Resources

Unlock information and support by accessing the resources below.

Chapter 1: Introduction to the Workbook

Workbook Content and Title V Topics Index

Chapter 2: Overview of the Medicaid Program

Catalyst Center. Public Insurance Programs and Children with Special Health Care Needs: A Tutorial on the Basics of Medicaid and the Children’s Health Insurance Program (CHIP).

https://ciswh.org/resources/Medicaid-CHIP-tutorial

Title XIX of the Social Security Act

https://ssa.gov/

https://govinfo.gov/

Title 42, Chapter IV, Code of Federal Regulations

https://www.ecfr.gov/current/title-42/chapter-IV

https://www.law.cornell.edu/cfr/text/42/chapter-IV

The Center for Medicaid and CHIP Services (CMCS) within Centers for Medicare and Medicaid Services (CMS). Agency of the U.S. Department of Health and Human Services (HHS).

https://www.medicaid.gov/

Medicaid and CHIP Payment and Access Commission (MACPAC)

Annotated Title XIX and Title XXI

https://www.macpac.gov/publication/annotated-statutes-for-medicaid-and-chip/

Reference Guide to Federal Medicaid Laws and Regulations

https://www.macpac.gov/reference-materials/reference-guide-to-federal-medicaid-statute-and-regulations/

Keeping Medicaid’s Promise: Strengthening Access to Services for Children and Youth with Special Health Care Needs

https://www.manatt.com/insights/white-papers/2019/keeping-medicaids-promise-strengthening-access-to

Children’s Health Insurance Program. Medicaid.gov.

https://www.medicaid.gov/chip/index.html

National Academy of State Health Policy (NASHP). State CHIP Fact Sheets.

https://nashp.org/all-50-states-and-washington-d-c-chip-fact-sheets-for-all-years/

Chapter 3: Medicaid Managed Care

The Association of Maternal and Child Health Programs & the National Academy for State Health Policy. 2018. Serving Children and Youth with Special Health Care Needs in Medicaid Managed Care: Contract Language and the Contracting Process.

https://amchp.org/resources/serving-children-and-youth-with-special-health-care-needs-in-medicaid-managed-care-contract-language-and-the-contracting-process/

The Commonwealth Fund. Medicaid Managed Care Database.

https://www.commonwealthfund.org/medicaid-managed-care-database#/

Georgetown Center for Children and Families. 2021. Medicaid Learning Lab, Session 6: Medicaid Managed Care.

https://ccf.georgetown.edu/2021/02/05/medicaid-learning-lab/

Georgetown Center for Children and Families. Managed Care Resource Page.

https://ccf.georgetown.edu/subtopic/managed-care/

Kaiser Family Foundation. 2022. 10 Things to Know about Medicaid Managed Care

https://ccf.georgetown.edu/2021/02/05/medicaid-learning-lab/

Kaiser Family Foundation. Medicaid Managed Care Market Tracker.

https://www.kff.org/data-collection/medicaid-managed-care-market-tracker/

Manatt. Webinar: Children with Special Healthcare Needs in Medicaid Managed Care

https://www.manatt.com/insights/webinars/nine-part-medicaid-managed-care-webinar-series

Medicaid and CHIP Access and Payment Commission (MACPAC). Managed Care Topic Page.

https://www.macpac.gov/topics/managed-care/

National Academy for State Health Policy. Medicaid Managed Care Resource Center.

https://nashp.org/medicaid-managed-care-resources/

National Academy for State Health Policy. 2020. State Medicaid Managed Care Program Design for Children and Youth with Special Health Care Needs.

https://www.nashp.org/state-medicaid-managed-care-program-design-for-children-and-youth-with-special-health-care-needs/

National Health Law Program. 2021. Addressing Health Equity in Medicaid Managed Care.

https://healthlaw.org/resource/addressing-health-equity-in-medicaid-managed-care/

National Health Law Program. 2020. Medicaid External Quality Review: An Updated Overview.

https://healthlaw.org/resource/medicaid-external-quality-review-an-updated-overview/

Robert Wood Johnson Foundation. 2020. Analyzing Medicaid Managed Care Organizations: State Practices for Contracting with Managed Care Organizations and Oversight of Contractors.

https://www.rwjf.org/en/insights/our-research/2020/08/analyzing-medicaid-managed-care-organizations–state-practices-for-contracting-with-managed-care-organizations-and-oversight-of-contractors.html

Chapter 4: Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Benefit

EPSDT—A Guide for States: Coverage in the Medicaid Benefit for Children and Adolescents

https://www.medicaid.gov/sites/default/files/2019-12/epsdt_coverage_guide.pdf

A Review of Title V and Title XIX Interagency Agreements

https://www.ncemch.org/IAA/resources/C_State_MCH_Medicaid_Chapter2.pdf

Keeping Medicaid’s Promise: Strengthening Access to Services for Children and Youth with Special Health Care Needs

https://www.manatt.com/insights/white-papers/2019/keeping-medicaids-promise-strengthening-access-to

Chapter 5: TEFRA/Katie Beckett and Home- and Community-Based Services Waivers

Medicaid.gov. State Waivers List.

https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/index.html

MACPAC. Waivers.

https://www.macpac.gov/subtopic/overview/

Medicaid.gov. Home- and Community-Based Services Quality Measure Set, 2022.

https://www.medicaid.gov/federal-policy-guidance/downloads/smd22003.pdf

Catalyst Center. The American Rescue Plan Act: Opportunities for Improving Home- and Community-Based Services for Children and Youth with Special Health Care Needs. 2021.

Resources

Unlock information and support by accessing the resources below.

Chapter 1: Introduction to the Workbook

Chapter 2: Overview of the Medicaid Program

Chapter 3: Medicaid Managed Care

Chapter 4: Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Benefit

Chapter 5: TEFRA/Katie Beckett and Home- and Community-Based Services Waivers

Chapter 6: Building a Strategy in Your State