and Youth with Special Health Care Needs

In spite of widespread recognition of the importance and benefits of care coordination, many states report challenges around implementing care coordination that fully and effectively...

National Care Coordination Standards for Children and Youth with Special Health Care Needs

Currently there are no widely accepted national care coordination standards for children with complex conditions. A grant to the National Academy for State Health Policy...

National Standards for Improving Quality Systems of Care for Children and Youth with Special Health Care Needs, Phase V

In the past, the health care needs of children with chronic and complex conditions have been met variously in terms of access and quality, and...

National Consensus Framework for Improving Quality Systems of Care for Children with Special Health Care Needs, Phase IV

To assist states in using existing data and quality measures that are aligned with the national standards to improve systems of care. See...

Improving Systems of Care for Children with Medical Complexity through Medicaid Quality Measurement Initiatives

To identify leading Medicaid quality incentive strategies and models, identify gaps in quality measurement and approaches, and outline strategies and recommendations to strengthen quality improvement...

Identifying and Assessing CSHCN: Lessons for States Transitioning to Medicaid Managed Care

To describe the federal requirements of states and managed care organization to identify and service individuals with additional health care needs.

Strengthening Medicaid and CHIP Programs to Serve CSHCN

To disseminate the Foundation’s national consensus standards for systems of care for CSHCN to state leaders of Medicaid and Child Health Insurance Programs for children,...