State Medicaid health maintenance organization policies and special-needs children.
Fox, Harriette B
Date of Pub
Newacheck, Paul W; Wicks, Lori B
Little research has been done to ascertain what enrollment in a health maintenance organization (HMO) may mean for the care
of Medicaid recipients who regularly require specialty health services. This article presents the results of a survey of all
State Medicaid agencies regarding their policies for enrolling and serving special-needs children in HMOs. The survey revealed
that many States have implemented one or more strategies to protect special-needs Medicaid recipients enrolled in HMOs. The
survey results suggest, however, that such strategies are too limited in scope to ensure appropriate access to specialty services
for all children with special health needs.
Child : Child Health Services/economics : Data Collection : Disabled Persons/statistics & numerical data : Health Maintenance
Organizations/economics/utilization : Health Services Research : Human : Medicaid/organization & administration/statistics
& numerical data/utilization : Organizational Policy : Risk : State Health Plans/organization & administration : Support,
U.S. Gov't, P.H.S. : United States