Medicaid managed care and children: An overview

Future of Children

Volumn 8, Issue 2, 1999, Pages 93-104

  Deal, Lisa W ^a   Shiono, Patricia H ^a  

^a NONE

Author keywords

[No Author keywords available]

Indexed keywords

CHRONIC DISEASE; COST CONTROL; FINANCIAL MANAGEMENT; HEALTH PROGRAM; HEALTH SERVICE; MANAGED CARE; MEDICAID; REVIEW; TREATMENT OUTCOME;

EID: 0344329877     PISSN: 10548289     EISSN: None     Source Type: Journal    
DOI: 10.2307/1602676     Document Type: Review

References (21)

1. King, M.P., and Christian, S.M. Medicaid survival kit. Denver, CO: National Conference of State Legislatures, November 1996, p. 3-3.
2. The categorically needy include infants and pregnant women whose family incomes are up to 185% of federal poverty guidelines; children under age 21 who meet certain income and resource requirements but are not eligible for AFDC; specific groups of elderly, blind, or disabled adults; certain institutionalized groups; individuals who meet income and medical requirements for institutionalization; individuals who receive state supplementary payments; and low-income persons infected with tuberculosis. See note no. 1, King and Christian, p. 1-5.
3. The medically needy include individuals who meet certain categorical requirements such as being pregnant, having children, or having disabilities, but who do not qualify for cash assistance. The medically needy might also include individuals with very large medical expenses who are forced to use their resources to "spend down" to a level at which they would qualify for Medicaid. See note no. 1, King and Christian, p. 1-5.
4. Rosenbaum, S., and Darnell, J. A comparison of the Medicaid provisions in the Balanced Budget Act of 1997 (P.L. 105-33) with prior law. Paper prepared for the Kaiser Commission on the Future of Medicaid, Center for Health Policy Research, The George Washington University Medical Center, September 1997.
5. Schneider, A. Overview of Medicaid provisions in the Balanced Budget Act of 1997, P.L. 105-33. Washington, DC: Center on Budget and Policy Priorities, August 1997.
6. Families USA. Field report: Balanced budget bill enacted. Washington, DC: Families USA, August 1997.
7. Liska, D. Medicaid: Overview of a complex program. Series A, No. A-8. Washington, DC: The Urban Institute, May 1997; see also note no. 5, Schneider.
8. See note no. 1, King and Christian, p. 2-5.
9. See note no. 1, King and Christian, pp. 3-23-3-25.
10. U.S. Department of Health and Human Services, Health Care Financing Administration. Medicaid national summary statistics. Baltimore, MD: DHHS, HCFA, September 1996. Available online at http://www.hcfa.gov/medicaid/mnatstat.htm.
11. See note no. 1, King and Christian, p. 1-28.
12. Zuckerman, S., Evans, A., and Holahan, J. Questions for states as they turn to Medicaid managed care. In New Federalism: Issues and options for states. Series A, No. A-11. Washington, DC: The Urban Institute, August 1997.
13. Freund, D.A., and Hurley, R.E. Medicaid managed care: Contribution to issues of health reform. Annual Review of Public Health (1995) 16:473-95.
14. U.S. Department of Health and Human Services, Health Care Financing Administration. 1996 Medicaid managed care enrollment report. Summary statistics as of June 30, 1996. Baltimore, MD: DHHS, HCFA, 1996. Note that this is a portion of the total Medicaid managed care enrolled population of 15,368,473, which includes 2,038,354 individuals who were enrolled in more than one managed care plan.
15. Rosenbaum, S., and Darnell, J. Medicaid Section 1115 demonstration waivers: Implications for federal legislative reform. Menlo Park, CA: The Kaiser Commission on the Future of Medicaid, July 1995.
16. This includes children who meet the definition of "disabled" under the Supplemental Security Income (SSI) program, children with special health care needs under Title V of the Maternal and Child Health Services Block Grant (MCH block grant), and children in foster care or other out-of-home placements.
17. National Health Law Program. Balanced Budget Act of 1997: Reshaping the health safety net for America's poor. Los Angeles, CA: NHeLP, 1997. Available online at http://www.healthlaw.org/BBAtoc.html.
18. Fox, H.B., McManus, M.A., and Almeida, R.A. Current policies and future directions in state Medicaid managed care arrangements for children. Washington, DC: Fox Health Policy Consultants, May 1997.
19. Urban Institute analysis of data from the Health Care Financing Administration Web site. Additional information available online at http://www.hcfa.gov/stats/stats.htm.
20. Grogan, C.M. The Medicaid managed care policy consensus for welfare recipients: A reflection of traditional welfare concerns. Journal of Health Politics, Policy and Law (1997) 22,3:815-38.
21. Perkins, J. Financing issues in Medicaid managed care. In Medicaid managed care: An advocate's guide for protecting children. Washington, DC: National Association of Child Advocates, 1996, chapter 5, p. 9.