Care coordination can help children and youth with special health care needs (CYSHCN) and their families navigate the health care system while avoiding unnecessary costs and duplicative services. States have longstanding efforts to finance care coordination services for CYSHCN and their families through Medicaid, the state Title V Maternal and…

As the single largest source of health coverage for Children and Youth with Special Health Care Needs (CYSCHN), with robust benefits and cost-sharing limits, Medicaid provides critical coverage of health care services to CYSHCN. State Title V programs are uniquely positioned to collaborate with Medicaid to promote access to the…

This report on the Michigan Partners for Children program is a helpful cost effectiveness resource, referenced in Steve Fitton’s paper, A Perspective on Cost Effectiveness in Pediatric Comprehensive Complex Care Service Models.

Care Coordination Measurement Through the Care Coordination Measurement Tool (CCMT) and Pediatric Integrated Care Survey (PICS)

After attending this event, participants will be able to identify the steps to identify social risk factors that could be incorporated into a payment model, understand the process a state Medicaid program can use to add social risk to medical complexity, and be able to approach their payers about the…

This meeting focuses on implementing strategies to identify patients for payment for care coordination.

North Carolina’s Integrating Care for Kids and Duke’s Pediatric Complex Care Integration Learning Health Unit present an overview of the programs/ NC landscape, measures used and proposed by InCK and their refinement in NC, Alternative Payment Model types under consideration, including children with medical complexity and those with other risk…

After this session, participants will understand other state’s models, successes, and challenges, to be able to apply the knowledge to their own projects, identify ways to sustain projects beyond participation in the Care Coordination Academy, and develop relationships with other state teams that advance the priorities of sustainable care coordination.

After this session, participants will develop a plan to sustain their work, identify their target audience to communicate about their work, identify partners to expand collaboration, and identify steps to broaden the work to increase its appeal to funders.

After this session, participants will understand the key aspects of reaching out to state legislators to impact policy, articulate the link of the care coordination work and the funding mechanisms needed to make this work sustainable, and recognize mechanisms to concisely present data on care coordination programing to policy makers.