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

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-Administrative Survey: Enrollment of children with
special health care needs. service delivery network, case
management/care coordination services, grievance/appeals
mechanisms, ease of service delivery, consumer
participation in governance.
A definition of children with special health care needs that
includes functional and service utilization components and allows
managed care plans to identify the target population will also be
included.
Source New England SERVE, 101 Tremont Street, Suite 812, Boston,
MA 02108; Phone 617-574-9493.
B. Title Enhancing Quality: Standards of Quality <strong>Care</strong> for Children with
<strong>Special</strong> Health <strong>Care</strong> Needs.
Description This manual includes standards and indicators that define specific
characteristics and components of quality care for children with
special health care needs. It is organized into five sections:
individualized services, health care professional and team
characteristics, health care agency or facility responsibilities, state
health department responsibilities, and guidelines for community
and societal support.
Source New England SERVE: Enhancing Quality: Standards of Quality
<strong>Care</strong> for Children with <strong>Special</strong> Health <strong>Care</strong> Needs. Boston, MA:
New England SERVE, 1989. New England SERVE, 101
Tremont Street, Suite 812, Boston, MA 02108; Phone 617-574-
9493.
Maternal and Child Health Bureau
Title A Preliminary Strategy for Assessing Community Systems of
<strong>Care</strong> for Women. Children, and Adolescents
Description This set of community systems measures is designed to track
progress in creating improved service systems for all women and
children, including those with special health needs. It is based on
the principles of Communities Can and is organized into five
areas: 1) early identification and referral system; 2) primary and
specialized health service network; 3) family satisfaction and
quality of care; 4) assessment, development, and coordination of
primary, specialized, and related services; and 5) family
participation.
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