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Medicaid Managed Care - U.S. Senate Special Committee on Aging

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12. American Academy of Pediatries<br />

Title<br />

Descripti<strong>on</strong><br />

Source<br />

662<br />

How to Use Your <str<strong>on</strong>g>Managed</str<strong>on</strong>g> <str<strong>on</strong>g>Care</str<strong>on</strong>g> Plan Effectively: Questi<strong>on</strong>s and<br />

\ Answers for Families with Children<br />

A series of 23 questi<strong>on</strong>s and answers ranging from choosing a<br />

primary care physician and specialist, decisi<strong>on</strong>s <strong>on</strong> medical necessity,<br />

services requiring prior approval and the process for obtaining it, and<br />

how to file a complaint.<br />

American Academy of Pediatrics: How to Use Your <str<strong>on</strong>g>Managed</str<strong>on</strong>g> <str<strong>on</strong>g>Care</str<strong>on</strong>g><br />

Plan Effectively: Questi<strong>on</strong>s and Answers for Families with Children.<br />

Elk Grove Village, IL: AAP, 1995. To order, write Divisi<strong>on</strong> of<br />

Publicati<strong>on</strong>s, AAP, 141 Northwest Point Boulevard, PO Box 927,<br />

Elk Grove Village, IL 60009; Ph<strong>on</strong>e 800-433-9016.<br />

COLLABORATIVE FAMILY SUPPORT INITIATIVES<br />

1. Parents Helping Parents, Inc.<br />

Title <str<strong>on</strong>g>Managed</str<strong>on</strong>g> <str<strong>on</strong>g>Care</str<strong>on</strong>g> Health Plans -- Introducing Family-Centered <str<strong>on</strong>g>Care</str<strong>on</strong>g><br />

Descripti<strong>on</strong> In collaborati<strong>on</strong> with Kaiser Permanente, a parent-directed Family<br />

Resource.Center was established at a managed care site. This Center<br />

provides informati<strong>on</strong> and training to health professi<strong>on</strong>als <strong>on</strong> familycentered<br />

care and cultural competence; it offes mentors for<br />

emoti<strong>on</strong>al support to parents and professi<strong>on</strong>als and outreach to<br />

underserved communities; and it provides a computerized directory<br />

of health care resources and a parent liais<strong>on</strong> in the hospital.<br />

Source Parents Helping Parents, Inc. 3041 Olcott Street, Santa Clara, CA<br />

95054; Ph<strong>on</strong>e 408-727-5775.<br />

2. Nati<strong>on</strong>al MCH Resource Center<br />

Title<br />

Alternative Dispute Preventi<strong>on</strong> and Resoluti<strong>on</strong> Systems and Processes<br />

for Children with <str<strong>on</strong>g>Special</str<strong>on</strong>g> Health <str<strong>on</strong>g>Care</str<strong>on</strong>g> Needs in <str<strong>on</strong>g>Managed</str<strong>on</strong>g> <str<strong>on</strong>g>Care</str<strong>on</strong>g><br />

Settings<br />

13<br />

I

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