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Title
State Medicaid health maintenance organization policies and special-needs children.
First Author
Fox, Harriette B
Date of Pub
1993 Fall
Pages
25-37
Volume
15
Issue
1
Other Authors
Newacheck, Paul W; Wicks, Lori B
Abstract
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.
Abstract Continued
N/A
MeSH
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
NTIS Number
PB95-123493