Making Sense of Medicaid for Children with Serious
Emotional Disturbance
Table of Contents
FOREWORD
PART I
CHAPTER 1:
Purpose of This Report
Background
Comprehensive Community Services
The "Wraparound" Approach
CHAPTER 2:
Child Mental Health Services Under Medicaid
How Children Are Entitled to Services
What Medicaid Services Are Covered in Federal Law
Managed Care
The Importance of Medicaid
CHIP-Increasing the Importance of Medicaid
CHAPTER 3:
Problems in Medicaid Implementation
Confusion About a Child's Entitlement
Problems in Obtaining EPSDT Screens
Division of Responsibility for Treatment
Limited Benefit Packages
Incomplete or Missing Definitions
Limitations of the Federal Definitions
Other Problems in Federal Rules
Services Medicaid Does Not Cover
Impact
PART II
CHAPTER 4:
Financing Mechanisms and Service Definitions
Analysis of Delivery and Financing Mechanisms
Managed Care Arrangements
Analysis of State Service Listings
Intensive Community-Based Services
Medical and Clinical Services
Residential Services
CHAPTER 5:
Medicaid Rules and Program Innovations in Selected States
Wraparound Package of Services
Team Meetings
Family Support Services
Child Respite Services
Summer Camps/After School/Recreational Programs
Parents as Case Managers
Mentoring
Home-Based Services
Early Intervention Services
Meeting the Needs of Very Young Children
Independent-Living Skills Programs
Financing Innovations
CONCLUSION
APPENDIX I: Methodology and Technical Notes
Methodology
Technical Notes
Notes on Specific Services
APPENDIX II: Sample State Summary
APPENDIX III: Which Children Are Eligible for Medicaid?
TABLES
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