Access to Care, Medicaid, and the

State Children’s Health Insurance Program (SCHIP)

 

 

Access to Care

·               AAP Endorsed Principles on Access

·               AAP Policy Statement: Principles of Child Health Financing

·               AAP Policy Statement: Scope of Health Care Benefits for Infants, Children, Adolescents, and Young Adults Through Age 21 Years

·               AAP Policy Statement: The Medical Home

Medicaid                                                                      

 

General Information

·               AAP Policy Statement: Medicaid Policy Statement

·               AAP Division of Health Policy Research Medicaid Reports

Medicaid State Reports, Medicaid Reimbursement Survey Reports, Pediatrician Participation Survey Reports, others

·               AAP Division of Health Policy Research Child Health Insurance Status Reports

Insurance status of insured children, and eligibility of uninsured children data

·               AAP/NACHRI Medicaid Fact Sheets

State-by-state fact sheets that can be used as leave-behinds or for other advocacy purposes

·               Medicaid Eligibility by State

·               Federal Medicaid Statute: Title XIX of the Social Security Act

·               Centers for Medicare and Medicaid Services (CMS) State Medicaid Manual

           

Medicaid Managed Care

·               AAP Clinical Report: Managed Care and Children with Special Health Care Needs   

·               AAP State Request for Proposals (RFP)/Contract Checklist

·               Medicaid Managed Care Contracts: Key Issues for Pediatricians

·               Medicaid Managed Care Regulations

The June 14, 2002 Medicaid Managed Care regulations – under Centers for Medicare and Medicaid Services

·               A Pediatrician’s Guide to Managed Care – 2^nd Edition

AAP publication available for purchase

·               CMS Description of State Medicaid Managed Care Programs

·               CMS Medicaid Managed Care Enrollment Statistics        

Medicaid Waivers

·               CMS Section 1115 Waiver Information

·               CMS Map of State Waiver Programs and Demonstration Projects

·               CMS Health Insurance Flexibility and Accountability (HIFA) Section 1115 Waiver Information  

·               Summary of Health Insurance Flexibility and Accountability (HIFA) Approved Waivers and Current Waiver Proposals

State Children’s Health Insurance Program (SCHIP)

 

Eligibility and Application Information

 

·               Insure Kids Now

Visit the Insure Kids Now site and select your state from the drop-down menu to learn about eligibility and applying for SCHIP

           

General Information

 

·               AAP Policy Statement: Implementation Principles and Strategies for the State Children’s Health Insurance Program

·               Summary of SCHIP (Title XXI of the Social Security Act)

·               Title XXI Summaries in the States

·               Federal SCHIP Statute: Title XXI of the Social Security Act

·               SCHIP Regulations Summaries: January 2001 and June 2001

Summaries of the January 2001 SCHIP regulations and the changes made per the June 2001 interim final rules

·               SCHIP Eligibility by State

·               AAP Division of Health Policy Research Child Health Insurance Status Reports

·               Insurance status of insured children, and eligibility of uninsured children data

·               CMS SCHIP Web site

·               CMS SCHIP Fact Sheets by State

·               Federal SCHIP Allotments

·               CMS SCHIP Plan Activity Map

           

SCHIP Evaluation

 

·               AAP SCHIP Evaluation Tool

·               Mathematica Policy Research National SCHIP Evaluation

·               State Annual SCHIP Reports to CMS

·               Agency for Healthcare research and Quality (AHRQ) Child Health ToolBox

·               Child Health Insurance Research Initiative

·               National Academy for State Health Policy (NASHP) SCHIP Evaluation Clearinghouse

 

SCHIP Outreach and Enrollment

 

·              Outreach and Enrollment Recommended Actions for Pediatricians

·               Reaching Children: Building Systems of Care Information

·               CMS SCHIP Outreach Information Clearinghouse

·               Children’s Defense Fund

·               Covering Kids and Families

·               Expresslane Eligibility: A Project of the Children’s Partnership

           

 

 Additional Resources

 

·               Centers for Medicare and Medicaid Services (CMS)

·               Center on Budget and Policy Priorities

·               Children’s Defense Fund

·               The Commonwealth Fund

·               Covering Kids and Families

·               Families USA

·               Family Voices

·               George Washington University Center for Health Services Research and Policy

·               The Henry J. Kaiser Family Foundation

·               Maternal and Child Health Policy Research Center

·               National Academy for State Health Policy

·               National Association of Children’s Hospitals and Related Institutions / National Association of Children’s Hospitals

·               National Association of State Budget Officers

·               National Association of State Medicaid Directors

·               National Conference of State Legislatures

·               National Governors Association

·               National Health Law Program

·               State Coverage Initiatives

·               The Urban Institute

·               Voices for America’s Children