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Build Capacity
Strategies to promote stronger, more comprehensive systems of care for Children and Youth with Special Health Care Needs.
In addition to strategies that focus on ways to insure more children, enhance insurance benefits, or fund new services, states are also developing innovative ways to finance initiatives that strengthen the existing system. For example, states have developed strategies to procure services in ways that improve quality or delivery of care. These methods expand access to existing services for children and youth with special health care needs (CYSHCN), or create capacity where none existed.
States have used their purchasing power to build capacity and expand access to quality care through financing or support of:
- Quality-focused managed care purchasing agreements;
- Specialty managed care plans;
- Primary care case management and fee-for-service payment enhancements;
- Medical home support;
- Disease management programs;
- Consumer/family-directed care models;
- Parent and Peer Navigation Programs
- Telemedicine and other capacity-building services;
- Youth transition services;
- Outreach and enrollment strategies.
Additional Resources
- Financing the Special Health Care Needs of Children in Foster Care: A Primer
- Risk Adjustment and Other Financial Protections for Children with Special Health Care Needs in Our Evolving Health Care System
- 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)
- The Massachusetts Child Psychiatry Access Project: Combining Innovation and Collaboration to Enhance Children's Mental Health Services in the Primary Care Setting [PDF]
- Dancing with Data: Using data to support your message
- Video: Bridging the gaps for families of children with special health care needs: RI Pediatric Practice Enhancement Project
- Just the Facts: The 411 on Health Insurance for Young Adults Ages 18 - 30 in Florida