This is my archive
Medical Necessity Webinar Series: Part One Q&A
In April, May, and June of 2022, the Catalyst Center and the National Coordinating Center for the Regional Genetics Networks, two programs supported by the Health Resources and Services Administration (HRSA), hosted a three-part webinar series to help the genetics community and other interested parties better understand how to navigate…
Medical Necessity Webinar Series: Part One Slides
In April, May, and June of 2022, the Catalyst Center and the National Coordinating Center for the Regional Genetics Networks, two programs supported by the Health Resources and Services Administration (HRSA), hosted a three-part webinar series to help the genetics community and other interested parties better understand how to navigate…
Slide Deck: Serving CYSHCN Through State Medicaid Managed Care and Title V Partnerships
This presentation, developed by the National Academy for State Health Policy (NASHP) in collaboration with the Catalyst Center, aims to support Title V programs in understanding Medicaid managed care (MMC), how it impacts Children and Youth with Special Health Care Needs (CYSHCN), and how to leverage MMC to improve the…
Leverage Opportunities + Speak the Medicaid Language: A Workbook for Title V
Leverage Opportunities + Speak the Medicaid Language: A Workbook for Title V focuses on Medicaid as an important element of the system of services for Children and Youth with Special Health Care Needs (CYSHCN), as it is the single largest payor for CYSHCN and provides a robust benefits package for…
Strategies to Improve Continuous Medicaid Coverage for Children and Youth with Special Health Care Needs (CYSHCN)
Continuous health insurance coverage is critical for ensuring access to care for children and youth with special health care needs (CYSHCN). Lapses in coverage for CYSHCN can result in forgone medical care, unmet health needs, and family financial hardship. Within Medicaid, approximately 10% of all enrollees experience churn, meaning they…
Medicaid’s Transportation Benefit and Children and Youth with Special Health Care Needs (CYSHCN)
Transportation is essential for children and youth with special health care needs (CYSHCN) to regularly access health care and support chronic health conditions that require ongoing treatment. However, CYSHCN are significantly more likely to delay care due to transportation barriers than children and youth without a special health care need.
Published Paper: Strategies for Changing State Medicaid Policy to Improve Services to Children with Medical Complexity
This paper introduces a number of existing Medicaid policy instruments and explains how to use them more effectively for programs and providers dedicated to serving CMC. Because Medicaid programs are so variable across the nation, we also provide a diagnostic approach to understanding each state’s Medicaid policy and service delivery…
Policy Brief: A Perspective on Cost Effectiveness in Pediatric Comprehensive Complex Care Service Models
This brief presents evidence on the cost effectiveness of comprehensive service delivery models to improve care for children with medical complexity (CMC) and describes the unique challenges in cost effectiveness evaluations for this population. It also points to Medicaid policy opportunities that provide financial support for a developmental period, whether…
PPT Slide Deck: Paths to Financial Sustainability for Comprehensive Pediatric Complex Care Programs: A Medicaid Policy Toolkit for Title V Programs
This slide deck, originally presented at the Association of Maternal and Child Health Programs’ 2021 virtual conference, outlines a number of policy opportunities for Title V programs to utilize in sustaining funding for pediatric complex care. The presentation breaks down these policy opportunities into broad, targeted, eligibility, and reimbursement based…
Medical Necessity Webinar Series: Part One Recording – The Use of Evidence to Form Medical Necessity Criteria and Policy
In April, May, and June of 2022, the Catalyst Center and the National Coordinating Center for the Regional Genetics Networks, two programs supported by the Health Resources and Services Administration (HRSA), hosted a three-part webinar series to help the genetics community and other interested parties better understand how to navigate…