ERIC Number: ED464735
Record Type: Non-Journal
Publication Date: 2001
From Coverage to Care in Medicaid and CHIP: Getting Out the Preventive Care Message to Pennsylvania's Low-Income Families with Children.
Philadelphia Citizens for Children and Youth, PA.
This report examines some of the ways a sample of Pennsylvania health care providers participating in Medicaid and the Children's Health Insurance Program (CHIP) strive to ensure that the children they serve make use of preventive health care. The report also identifies how managed care organizations or benefits administrators contracting with the state typically inform families about available benefits, assist them in using services, and interact on these issues with children's primary care providers. Information for the report was collected through interviews with personnel from 40 health care organizations. Responses indicated that a variety of preventive care outreach approaches are being used. Reminder calls and missed appointment notices were effective strategies used by most of the providers. Other more ambitious initiatives include welcome calls to all new CHIP members and a follow-up program to provide intensive education and support through home visits and referrals. Responses also indicated that compliance with required follow-up to families of children whose EPSDT screens are overdue is often difficult or impossible for many primary care providers. The amount of outreach and assistance provided by managed care organizations varied. Medicaid managed-care organizations report difficulty in locating families. A significant amount of outreach materials are produced only in English. The report includes recommendations intended to enhance the accomplishments of the organizations and to prompt the development of new best practices. Appended is an in-depth examination of how a primary care provider and two CHIP organizations approach preventive care outreach, and a discussion of the issue of locating families who move frequently. (Contains 25 endnotes.) (KB)
Descriptors: Child Health, Children, Health Insurance, Low Income Groups, Outreach Programs, Prevention, Program Descriptions
Philadelphia Citizens for Children and Youth, 7 Benjamin Franklin Parkway, Philadelphia, PA 19103. Tel: 215-563-5848; Fax: 215-563-9442; e-mail: firstname.lastname@example.org. For full text: http://www.pccy.org/PDF/CoveragetoCare.pdf.
Publication Type: Reports - Research
Education Level: N/A
Authoring Institution: Philadelphia Citizens for Children and Youth, PA.
Identifiers - Location: Pennsylvania
Identifiers - Laws, Policies, & Programs: Childrens Health Insurance Program