Presentation Slides: Medicaid Managed Care – The Importance of Risk Adjustment

This report has its origins in a one-day meeting held with an expert panel in September 2011 on risk adjustment for children and youth with special health care needs (CYSHCN). This meeting was sponsored by the Division of Services for Children with Special Health Needs, Maternal and Child Health Bureau, Health Resources and Services Administration, U.S. Department of Health and Human Services and facilitated by the Catalyst Center at the Boston University School of Public Health, with logistical support provided by John Snow, Incorporated.

Webinar Slides: What is the Medicaid/CHIP Tutorial and What’s In It for Me?

The Catalyst Center hosted a 5-part webinar series to provide an overview of our newly released Medicaid/CHIP Tutorial, Public Insurance Programs and Children with Special Health Care Needs: A Tutorial on the Basics of Medicaid and the Children’s Health Insurance Program (CHIP). This first webinar explains how and why the tutorial was developed, gives examples of Title V and Medicaid/CHIP Partnerships, and what’s covered in the tutorial.

Instructions: TEFRA and FOA Medicaid Buy-in Programs: An Educational Worksheet from the Catalyst Center

The Catalyst Center has created a TEFRA and FOA Medicaid Buy-in Educational Worksheet that you can use to learn about the similarities and differences between these two programs. Using the attached instructions, you can fill out the worksheet with data on the insurance status of families in your state. We hope this tool will be a good introduction to how to use data to make your case for improving coverage for children and youth with disabilities.

Supplemental Resources: Medicaid Managed Care and Children and Youth with Special Health Care Needs (CYSHCN)

This presentation, developed by the National Academy for State Health Policy (NASHP) in collaboration with the Catalyst Center, aims to support Title V programs in understanding Medicaid managed care (MMC), how it impacts Children and Youth with Special Health Care Needs (CYSHCN), and how to leverage MMC to improve the care delivered to CYHSCN. Each slide contains speakers notes providing more detail on the slide contents. Title V programs can consider adapting the slide deck to present to their respective audiences.

The supplemental resources document lists additional resources describing how to leverage Medicaid managed care to improve the care delivered to CYSHCN.

Strategies for State Title V and Medicaid Programs to Promote Health Equity for Children and Youth with Special Health Care Needs (CYSHCN) of Color – One Page Resource

State Title V and Medicaid programs provide services for children and youth with special health care needs (CYSHCN) to support their physical, behavioral, and developmental care. States are also advancing health equity goals to address disparate outcomes experienced by people of color. With evidence of existing inequities laid bare by the COVID-19 pandemic, states are finding opportunities to unite these efforts to improve care for CYSHCN of color.

This mini-brief, developed by the National Academy for State Health Policy (NASHP) in partnership with the Catalyst Center, describes key areas where states are strengthening health equity for CYSHCN, including initiatives in family partnership, Medicaid managed care (MMC) programs, quality measurement and performance reporting, and cross-sector partnerships.

Medicaid 101 Webinar Responses

As the single largest source of health coverage for Children and Youth with Special Health Care Needs (CYSCHN), with robust benefits and cost-sharing limits, Medicaid provides critical coverage of health care services to CYSHCN. State Title V programs are uniquely positioned to collaborate with Medicaid to promote access to the system of services for CYSHCN.

The Catalyst Center hosted a webinar on June 14, 2022, that presented foundational knowledge about Medicaid for Title V staff and their allies. Catalyst Center staff explained the basics of Medicaid including the eligibility pathways to Medicaid coverage for kids and a benefit for children unique to Medicaid called EPSDT that is crucial for access to care for CYSHCN.

Please click the links below to access the webinar recording, slide deck, and a document with follow-up resources and Q&A responses.

Webinar Recording: Medicaid and CHIP: Funding, Service Delivery, and Quality

This is the fourth webinar in a five-webinar series about the Catalyst Center’s latest technical assistance tool Public Insurance Programs and Children with Special Health Care Needs: A Tutorial on the Basics of Medicaid and the Children’s Health Insurance Program (CHIP).

Fact Sheet: Initial Core Set of Children’s Health Care Quality Measures PDF

Medicaid/CHIP Interactive Worksheets

The Catalyst Center created two interactive worksheets for Title V program staff, family leaders, and other stakeholders. These worksheets provide an overview of Title V, and Medicaid and the Children’s Health Insurance Program (CHIP). Each worksheet includes resources you can use to find and insert state-specific information to help demonstrate the importance of Title V, Medicaid and CHIP for children with special health care needs (CSHCN). The worksheets were created as companion materials to the Catalyst Center’s Public Insurance Programs and Children with Special Health Care Needs: A Tutorial on the Basics of Medicaid and the Children’s Health Insurance Program (CHIP).

Slide Deck: Serving CYSHCN Through State Medicaid Managed Care and Title V Partnerships